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01-07-2008 | Uitgave 5/2008

The Impact of Impairment Criteria on Rates of ADHD Diagnoses in Preschoolers

Tijdschrift:: Journal of Abnormal Child Psychology > Uitgave 5/2008

Auteurs:: Dione M. Healey, Carlin J. Miller, Katia L. Castelli, David J. Marks, Jeffrey M. Halperin

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Abstract

Behaviors characteristic of ADHD are common among preschool children, and as such, their clinical significance is oftentimes difficult to ascertain. Thus a focus on impairment is essential in determining the clinical significance of these behaviors. In order to explore the impact of impairment criteria on rates of diagnoses in inattentive/hyperactive children aged 36 through 60-months-old, we first developed, and psychometrically evaluated, the Children’s Problem Checklist (CPC) which was designed to assess psychosocial impairment associated with ADHD in a community sample of preschoolers (n = 394), and found its reliability and validity to be acceptable. We then examined the impact of the inclusion of various CPC-determined impairment criteria, over and above symptom criteria measured by the ADHD-RS-IV, using various cut points ranging from the 75th to 90th percentile of our community sample. This reduced the number of children meeting criteria for ADHD by 46–77%. These findings are discussed in terms of the importance of using impairment criteria, rather than just severity of inattention, impulsivity and hyperactivity, when diagnosing ADHD in preschool children.

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Titel: The Impact of Impairment Criteria on Rates of ADHD Diagnoses in Preschoolers
Auteurs:: Dione M. Healey
Carlin J. Miller
Katia L. Castelli
David J. Marks
Jeffrey M. Halperin
Publicatiedatum: 01-07-2008
DOI: https://doi.org/10.1007/s10802-007-9209-1
Uitgeverij: Springer US
Tijdschrift: Journal of Abnormal Child Psychology An official publication of the International Society for Research in Child and Adolescent Psychopathology
Uitgave 5/2008
Print ISSN: 0091-0627
Elektronisch ISSN: 1573-2835

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