Background.
Attention deficit hyperactivity disorder (ADHD) is the most common child psychiatric disorder, comprising 30-40% child mental health cases referred. ADHD is typically characteristic by inattention, hyperactivity and impulsivity and affects the emotion, behavior, psychosocial, academic, and family functioning. ADHD is a severe disorder includes the impairment, chronicity, morbidity and comorbity. The peak of onset is 3-5 years. This study aims to obtaining the proportion of ADHD in preschool children with SPGPI instrument, to demonstrate SPRDAP and SPMP instrument are reliable and valid, and to demonstrate ADHD related to family history and self regulation.
Methods.
Diagnostic test for SPGPI, SPRDAP and SPMP instruments. This study using questionnaire and interview. Sampling method was simple random sampling. Participant from 34 playgroup and kindergarten were selected from DKI Jakarta. The study was conducted from March-June 2009. The samples were 1000 for diagnostic test and 750 for cross sectional study and the children were asked to complete SPGPI, SPRDAP, SPMP and personal form. The instruments from first study were applied for the second study.
Result.
The result on diagnostic test showed that the Cronbach coefficient aplha 0.996, sensitivity 96%, specificity 99% for SPGPI, cut-off pont 30 and area under ROC curve 0.9774. For SPRDAP instrument, the Cronbach coefficient aplha 0.937, sensitivity 92%, specifity 96%, cut-off point 20 and area under ROC curve 0.9383. For SPMP instrument, the Cronbach coefficient alpha 0.8125, sensitivity 72%, specificity 95%, titik potong 70 and area under ROC curve 0.8233. The related factors were paternal smoking PR 3.48 (1.79 to 6.78), self regulation PR 21.01 (6.98 to 63.28) and family history PR 11.89 (2.44 to 44.65).
Conclusion.
SPGPI, SPRDAP and SPMP is reliable and valid and used as an instrument. Paternal smoking, self regulation, family history of ADHD were related to ADHD. |