Protocol - Attention-Deficit Hyperactivity Disorder Symptoms - Child
Description
The Strengths and Weaknesses of Attention-Deficit/Hyperactivity Disorder Symptoms and Normal Behavior Scale (SWAN) is an 18-question, parent- or teacher-reported rating scale to assess for the indication of attention-deficit hyperactivity disorder (ADHD) in children.
"Weaknesses" are scored as positive and the "strengths" are scored as negative because the usual ratings (i.e., in the Swanson, Nolan, and Pelham [SNAP] Questionnaire) are ratings of "symptom severity." This keeps the average rating-per-item of the SWAN aligned with the average rating-per-item of the SNAP if the negative item ratings of the SWAN are set to 0 before averaging the items.
Specific Instructions
None
Availability
Protocol
For each item listed below, how does this child compare to other children of the same age? Please select the best rating based on your observations over the past month.
Compared to other children, how does this child do the following:
1. Give close attention to detail and avoid careless mistakes
[ ] far below
[ ] below
[ ] slightly below
[ ] average
[ ] slightly above
[ ] above
[ ] far above
2. Sustain attention on tasks or play activities
[ ] far below
[ ] below
[ ] slightly below
[ ] average
[ ] slightly above
[ ] above
[ ] far above
3. Listen when spoken to directly
[ ] far below
[ ] below
[ ] slightly below
[ ] average
[ ] slightly above
[ ] above
[ ] far above
4. Follow through on instructions & finish school work/chores
[ ] far below
[ ] below
[ ] slightly below
[ ] average
[ ] slightly above
[ ] above
[ ] far above
5. Organize tasks and activities
[ ] far below
[ ] below
[ ] slightly below
[ ] average
[ ] slightly above
[ ] above
[ ] far above
6. Engage in tasks that require sustained mental effort
[ ] far below
[ ] below
[ ] slightly below
[ ] average
[ ] slightly above
[ ] above
[ ] far above
7. Keep track of things necessary for activities
[ ] far below
[ ] below
[ ] slightly below
[ ] average
[ ] slightly above
[ ] above
[ ] far above
8. Ignore extraneous stimuli
[ ] far below
[ ] below
[ ] slightly below
[ ] average
[ ] slightly above
[ ] above
[ ] far above
9. Remember daily activities
[ ] far below
[ ] below
[ ] slightly below
[ ] average
[ ] slightly above
[ ] above
[ ] far above
10. Sit still (control movement of hands/feet or control squirming)
[ ] far below
[ ] below
[ ] slightly below
[ ] average
[ ] slightly above
[ ] above
[ ] far above
11. Stay seated (when required by class rules/social conventions)
[ ] far below
[ ] below
[ ] slightly below
[ ] average
[ ] slightly above
[ ] above
[ ] far above
12. Modulate motor activity (inhibit inappropriate running/climbing)
[ ] far below
[ ] below
[ ] slightly below
[ ] average
[ ] slightly above
[ ] above
[ ] far above
13. Play quietly (keep noise level reasonable)
[ ] far below
[ ] below
[ ] slightly below
[ ] average
[ ] slightly above
[ ] above
[ ] far above
14. Settle down and rest (control constant activity)
[ ] far below
[ ] below
[ ] slightly below
[ ] average
[ ] slightly above
[ ] above
[ ] far above
15. Modulate verbal activity (control excess talking)
[ ] far below
[ ] below
[ ] slightly below
[ ] average
[ ] slightly above
[ ] above
[ ] far above
16. Reflect on questions (control blurting out answers)
[ ] far below
[ ] below
[ ] slightly below
[ ] average
[ ] slightly above
[ ] above
[ ] far above
17. Await turn (stand in line and take turns)
[ ] far below
[ ] below
[ ] slightly below
[ ] average
[ ] slightly above
[ ] above
[ ] far above
18. Enter into conversation & games (control interrupting/intruding)
[ ] far below
[ ] below
[ ] slightly below
[ ] average
[ ] slightly above
[ ] above
[ ] far above
Scoring Instructions:
Each question of the SWAN is scored on a seven-point scale, where Far Below Average = 3, Below Average = 2, Somewhat Below Average = 1, Average = 0, Somewhat Above Average = -1, Above Average = -2, and Far Above Average = -3.
