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

01-07-2008

The Shifting Subtypes of ADHD: Classification Depends on How Symptom Reports are Combined

Auteurs: Andrew S. Rowland, Betty Skipper, David L. Rabiner, David M. Umbach, Lil Stallone, Richard A. Campbell, Richard L. Hough, A. J. Naftel, Dale P. Sandler

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

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Abstract

Research on the correlates of ADHD subtypes has yielded inconsistent findings, perhaps because the procedures used to define subtypes vary across studies. We examined this possibility by investigating whether the ADHD subtype distribution in a community sample was sensitive to different methods for combining informant data. We conducted a study to screen all children in grades 1–5 (N = 7847) in a North Carolina County for ADHD. Teachers completed a DSM-IV behavior rating scale and parents completed a structured telephone interview. We found substantial differences in the distribution of ADHD subtypes depending on whether one or both sources were used to define the subtypes. When parent and teacher data were combined, the procedures used substantially influenced subtype distribution. We conclude the ADHD subtype distribution is sensitive to how symptom information is combined and that standardization of the subtyping process is required to advance our understanding of the correlates of different ADHD subtypes.
Voetnoten
1
The study by Weiler in Table 1 reported on a referred sample and a community samples; we are counting these as two samples.
 
2
In the single informant analyses, most of the children who were identified as cases for parents were not the same children identified as cases by teachers. Out of the 509 children in the random sample who had parent interviews, 35 were cases by teacher only, 67 were cases by parent only, and 15 were cases by both. Of those 15 cases, parents and teachers agreed on the subtype for only 3 children.
 
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Metagegevens
Titel
The Shifting Subtypes of ADHD: Classification Depends on How Symptom Reports are Combined
Auteurs
Andrew S. Rowland
Betty Skipper
David L. Rabiner
David M. Umbach
Lil Stallone
Richard A. Campbell
Richard L. Hough
A. J. Naftel
Dale P. Sandler
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/s10802-007-9203-7