Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

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

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

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

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.
Literatuur
go back to reference American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR (4th ed.). Washington, DC: American Psychiatric Association (text revision). American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR (4th ed.). Washington, DC: American Psychiatric Association (text revision).
go back to reference Bird, H. R., Canino, G., Rubio-Stipec, M., Gould, M. S., Ribera, J., Sesman, M., et al. (1988). Estimates of the prevalence of childhood maladjustment in a community survey in Puerto Rico. Archives of General Psychiatry, 45, 1120–1126. Bird, H. R., Canino, G., Rubio-Stipec, M., Gould, M. S., Ribera, J., Sesman, M., et al. (1988). Estimates of the prevalence of childhood maladjustment in a community survey in Puerto Rico. Archives of General Psychiatry, 45, 1120–1126.
go back to reference Breton, J., Bergeron, L., Valla, J. P., Berthiaume, C., Gaudet, N., Lambert, J., et al. (1999). Quebec child mental health survey: Prevalence of DSM-III-R mental health disorders. Journal of Child Psychology and Psychiatry, 40, 375–384. Breton, J., Bergeron, L., Valla, J. P., Berthiaume, C., Gaudet, N., Lambert, J., et al. (1999). Quebec child mental health survey: Prevalence of DSM-III-R mental health disorders. Journal of Child Psychology and Psychiatry, 40, 375–384.
go back to reference Campbell, S. B. (2002). Behavior problems in preschool children: Clinical and developmental issues (2nd ed.). New York: Guilford. Campbell, S. B. (2002). Behavior problems in preschool children: Clinical and developmental issues (2nd ed.). New York: Guilford.
go back to reference Campbell, S., Ewing, L., Breaux, A., & Szumowski, E. (1986). Parent-referred problem three-year olds: Follow-up at school entry. Journal of Child Psychology and Psychiatry, 27, 473–488. PubMedCrossRef Campbell, S., Ewing, L., Breaux, A., & Szumowski, E. (1986). Parent-referred problem three-year olds: Follow-up at school entry. Journal of Child Psychology and Psychiatry, 27, 473–488. PubMedCrossRef
go back to reference Costello, E. J., Costello, A. J., Edelbrook, C., Burns, B. J., Dulcan, M. K., Brent, D., et al. (1988). Psychiatric Disorders in pediatric primary care. Archives of General Psychiatry, 45, 1107–1116. Costello, E. J., Costello, A. J., Edelbrook, C., Burns, B. J., Dulcan, M. K., Brent, D., et al. (1988). Psychiatric Disorders in pediatric primary care. Archives of General Psychiatry, 45, 1107–1116.
go back to reference DuPaul, G. J., Power, T. J., Anastopoulos, A. D., & Reid, R. (1998). ADHD Rating Scale-IV: Checklists, norms, and clinical interpretations. New York: Guilford. DuPaul, G. J., Power, T. J., Anastopoulos, A. D., & Reid, R. (1998). ADHD Rating Scale-IV: Checklists, norms, and clinical interpretations. New York: Guilford.
go back to reference Fabiano, G. A., Pelham, W. B., Waschbusch, D. A., Gnagy, E. M., Lahey, B. B., Chronis, A. M., et al. (2006). A practical measure of impairment: Psychometric properties of the impairment rating scale in samples of children with attention deficit hyperactivity disorder and two school-based samples. Journal of Clinical Child and Adolescent Psychology, 35, 369–385. PubMedCrossRef Fabiano, G. A., Pelham, W. B., Waschbusch, D. A., Gnagy, E. M., Lahey, B. B., Chronis, A. M., et al. (2006). A practical measure of impairment: Psychometric properties of the impairment rating scale in samples of children with attention deficit hyperactivity disorder and two school-based samples. Journal of Clinical Child and Adolescent Psychology, 35, 369–385. PubMedCrossRef
go back to reference Faraone, S. V., Sergeant, J., Gillberg, C., & Biederman, J. (2003). The worldwide prevalence of ADHD: Is it an American Condition. World Psychiatry, 2, 104–113. PubMed Faraone, S. V., Sergeant, J., Gillberg, C., & Biederman, J. (2003). The worldwide prevalence of ADHD: Is it an American Condition. World Psychiatry, 2, 104–113. PubMed
go back to reference Gordon, M., Antshel, K., Faraone, S., Barkley, R., Lewandowski, L., Hudziak, J. J., et al. (2006). Symptoms versus impairment: The case for respecting DSM-IV’s criterion D. Journal of Attention Disorders, 9, 465–475. PubMedCrossRef Gordon, M., Antshel, K., Faraone, S., Barkley, R., Lewandowski, L., Hudziak, J. J., et al. (2006). Symptoms versus impairment: The case for respecting DSM-IV’s criterion D. Journal of Attention Disorders, 9, 465–475. PubMedCrossRef
go back to reference Graetz, B. W., Sawyer, M. G., Hazell, P. L., Arney, F., & Baghurst, P. (2001). Validity of DSM-IV ADHD subtypes in a nationally representative sample of Australian children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1410–1417. PubMedCrossRef Graetz, B. W., Sawyer, M. G., Hazell, P. L., Arney, F., & Baghurst, P. (2001). Validity of DSM-IV ADHD subtypes in a nationally representative sample of Australian children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1410–1417. PubMedCrossRef
