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Retrospective parental assessment of childhood neurodevelopmental problems: the use of the Five to Fifteen questionnaire in adults.
BJPsych Open. 2019 May 17;5(3):e42
Authors: Lugnegård T, Bejerot S
Abstract
BACKGROUND: Attention-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.
AIMS: To examine if FTF is reliable for obtaining retrospective neurodevelopmental history among young adults.
METHOD: Details 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.
RESULTS: Long-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.
CONCLUSION: Neuropsychiatric 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 INTEREST: None.
PMID: 31530308 [PubMed]
via https://www.ncbi.nlm.nih.gov/pubmed/31530308?dopt=Abstract