Subscale scores on the SWAN are calculated by summing the scores on the items in the specific subset (e.g., Inattention) and dividing by the number of items (e.g., 9) to express the summary score as the Average Rating-Per-Item.
If omitted, the item is dropped, not set to 0. If more than half the items are omitted, then the use of the scale score is probably not valid.
ADHD-In | ADHD-H/Im |
#1_______ | #10_______ |
#2_______ | #11_______ |
#3_______ | #12_______ |
#4_______ | #13_______ |
#5_______ | #14_______ |
#6_______ | #15_______ |
#7_______ | #16_______ |
#8_______ | #17_______ |
#9_______ | #18_______ |
Total = _______ | Total = _______ |
Average = _______ | Average = _______ |
Total for all 18 items = _________ | |
Average for all 18 items = ________ |
© Dr. James Swanson
Personnel and Training Required
None
Equipment Needs
None
Requirements
Requirement Category | Required |
---|---|
Major equipment | No |
Specialized training | No |
Specialized requirements for biospecimen collection | No |
Average time of greater than 15 minutes in an unaffected individual | No |
Mode of Administration
Self- or proxy-administered questionnaire
Lifestage
Child, Adolescent
Participants
Parent or teacher of a child under the age of 18 years.
Selection Rationale
The Strengths and Weaknesses of Attention-Deficit/Hyperactivity Disorder Symptoms and Normal Behavior Scale (SWAN) was vetted against similar protocols and selected because it is a validated, parent- or teacher-reported instrument that is relatively low burden for investigators and respondents.
Language
Chinese, English, Other languages available at source
Standards
Standard | Name | ID | Source |
---|---|---|---|
Logical Observation Identifiers Names and Codes (LOINC) | Attention deficit hyperac child proto | 62751-3 | LOINC |
Human Phenotype Ontology | Attention deficit hyperactivity disorder | HP:0007018 | HPO |
caDSR Form | PhenX PX121502 - Attentiondeficit Hyperactivity Disorder Symptoms Child | 6168626 | caDSR Form |
Derived Variables
None
Process and Review
Expert Review Panel 4 (ERP 4) reviewed the measures in the Neurology, Psychiatric, and Psychosocial domains.
Guidance from ERP 4 included the following:
- No changes
Protocol Name from Source
The Strengths and Weaknesses of Attention-Deficit/Hyperactivity Disorder Symptoms and Normal Behavior Scale (SWAN)
Source
Swanson, J., Deutsch, C., Cantwell, D., Posner, M., Kennedy, J. L., Barr, C. L., Moyzis, R., Schuck, S., Flodman, P., Spence, M. A., & Wasdell, M. (2001). Genes and attention-deficit hyperactivity disorder. Clinical Neuroscience Research, 1, 207-216.
Swanson, J., Schuck, S., Mann, M., Carlson, C., Hartman, K., Sergeant, J., Clevenger, W., Wasdell, M., & McCleary, R. (2005). Categorical and dimensional definitions and evaluations of symptoms of ADHD: The SNAP and the SWAN ratings scales.
General References
American Psychiatric Association (APA). (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
Cornish, K. M., Manly, T., Savage, R., Swanson, J., Morisano, D., Butler, N., Grant, C., Cross, G., Bentley, L., & Hollis, C. P. (2005). Association of the dopamine transporter (DAT1) 10/10-repeat genotype with ADHD symptoms and response inhibition in a general population. Molecular Psychiatry, 10(7), 686-698.
Hay, D. A., Bennett, K. S., Levy, F., Sergeant, J., & Swanson, J. (2006). 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 61(5), 700-705.
Lubke, G. H., Muthén, B, Moilanen, I. K., McGough, J. J., Loo, S. K., Swanson, J. M., Yang, M. H., Taanila, A., Hurtig, T., Jarvelin, M. R., & Smalley, S. L. (2007). Subtypes versus severity differences in attention-deficit/hyperactivity disorder in the Northern Finnish Birth Cohort. Journal of the American Academy of Child and Adolescent Psychiatry, 46(12), 1584-1593.
