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Gepubliceerd in: Child Psychiatry & Human Development 2/2011

01-04-2011 | Original Article

The Utility of Home Problem Pervasiveness and Severity in Classifying Children Identified with Attention-Deficit/Hyperactivity Disorder

Auteurs: Tammy D. Barry, Ferne A. Pinard, Christopher T. Barry, Beth H. Garland, Robert D. Lyman

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 2/2011

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Abstract

Given the propensity for clinical assessment of Attention-Deficit/Hyperactivity Disorder (ADHD) to focus on core behavioral symptoms, the current study examined how well other predictors classified children who were diagnosed with ADHD by licensed practitioners. Participants were 91 children (39 ADHD-identified, 52 without ADHD), aged 8 to 13 years. In addition to significantly more ADHD symptoms, the ADHD-identified group exhibited significantly more externalizing problems and internalizing symptoms, less adaptive functioning, and greater problem pervasiveness and severity. Binary logistic regression analyses indicated that problem pervasiveness and severity significantly predicted diagnostic group membership when controlling for other predictors, and pervasiveness added unique variance beyond measures of core ADHD symptoms. Diagnostic utility analyses showed measurement of problem pervasiveness and severity to be a useful tool in the identification of ADHD. Findings provide support for the practical use of a parent-report measure of impairment in the home as part of evidence-based assessment of ADHD.
Voetnoten
1
To determine if varying procedures in assessments impacted symptom severity among participants in the ADHD-identified group, independent samples t-tests were conducted to determine if the 8 participants indentified with ADHD by use of only a diagnostic clinical interview differed from the other 31 ADHD-identified participants. These two subgroups did not differ on DSM-IV inattention symptoms, t(37) = 0.83, p = .41, DSM-IV hyperactive-impulsive symptoms, t(37) = −0.17, p = .87, BASC Attention Problems, t(37) = −0.81, p = .42, or BASC Hyperactivity, t(37) = −0.58, p = .56. Thus, they were considered to be a uniform ADHD-identified group.
 
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Metagegevens
Titel
The Utility of Home Problem Pervasiveness and Severity in Classifying Children Identified with Attention-Deficit/Hyperactivity Disorder
Auteurs
Tammy D. Barry
Ferne A. Pinard
Christopher T. Barry
Beth H. Garland
Robert D. Lyman
Publicatiedatum
01-04-2011
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 2/2011
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-010-0205-2