{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T18:36:09Z","timestamp":1793039769438,"version":"4.5.0"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T00:00:00Z","timestamp":1792713600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Child Psychol Psychiatry"],"abstract":"<jats:p>Building on the prior validation of the Revised Adult ADHD Self-Report Scale (ASRS-R), this case-control study aimed to derive proposed cut-off scores for screening ADHD in Chinese children and adolescents aged 8\u201314\u00a0years. The study included 457 children and adolescents (106 with DSM-5 diagnosed ADHD, 351 controls) from a Shenzhen hospital. Reliability (Cronbach\u2019s \u03b1 = 0.929) and validity (GFI = 0.954; rs = 0.604 with SNAP-IV) were good. ROC analysis was used to determine proposed cut-offs. For the total score, the proposed cut-off was 27.5 (AUC = 0.881, 95% CI: 0.847\u20130.915), with sensitivity 89.6% and specificity 77.8%. Adjusted for population prevalence, positive and negative predictive values were 21.6% and 99.1%. For inattention and hyperactivity-impulsivity subscales, proposed cut-offs were 19.5 (AUC = 0.846) and 17.5 (AUC = 0.853), respectively. The ASRS-R demonstrates satisfactory screening efficacy for Chinese children and adolescents aged 8\u201314\u00a0years. These preliminary cut-offs, characterized by exceptional ability to rule out non-ADHD cases, provide evidence-based support for early ADHD screening in school, community, and clinical settings. However, these cut-offs require external validation, ideally in consecutively recruited and community-based samples.<\/jats:p>","DOI":"10.1177\/13591045261499615","type":"journal-article","created":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T15:25:32Z","timestamp":1792769132000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Diagnostic Accuracy and Proposed Cut-Off Values of the ASRS-R for Screening ADHD in Chinese Children and Adolescents: A Case-Control Study"],"prefix":"10.1177","author":[{"given":"Yiqin","family":"Shao","sequence":"first","affiliation":[{"name":"Harbin Medical University, Daqing Campus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongzhu","family":"Diao","sequence":"additional","affiliation":[{"name":"Harbin Medical University, Daqing Campus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sen","family":"Li","sequence":"additional","affiliation":[{"name":"Harbin Medical University, Daqing Campus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoqing","family":"Xu","sequence":"additional","affiliation":[{"name":"Harbin Medical University, Daqing Campus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junru","family":"Li","sequence":"additional","affiliation":[{"name":"Harbin Medical University, Daqing Campus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Harbin Medical University, Daqing Campus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xian","family":"Tian","sequence":"additional","affiliation":[{"name":"Harbin Medical University, Daqing Campus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gang","family":"Zhao","sequence":"additional","affiliation":[{"name":"Shenzhen Children\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongmei","family":"Wu","sequence":"additional","affiliation":[{"name":"Harbin Medical University, Daqing Campus"},{"name":"Harbin Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,23]]},"reference":[{"key":"e_1_3_6_2_1","doi-asserted-by":"crossref","unstructured":"Aiello S. Vagni D. Cerasa A. Leonardi E. Carrozza C. Fam\u00e0 F. Campisi A. Marino F. Siracusano R. Alquino M. A. Mainiero F. Germano E. Tartarisco G. Pioggia G. Gagliano A. Ruta L. (2021). Autistic traits and empathy in children with attention deficit hyperactivity disorder autism spectrum disorder and co-occurring attention deficit hyperactivity disorder\/autism spectrum disorder. Frontiers in Neuroscience 15 Article 734177. https:\/\/doi.org\/10.3389\/fnins.2021.734177","DOI":"10.3389\/fnins.2021.734177"},{"key":"e_1_3_6_3_1","doi-asserted-by":"publisher","DOI":"10.2478\/sjcapp-2024-0008"},{"key":"e_1_3_6_4_1","doi-asserted-by":"crossref","unstructured":"Chandrakar A. Karthik S. M. Sathianathan R. Udayakumar N. Natrajan S. (2025). Caregiver strain in children with attention deficit hyperactivity disorder: A cross-sectional study. Indian Journal of Psychological Medicine. Advance online publication. https:\/\/doi.org\/10.1177\/02537176251316358","DOI":"10.1177\/02537176251316358"},{"key":"e_1_3_6_5_1","article-title":"Systematic review of the prevalence from 2010 to 2024 and risk factors of attention deficit hyperactivity disorder in Chinese children","author":"Chen X.","year":"2025","unstructured":"Chen X., Jiang Y. L., Ding J., Zhang Q., Zhai R., Yuan Z. H., Feng K., Zhang N., Wang J. H. (2025). Systematic review of the prevalence from 2010 to 2024 and risk factors of attention deficit hyperactivity disorder in Chinese children. Chinese General