Polderman, T. J. C., Derks, E. S., Hudziak, J. J., Verhulst, F. C., Posthuma, D., & Boomsma, D. I. (2007). Across the continuum of attention skills: A twin study of the SWAN ADHD rating scale. Journal of Child Psychology and Psychiatry, 48(11), 1080-1087.
Swanson, J. M., Wigal, T., & Lakes, K. (2009). DSM-V and the future diagnosis of attention-deficit/hyperactivity disorder. Current Psychiatric Reports, 11(5), 399-406.
Young, D. A., Levy, F., Martin, N. C., & Hay, D. A. (2009). Attention deficit hyperactivity disorder: A Rasch analysis of the SWAN Rating Scale. Child Psychiatry and Human Development, 40(4), 543-559.
Protocol ID
121502
Variables
Export VariablesVariable Name | Variable ID | Variable Description | dbGaP Mapping | |
---|---|---|---|---|
PX121502_Await_Turns | ||||
PX121502170000 | Await turn (stand in line and take turns) | N/A | ||
PX121502_Close_Attention_To_Detail | ||||
PX121502010000 | Give close attention to detail and avoid more | N/A | ||
PX121502_Control_Blurting_Out | ||||
PX121502160000 | Reflect on questions (control blurting out more | N/A | ||
PX121502_Control_Excess_Talking | ||||
PX121502150000 | Modulate verbal activity (control excess talking) | N/A | ||
PX121502_Control_Interrupting | ||||
PX121502180000 | Enter into conversation & games (control more | N/A | ||
PX121502_Engage_Mental_Effort | ||||
PX121502060000 | Engage in tasks that require sustained more | N/A | ||
PX121502_Follow_Through_Chores | ||||
PX121502040000 | Follow through on instructions & finish more | N/A | ||
PX121502_Ignore_Extraneous_Stimuli | ||||
PX121502080000 | Ignore extraneous stimuli | N/A | ||
PX121502_Keep_Track_Of_Activity_Items | ||||
PX121502070000 | Keep track of things necessary for activities | N/A | ||
PX121502_Listen_When_Spoken_To | ||||
PX121502030000 | Listen when spoken to directly | N/A | ||
PX121502_Modulate_Motor_Activity | ||||
PX121502120000 | Modulate motor activity (inhibit more | N/A | ||
PX121502_Organize_Tasks_Activities | ||||
PX121502050000 | Organize tasks and activities | N/A | ||
PX121502_Play_Quietly | ||||
PX121502130000 | Play quietly (keep noise level reasonable) | N/A | ||
PX121502_Remember_Daily_Activities | ||||
PX121502090000 | Remember daily activities | N/A | ||
PX121502_Settle_Down | ||||
PX121502140000 | Settle down and rest (control constant activity) | N/A | ||
PX121502_Sit_Still | ||||
PX121502100000 | Sit still (control movement of hands/feet or more | N/A | ||
PX121502_Stay_Seated | ||||
PX121502110000 | Stay seated (when required by class more | N/A | ||
PX121502_Sustain_Attention | ||||
PX121502020000 | Sustain attention on tasks or play activities | N/A |
Measure Name
Attention-Deficit/Hyperactivity Disorder Symptoms
Release Date
May 12, 2010
Definition
A questionnaire to assess attention-deficit/hyperactivity disorder (ADHD), a condition characterized by patterns of inattention, hyperactivity, and impulsivity that is more pronounced than in other individuals at similar developmental levels (APA, 2000).
Purpose
This measure is used to screen an individual for attention-deficit/hyperactivity disorder (ADHD) and to assess the severity of symptoms. ADHD is found in 3%-7% of school-aged children and demonstrates a familial pattern because first-order relatives of affected individuals are at higher risk for ADHD and other disorders, such as mood, anxiety, and learning disorders. The severity and course of ADHD are also influenced by environmental factors, such as school and family (APA, 2000).
Keywords
Psychiatric, attention, concentration, impulsivity
Measure Protocols
Protocol ID | Protocol Name |
---|---|
121501 | Attention-Deficit Hyperactivity Disorder Symptoms - Adult |
121502 | Attention-Deficit Hyperactivity Disorder Symptoms - Child |
Publications
There are no publications listed for this protocol.