go back to reference Healey, D. M., & Rucklidge, J. J. (2006). An investigation into the relationship among ADHD, creativity, and neuropsychological functioning in children. Child Neuropsychology, 12, 421–438. Healey, D. M., & Rucklidge, J. J. (2006). An investigation into the relationship among ADHD, creativity, and neuropsychological functioning in children. Child Neuropsychology, 12, 421–438.
go back to reference Loughran, S. B. (2003). Agreement and stability of teacher rating scales for assessing ADHD in preschoolers. Early Childhood Education Journal, 30, 247–253. CrossRef Loughran, S. B. (2003). Agreement and stability of teacher rating scales for assessing ADHD in preschoolers. Early Childhood Education Journal, 30, 247–253. CrossRef
go back to reference McClellan, J. M., & Speltz, M. L. (2003). Psychiatric diagnosis in preschool children. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 127–128. PubMedCrossRef McClellan, J. M., & Speltz, M. L. (2003). Psychiatric diagnosis in preschool children. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 127–128. PubMedCrossRef
go back to reference McGoey, K. E., DuPaul, G. J., Haley, E., & Shelton, T. L. (2007). Parent and teacher ratings of Attention Deficit/Hyperactivity Disorder in Preschool: The ADHD Ratings Scale-IV Preschool Version. Journal of Psychopathology and Behavioral Assessment, 29, 269–276. CrossRef McGoey, K. E., DuPaul, G. J., Haley, E., & Shelton, T. L. (2007). Parent and teacher ratings of Attention Deficit/Hyperactivity Disorder in Preschool: The ADHD Ratings Scale-IV Preschool Version. Journal of Psychopathology and Behavioral Assessment, 29, 269–276. CrossRef
go back to reference Nakao, K., & Treas, J. (1994). Updating occupational prestige and socioeconomic scores: How the new measures measure up. Sociological Methodology, 24, 1–72. CrossRef Nakao, K., & Treas, J. (1994). Updating occupational prestige and socioeconomic scores: How the new measures measure up. Sociological Methodology, 24, 1–72. CrossRef
go back to reference Romano, E., Tremblay, R. E., Vitaro, F., Zoccolillo, M., & Pagani, L. (2001). Prevalence of psychiatric diagnoses and the role of perceived impairment: Findings from an adolescent community sample. Journal of the American Academy of Child & Adolescent Psychiatry, 42, 451–462. Romano, E., Tremblay, R. E., Vitaro, F., Zoccolillo, M., & Pagani, L. (2001). Prevalence of psychiatric diagnoses and the role of perceived impairment: Findings from an adolescent community sample. Journal of the American Academy of Child & Adolescent Psychiatry, 42, 451–462.
go back to reference Rowland, A. S., Umbach, D. M., Catoe, K. E., Stallone, L., Long, S., Rabiner, D., et al. (2001). Studying the epdemiology of attention-deficit hyperactivity disorder: screening method and pilot results. Canadian Journal of Psychiatry, 46, 931–940. Rowland, A. S., Umbach, D. M., Catoe, K. E., Stallone, L., Long, S., Rabiner, D., et al. (2001). Studying the epdemiology of attention-deficit hyperactivity disorder: screening method and pilot results. Canadian Journal of Psychiatry, 46, 931–940.
go back to reference Simonoff, E., Pickels, A., Meyer, J. M., Silberg, J. L., Males, H. H., Loeber, R., et al. (1997). The Virginia twin study of adolescent behavioral development: influences of age, sex, and impairment on rates of disorder. Archives of General Psychiatry, 54, 801–808. CrossRef Simonoff, E., Pickels, A., Meyer, J. M., Silberg, J. L., Males, H. H., Loeber, R., et al. (1997). The Virginia twin study of adolescent behavioral development: influences of age, sex, and impairment on rates of disorder. Archives of General Psychiatry, 54, 801–808. CrossRef
go back to reference Sonuga-Barke, E. J. S., Auerback, J., Campbell, S. B., Daley, D., & Thompson, M. (2005). Varieties of preschool hyperactivity: multiple pathways from risk to disorder. Developmental Science, 8, 141–150. PubMedCrossRef Sonuga-Barke, E. J. S., Auerback, J., Campbell, S. B., Daley, D., & Thompson, M. (2005). Varieties of preschool hyperactivity: multiple pathways from risk to disorder. Developmental Science, 8, 141–150. PubMedCrossRef
go back to reference Wolraich, M. L., Feurer, I. D., Hannah, J. N., Baumgaertel, A., & Pinnock, T. Y. (1998). Obtaining systematic teacher reports of disruptive behavior disorders utilizing DSM-IV. Journal of Abnormal Child Psychology, 26, 141–152. PubMedCrossRef Wolraich, M. L., Feurer, I. D., Hannah, J. N., Baumgaertel, A., & Pinnock, T. Y. (1998). Obtaining systematic teacher reports of disruptive behavior disorders utilizing DSM-IV. Journal of Abnormal Child Psychology, 26, 141–152. PubMedCrossRef
go back to reference Zito, J. M., Safer, D. J., dosReis, S., Gardner, J. F., Boles, M., & Lynch, F. (2000). Trends in prescribing of psychotropic medications to preschoolers. Journal of the American Medical Association, 283, 1059–1060. CrossRef Zito, J. M., Safer, D. J., dosReis, S., Gardner, J. F., Boles, M., & Lynch, F. (2000). Trends in prescribing of psychotropic medications to preschoolers. Journal of the American Medical Association, 283, 1059–1060. CrossRef
Metagegevens
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

Andere artikelen Uitgave 5/2008

Research on Child and Adolescent Psychopathology 5/2008 Naar de uitgave