Practice. https:\/\/doi.org\/10.12114\/j.issn.1007-9572.2024.0547","journal-title":"Chinese General Practice"},{"key":"e_1_3_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2021.01.022"},{"key":"e_1_3_6_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-024-00495-0"},{"key":"e_1_3_6_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/002224378101800104"},{"key":"e_1_3_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2025.05.026"},{"key":"e_1_3_6_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-025-00049-8"},{"key":"e_1_3_6_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073191119842255"},{"key":"e_1_3_6_12_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291704002892"},{"key":"e_1_3_6_13_1","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v12.i19.3752"},{"key":"e_1_3_6_14_1","doi-asserted-by":"crossref","unstructured":"Lin I. C. Chang S. C. Huang Y. J. Kuo T. B. J. Chiu H. W. (2023). Distinguishing different types of attention deficit hyperactivity disorder in children using artificial neural network with clinical intelligent test. Frontiers in Psychology 13 Article 1067771. https:\/\/doi.org\/10.3389\/fpsyg.2022.1067771","DOI":"10.3389\/fpsyg.2022.1067771"},{"key":"e_1_3_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.encep.2023.07.006"},{"key":"e_1_3_6_16_1","doi-asserted-by":"publisher","DOI":"10.1089\/cap.2019.0019"},{"key":"e_1_3_6_17_1","doi-asserted-by":"crossref","unstructured":"Olmastroni E. Gazzotti M. Arca M. Averna M. Pirillo A. Catapano A. L. Casula M. LIPIGEN Study Group. (2022). Twelve variants polygenic score for low-density lipoprotein cholesterol distribution in a large cohort of patients with clinically diagnosed familial hypercholesterolemia with or without causative mutations. Journal of the American Heart Association 11(7) Article e023668. https:\/\/doi.org\/10.1161\/jaha.121.023668","DOI":"10.1161\/JAHA.121.023668"},{"key":"e_1_3_6_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-023-02284-8"},{"key":"e_1_3_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2019.09.027"},{"key":"e_1_3_6_20_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2024-065854"},{"key":"e_1_3_6_21_1","doi-asserted-by":"publisher","DOI":"10.1192\/j.eurpsy.2024.1786"},{"key":"e_1_3_6_22_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-025-02254-x"},{"key":"e_1_3_6_23_1","doi-asserted-by":"publisher","DOI":"10.1542\/pir.2020-000612"},{"key":"e_1_3_6_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2019.02.016"},{"key":"e_1_3_6_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00432-025-06190-1"},{"key":"e_1_3_6_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/08039488.2025.2531230"},{"key":"e_1_3_6_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/10870547221136251"},{"key":"e_1_3_6_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/10870547241285971"},{"key":"e_1_3_6_29_1","doi-asserted-by":"publisher","DOI":"10.9758\/cpn.25.1344"},{"key":"e_1_3_6_30_1","volume-title":"Association between attention deficit hyperactivity disorder-like behavior and maternal indoor air pollution exposure during pregnancy in children aged 3-10 years in Hefei City","author":"Yu X.","year":"2023","unstructured":"Yu X. (2023). Association between attention deficit hyperactivity disorder-like behavior and maternal indoor air pollution exposure during pregnancy in children aged 3-10 years in Hefei City. Master\u2019s thesis. Anhui Medical University."},{"issue":"1","key":"e_1_3_6_31_1","first-page":"71","article-title":"Reliability and validity analysis of the attention deficit hyperactivity disorder self-report scale-revised among children aged 8\u201314","volume":"34","author":"Zhang P.","year":"2025","unstructured":"Zhang P., Xiao L. R., Tian X., Zhao G., Wu H. M. (2025). Reliability and validity analysis of the attention deficit hyperactivity disorder self-report scale-revised among children aged 8\u201314. Chinese Journal of Behavioral Medicine and Brain Science, 34(1), 71\u201377. https:\/\/doi.org\/10.3760\/cma.j.cn371468-20240301-00097","journal-title":"Chinese Journal of Behavioral Medicine and Brain Science"}],"container-title":["Clinical Child Psychology and Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13591045261499615","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/13591045261499615","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13591045261499615","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T17:53:23Z","timestamp":1793037203000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/13591045261499615"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,23]]},"references-count":30,"alternative-id":["10.1177\/13591045261499615"],"URL":"https:\/\/doi.org\/10.1177\/13591045261499615","relation":{},"ISSN":["1359-1045","1461-7021"],"issn-type":[{"value":"1359-1045","type":"print"},{"value":"1461-7021","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,23]]},"article-number":"13591045261499615"}}