Abstract

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. To examine if FTF is reliable for obtaining retrospective neurodevelopmental history among young adults. 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. 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. 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. None.

Highlights

  • Attention-deficit hyperactivity disorder and autism are increasingly recognised in adults

  • Attention-deficit hyperactivity Disorder (ADHD) and autism spectrum disorder (ASD) are neurodevelopmental conditions typically identified in childhood

  • A total of 26 participants were originally assessed with early versions of the Five to Fifteen (FTF) and, items absent in these versions were not available for comparisons, which results in n lower than 74 for these items as shown in the footnote supplementary Table 1

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Summary

Background

Attention-deficit hyperactivity disorder and autism are increasingly recognised in adults. Parental information on childhood development is needed. 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 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

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