The reliability and validity of the English and Spanish Strengths and Weaknesses of ADHD and Normal behavior rating scales in a preschool sample: continuum measures of hyperactivity and inattention

Kimberley D Lakes, James M Swanson, Matt Riggs, Kimberley D Lakes, James M Swanson, Matt Riggs

Abstract

Objective: To evaluate the reliability and validity of the English and Spanish versions of the Strengths and Weaknesses of ADHD-symptom and Normal-behavior (SWAN) rating scale.

Method: Parents of preschoolers completed both a SWAN and the well-established Strengths and Difficulties Questionnaire (SDQ) on two separate occasions over a span of 3 months; instruments were in the primary language of the family (English or Spanish).

Results: Psychometric properties for the English and Spanish versions of the SWAN were adequate, with high internal consistency and moderate test-retest reliability. Skewness and kurtosis statistics for the SWAN were within the range expected for a normally distributed population. The SWAN also demonstrated adequate convergent and discriminant validity in correlations with the various subscales of the SDQ.

Conclusion: Psychometric properties of both the English and Spanish versions of the SWAN indicate that it is a reliable and valid instrument for measuring child attention and hyperactivity. The stability of ratings over time in this preschool sample was moderate, which may reflect the relative instability of these characteristics in preschool children.

References

    1. Achenbach TM. Manual for the child behavior checklist/4–18 and 1991 profile. University of Vermont; Burlington: 1991.
    1. American Psychiatric Association . Diagnostic and statistical manual of mental disorders. 4th ed. Author; Washington, DC: 1994.
    1. Anastasi A, Urbina S. Psychological testing. 7th ed. Prentice Hall; Upper Saddle River, NJ: 1997.
    1. Bourdon KH, Goodman R, Rae DS. The strengths and difficulties questionnaire: U.S. normative data and psychometric properties. Journal of the American Academy of Child & Adolescent Psychiatry. 2005;44:557–564.
    1. Cohen J, Cohen P. Applied multiple regression/correlation analysis for the behavioral sciences. 2nd ed. Lawrence Earlbaum; Hillsdale, NJ: 1983.
    1. Conners CK, Parker JDA, Sitarenios G, Epstein JN. The Revised Conners’ Parent Rating Scale (CPRS-R): Factor structure, reliability, and criterion validity. Journal of Abnormal Child Psychology. 1998;26:257–268.
    1. Cunningham CE, Bremner RB, Boyle M. Large group community-based parenting programs for families of preschooler at risk for disruptive behavior disorder: Utilization, cost effectiveness, and outcome. Journal of Child Psychology and Psychiatry. 1995;36:1141–1159.
    1. Goodman R, Scott S. Comparing the Strengths and difficulties questionnaire and the child behavior checklist: Is small beautiful? Journal of Abnormal Child Psychology. 1999;27:17–24.
    1. Hay DA, Bennett KS, Levy F, Sergeant J, Swanson J. A twin study of attention-deficit/hyperactivity disorder dimensions rated by the Strengths and Weaknesses of ADHD-symptoms and Normal-behavior (SWAN) scale. Biological Psychiatry. 2007;61:700–705.
    1. Lakatos K, Birkas E, Toth I, Gervai J. Screening childhood behavior problems using short questionnaires II: The Hungarian version of the SWAN-scale (Strength and Weakness of ADHD-symptoms and Normal-behavior) for screening attention deficit hyperactivity disorder. Psychiatria Hungarica. 2010;25:493–502.
    1. Lakes KD, Hoyt WT. Applications of Generalizability Theory to clinical child psychology research. Journal of Clinical Child and Adolescent Psychology. 2009;38:1–22.
    1. Lakes KD, Kettler R, Schmidt J, Haynes M, Feeney-Kettler K, Swanson JM, Tamm L. The CUIDAR early intervention parent training program for preschoolers at risk for behavioral disorders: An innovative practice for reducing disparities in access to service. Journal of Early Intervention. 2009;31:167–178.
    1. Lakes KD, Swanson JM, Riggs M, Schuck S, Stehli A. Distributional properties of dimensional and continuum approaches to rating ADHD symptoms. under review.
    1. Lakes KD, Vargas D, Riggs M, Schmidt J, Baird M. Parenting intervention to reduce attention and behavior difficulties in preschoolers: A CUIDAR evaluation study. Journal of Child and Family Studies. 2010 Advance online publication. doi: 10.1007/s10826-010-9440-1.
    1. Loughran SB. Agreement and stability of teacher rating scales for assessing ADHD in preschool. Early Childhood Education Journal. 2003;30:247–253.
    1. Polderman TJC, Derks EM, Hudziak JJ, Verhulst FC, Posthuma D, Boomsma DI. Across the continuum of attention skills: A twin study of the SWAN ADHD rating scale. Journal of Child Psychology and Psychiatry. 2007;48:1080–1087.
    1. Ramtekkar UP, Reiersen AM, Todorov AA, Todd RD. Sex and age differences in attention-deficit/hyperactivity disorder symptoms and diagnoses: Implications for DSM-V and ICD-11. Journal of the American Academy of Child & Adolescent Psychiatry. 2010;49:217–228.
    1. Robaey P, Amre D, Schachar R, Simard L. French version of the strengths and weaknesses of ADHD symptoms and normal behaviors (SWAN-F) questionnaire. Journal of Canadian Academy of Child and Adolescent Psychiatry. 2007;16:80–89.
    1. Salkind NJ. Tests and measurement for people who think they hate tests and measurement. SAGE; Thousand Oaks, CA: 2006.
    1. Smith KG, Corkum P. Systematic review of measures used to diagnose attention deficit/hyperactivity disorder in research on preschool children. Topics in Early Childhood Special Education. 2007;27:164–173.
    1. Tabachnick B, Fidell L. Using multivariate statistics. 5th ed. Allyn & Bacon; Needham Heights, MA: 2006.
    1. Tamm L, Swanson JM, Lerner MA, Childress C, Patterson B, Lakes K, et al. Intervention for preschoolers at risk for attention-deficit/hyperactivity disorder (ADHD): Service before diagnosis. Clinical Neuroscience Research. 2005;5:247–253.
    1. Volkow ND, Wang GJ, Newcorn JH, Kollins SH, Wigal TL, Telang F, Swanson JM. Motivation deficit in ADHD is associated with dysfunction of the dopa-mine reward pathway. Molecular Psychiatry. in press Advance online publication, September 21, 2010. doi:10.1038/mp.2010.97.
    1. Young DJ, Levy F, Martin NC, Hay DA. Attention deficit hyperactivity disorder: A Rasch analysis of the SWAN rating scale. Child Psychiatry and Human Development. 2009;40:543–559.

Source: PubMed

3
Subscribe