Retrospective parental assessment of childhood neurodevelopmental problems: the use of the Five to Fifteen questionnaire in adults

BackgroundAttention-deficit hyperactivity disorder and autism are increasingly recognised in adults. For a diagnostic evaluation, parental information on childhood development is needed. However, no instruments that retrospectively describe neurodevelopmental problems in childhood are validated for...

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Main Authors: Tove Lugnegård, Susanne Bejerot
Format: Article
Language:English
Published: Cambridge University Press 2019-05-01
Series:BJPsych Open
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2056472419000309/type/journal_article
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author Tove Lugnegård
Susanne Bejerot
author_facet Tove Lugnegård
Susanne Bejerot
author_sort Tove Lugnegård
collection DOAJ
description BackgroundAttention-deficit hyperactivity disorder and autism are increasingly recognised in adults. For a diagnostic evaluation, parental information on childhood development is needed. However, no instruments that retrospectively describe neurodevelopmental problems in childhood are validated for evaluating adults. The 181-item parent-report questionnaire Five to Fifteen (FTF) is nevertheless frequently used for assessments in adulthood.AimsTo examine if FTF is reliable for obtaining retrospective neurodevelopmental history among young adults.MethodDetails of parents who had assessed their children with the FTF for neuropsychiatric evaluation were retrieved and they were asked to complete the FTF again 10–19 years later. Agreements between original and retrospective scorings were analysed.ResultsLong-term reliability for FTF varies considerably between individual items. Several difficulties are reported as more severe at the retrospective scoring than at the original scoring. A selection of 24 items (FTF-Brief) with good agreement over time, is presented for use in adult psychiatry settings.ConclusionNeuropsychiatric symptoms may fluctuate over time and become more prominent when demands increase. Informants' recollections of their child's neurodevelopmental symptoms may be a selection of symptoms that are longstanding rather than present at a specific age in childhood.Declaration of interestNone.
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spelling doaj.art-2321d589f9ce4627864c1b76ceee0f912023-03-09T12:28:48ZengCambridge University PressBJPsych Open2056-47242019-05-01510.1192/bjo.2019.30Retrospective parental assessment of childhood neurodevelopmental problems: the use of the Five to Fifteen questionnaire in adultsTove Lugnegård0Susanne Bejerot1https://orcid.org/0000-0002-3587-6075Doctor, Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, SwedenDoctor, School of Medical Sciences and the University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, SwedenBackgroundAttention-deficit hyperactivity disorder and autism are increasingly recognised in adults. For a diagnostic evaluation, parental information on childhood development is needed. However, no instruments that retrospectively describe neurodevelopmental problems in childhood are validated for evaluating adults. The 181-item parent-report questionnaire Five to Fifteen (FTF) is nevertheless frequently used for assessments in adulthood.AimsTo examine if FTF is reliable for obtaining retrospective neurodevelopmental history among young adults.MethodDetails of parents who had assessed their children with the FTF for neuropsychiatric evaluation were retrieved and they were asked to complete the FTF again 10–19 years later. Agreements between original and retrospective scorings were analysed.ResultsLong-term reliability for FTF varies considerably between individual items. Several difficulties are reported as more severe at the retrospective scoring than at the original scoring. A selection of 24 items (FTF-Brief) with good agreement over time, is presented for use in adult psychiatry settings.ConclusionNeuropsychiatric symptoms may fluctuate over time and become more prominent when demands increase. Informants' recollections of their child's neurodevelopmental symptoms may be a selection of symptoms that are longstanding rather than present at a specific age in childhood.Declaration of interestNone.https://www.cambridge.org/core/product/identifier/S2056472419000309/type/journal_articleAutistic spectrum disordersattention deficit hyperactivity disorderstic disordersrating scalesdevelopmental disorders
spellingShingle Tove Lugnegård
Susanne Bejerot
Retrospective parental assessment of childhood neurodevelopmental problems: the use of the Five to Fifteen questionnaire in adults
BJPsych Open
Autistic spectrum disorders
attention deficit hyperactivity disorders
tic disorders
rating scales
developmental disorders
title Retrospective parental assessment of childhood neurodevelopmental problems: the use of the Five to Fifteen questionnaire in adults
title_full Retrospective parental assessment of childhood neurodevelopmental problems: the use of the Five to Fifteen questionnaire in adults
title_fullStr Retrospective parental assessment of childhood neurodevelopmental problems: the use of the Five to Fifteen questionnaire in adults
title_full_unstemmed Retrospective parental assessment of childhood neurodevelopmental problems: the use of the Five to Fifteen questionnaire in adults
title_short Retrospective parental assessment of childhood neurodevelopmental problems: the use of the Five to Fifteen questionnaire in adults
title_sort retrospective parental assessment of childhood neurodevelopmental problems the use of the five to fifteen questionnaire in adults
topic Autistic spectrum disorders
attention deficit hyperactivity disorders
tic disorders
rating scales
developmental disorders
url https://www.cambridge.org/core/product/identifier/S2056472419000309/type/journal_article
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