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Research on Child and Adolescent Psychopathology

Gepubliceerd in:

01-07-2008

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

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 5/2008

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.

vorige artikel Empirically Derived Subtypes of Child Academic and Behavior Problems: Co-Occurrence and Distal Outcomes

volgende artikel The Positive Illusory Bias: Do Inflated Self-Perceptions in Children with ADHD Generalize to Perceptions of Others?

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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
Uitgeverij: Springer US
Gepubliceerd in: Research on Child and Adolescent Psychopathology / Uitgave 5/2008
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI: https://doi.org/10.1007/s10802-007-9209-1

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