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Psych Congress  

Normative Data for the Before School Functioning Questionnaire (BSFQ) in Youth With and Without a History of Attention-Deficit/Hyperactivity Disorder (ADHD)

Stephen Faraone, PhD; Rick Nullmeier, BA; Norberto DeSousa, MA; Floyd Sallee, MD, PhD; BEv Incledon, PhD; Timothy Wilens, MD
Ironshore Pharmaceuticals & Development, Inc.

This poster was presented at the 30th annual  Psych Congress, held Sept. 16-19, 2017, in New Orleans, Louisiana.

Objectives: The validated Before School Functioning Questionnaire (BSFQ) assesses early morning, before school dysfunction in youth with ADHD. The objectives were to: (1) obtain normative data, and (2) determine whether parent ratings differentiate youth with and without a history of ADHD, and are affected by age, gender, or comorbidities.

Methods: An online normative survey was conducted with 1200 representative U.S. primary caregivers of children/adolescents (6-17 years; n=50 per age/gender category). Caregivers were enrolled if their child never had ADHD, had a history of ADHD, or had currently untreated ADHD. Using a severity scale of 0 (none) to 3 (severe), caregivers rated their child's at-home early morning functional impairments on the 20-item BSFQ. Differences in total and individual item scores were determined by ANOVA with post hoc comparisons and Chi-squared test, respectively.

Results: Of the 700 children (6-12y) and 500 adolescents (13-17y), 1079 had no history of ADHD, 41 had a history of ADHD, and 80 had currently untreated ADHD. BSFQ scores were 23.7% higher for children versus adolescents and 54.4% higher for youth with versus without comorbidities (both P<0.001); gender did not affect score distributions. Total BSFQ score distributions differed significantly between youth without ADHD, with a history of ADHD, and with currently untreated ADHD (mean±SD: 12.70±11.00, 21.17±14.58, 29.60±13.15; P<0.001), and across all 20 items (P<0.001). All comparisons remained significant after adjusting for psychiatric comorbidity (P<0.001).

Conclusions: BSFQ discriminates between youth with and without a history of ADHD. Age and comorbidities, but not gender, had significant effects.

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