Children’s Color Trail Test for Objective Assessment of Attention in Children with Attention Deficit Hyperactivity Disorder: A Diagnostic Accuracy Study

Objective: To compare the Children’s Color Trail Test scores in children with and withoutAttention Deficit Hyperactivity Disorder to assess its diagnostic performance in assessingattention-deficit. Methods: 50 children with Attention Deficit Hyperactivity Disorder(diagnosed as per Diagnostic and Statistical Manual, 5th edition) and 50 age- and sex-matched children underwent Test 1 and Test 2 of the Children’s Color Trail Test. A ReceiverOperating Characteristics curve was constructed for the diagnostic accuracy of Children’sColor Trail Test in Attention Deficit Hyperactivity Disorder. Results: The Receiver OperatingCharacteristics curve showed a score ≤32 for Children’s Color Trail Test 1 [AUC: 0.8 (0.71 to0.87); P<0.001] and score ≤40 for Children’s Color Trail Test 2 [AUC: 0.85 (0.77 to 0.92);P<0.001] as the best cut-off for diagnosing Attention Deficit Hyperactivity Disorder.Conclusion: Children’s Color Trail Test is a promising tool for diagnosing attention deficit,and could be used in settings where parent or teacher reports are not available

Disability in Schizophrenia and Bipolar Mood disorder at General Hospital Psychiatry Unit.

Aim: To compare the disability in the persons with Schizophrenia and persons with Bipolar Mood Disorder by using IDEAS from a GHPU Mental Health Treatment Users. Objectives: 1.To assess the level of disability in the area of self care, interpersonal activities, communication and understanding and in the area of work in persons with Schizophrenia and in persons with Bipolar Mood Disorder. 2. To evaluate & compare the extent of disability found in Schizophrenia and Bipolar Mood Disorder. Method: Thirty individuals with schizophrenia and thirty individuals with Bipolar Mood Disorder along with significant caregiver were assessed by administering IDEAS. The data was analyzed to prioritize the need for psychosocial interventions along with pharmacological interventions; to reduce disability during hospitalization. Individuals with co-morbid condition and illness duration less than two year were excluded. Result: Majority of persons with Schizophrenia had severe, moderate, profound disability in psychosocial role functioning where as most of the persons with Bipolar Mood Disorder had only mild to moderate disability. Conclusion: Disability was found to be more in persons with Schizophrenia compared to persons with Bipolar Mood Disorder.