Journal of the American Academy of Child & Adolescent Psychiatry
ARTICLEODD and ADHD Symptoms in Ukrainian Children: External Validators and Comorbidity
Section snippets
Sample
The sample was composed of 600 children residing in Kyiv, including 300 evacuated as infants from the 30-km zone surrounding the Chornobyl plant and 300 gender-matched classmates. To obtain an unbiased sample, evacuee children were randomly selected from three large registers of evacuee families. The children were in utero to age 15 months (born between January 1985 and January 1987) at the time of the explosion (April 26, 1986). Further details about the sample are presented in Bromet et al.
Mother-Defined Subgroup Comparisons
Group differences were examined with separate 4 × 2 × 2, symptom group × sample (evacuees, controls) × gender analyses of variance. Previous research in this sample indicates that evacuee and control groups generally do not differ on the variables of interest in this study. Although mothers reported more memory problems in evacuees, no group differences for school or neuropsychological performance were found (Litcher et al., 2000). More extensive main effects of sample and gender are available
DISCUSSION
Although children in the ODD symptom and ADHD symptom groups were not significantly different from each other for the majority of variables examined, 14 variables differentiated children with ODD versus ADHD symptoms (Table 3). As hypothesized, group differences were dependent on the rater used to define symptom groups. In the case of mother-defined groups, children with ADHD symptoms were more impaired than the ODD group on all variables except mothers’ self-report of psychological symptoms.
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This research was supported in part by NIMH grant MH51947 to Dr. Bromet. The authors thank Dmitry Goldgaber, Ph.D., Natalia Panina, Evgenii Golovakha, and Semyon F. Gluzman, M.D., for coordinating the details of the study, and Natalia Panina and Elena Polenova for translating instruments.
Disclosure: Dr. Carlson has received grant support and/or served as a consultant for GlaxoSmithKline, Johnson & Johnson, Lilly, Novartis, Pfizer, and Shire.