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Gepubliceerd in: Child Psychiatry & Human Development 1/2020

05-08-2019 | Original Article

What Differentiates Children with ADHD Symptoms Who Do and Do Not Receive a Formal Diagnosis? Results from a Prospective Longitudinal Cohort Study

Auteurs: Cliodhna O’Connor, Fiona McNicholas

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 1/2020

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Abstract

ADHD diagnoses are increasing worldwide, in patterns involving both overdiagnosis of some groups and underdiagnosis of others. The current study uses data from a national longitudinal study of Irish children (N = 8568) to examine the sociodemographic, clinical and psychological variables that differentiate children with high hyperactivity/inattention symptoms, who had and had not received a diagnosis of ADHD. Analysis identified no significant differences in the demographic characteristics or socio-emotional wellbeing of 9-year-olds with hyperactivity/inattention who had and who had not received a diagnosis of ADHD. However, by age 13, those who had held a diagnosis at 9 years showed more emotional and peer relationship problems, worse prosocial behaviour, and poorer self-concept. Further research is required to clarify the developmental pathways responsible for these effects.

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Voetnoten
1
Such a scenario may also occur in research contexts in double-blinded clinical trials, which further confounds the extent to which research on treatment outcomes can be generalised to draw conclusions about the outcomes of ADHD diagnosis.
 
2
Johnson et al.’s [49] study of children born preterm found that the more conservative procedure of requiring above-threshold scores in both (rather than either) teacher and parent reports reduced positive ADHD screens in a sample of from 34.2 to 9.6%. Similarly for this study, requiring a score of ≥ 9 in both teacher and parent SDQ reports would have reduced the sample of Undiagnosed ADHD to 81 (.9%) children. This would likely represent an overly conservative estimate of undiagnosed ADHD, given that the accepted prevalence of ADHD in the population is 5% [4] and the rate of existing clinical diagnosis in this sample was .8%.
 
3
They were not added to the Diagnosed ADHD group due to ambiguities caused by a change in question wording in GUI Wave 2, which queried the presence of “Emotional or behavioural disorders (e.g. ADHD/ADD)” instead of ADHD alone. This wording makes it impossible to establish whether these children held an ADHD diagnosis or another emotional or behavioural diagnosis. To preserve the clarity of the analysis, these ambiguous cases were dropped from any analysis involving Wave 2 data.
 
4
Unfortunately, since questions about medication were not asked of parents who did not report a mental health condition or disability, equivalent information is not available for the Undiagnosed ADHD group.
 
5
GUI did not ask those without a diagnosis whether their child was taking psychotropic medication, so it is not possible to determine whether some undiagnosed children were nevertheless undergoing pharmaceutical intervention. The lack of this data for the undiagnosed group also means it was not possible to include pharmaceutical treatment as a covariate in the analysis.
 
Literatuur
10.
go back to reference Akinbami LJ, Liu X, Pastor PN, Reuben CA (2011) Attention deficit hyperactivity disorder among children aged 5–17 years in the United States, 1998–2009. National Center for Health Statistics, Hyattsville, MD Akinbami LJ, Liu X, Pastor PN, Reuben CA (2011) Attention deficit hyperactivity disorder among children aged 5–17 years in the United States, 1998–2009. National Center for Health Statistics, Hyattsville, MD
26.
go back to reference Health Service Exeecutive (2014) Fifth annual child & adolescent mental health service report. Health Service Exeecutive, Dublin Health Service Exeecutive (2014) Fifth annual child & adolescent mental health service report. Health Service Exeecutive, Dublin
32.
go back to reference Kendall J, Hatton D, Beckett A, Leo M (2003) Children’s accounts of attention-deficit/hyperactivity disorder. Adv Nurs Sci 26:114–130 CrossRef Kendall J, Hatton D, Beckett A, Leo M (2003) Children’s accounts of attention-deficit/hyperactivity disorder. Adv Nurs Sci 26:114–130 CrossRef
37.
go back to reference MTA Cooperative Group (2004) National Institute of Mental Health Multimodal Treatment Study of ADHD follow-up: changes in effectiveness and growth after the end of treatment. Pediatrics 113:762–769 CrossRef MTA Cooperative Group (2004) National Institute of Mental Health Multimodal Treatment Study of ADHD follow-up: changes in effectiveness and growth after the end of treatment. Pediatrics 113:762–769 CrossRef
48.
go back to reference Thornton M, Williams J, McCrory C et al (2016) Growing up in Ireland National Longitudinal Study of children: design, instrumentation and procedures for the child cohort at wave two (13 years). Department of Children and Youth Affairs, Dublin Thornton M, Williams J, McCrory C et al (2016) Growing up in Ireland National Longitudinal Study of children: design, instrumentation and procedures for the child cohort at wave two (13 years). Department of Children and Youth Affairs, Dublin
50.
go back to reference Goodman R, Ford T, Simmons H et al (2000) Using the strengths and difficulties questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. Br J Psychiatry 177:534–539 CrossRef Goodman R, Ford T, Simmons H et al (2000) Using the strengths and difficulties questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. Br J Psychiatry 177:534–539 CrossRef
55.
go back to reference Faul F, Erdfelder E, Lang A-G, Buchner A (2007) G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 39:175–191 CrossRef Faul F, Erdfelder E, Lang A-G, Buchner A (2007) G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 39:175–191 CrossRef
57.
go back to reference Piers EV, Herzberg DS (2007) Piers-Harris children’s self-concept scale–manual, 2nd edn. Western Psychological Services, Los Angeles, CA Piers EV, Herzberg DS (2007) Piers-Harris children’s self-concept scale–manual, 2nd edn. Western Psychological Services, Los Angeles, CA
58.
go back to reference Angold A, Costello EJ, Messer SC, Pickles A (1995) Development of a short questionnaire for use in epidemiological studies of depression in children and adolescents. Int J Methods Psychiatr Res 5:237–249 Angold A, Costello EJ, Messer SC, Pickles A (1995) Development of a short questionnaire for use in epidemiological studies of depression in children and adolescents. Int J Methods Psychiatr Res 5:237–249
69.
go back to reference Meltzer H, Gatward R, Goodman R, Ford T (2000) Mental health of children and adolescents in Great Britain. The Stationery Office, London CrossRef Meltzer H, Gatward R, Goodman R, Ford T (2000) Mental health of children and adolescents in Great Britain. The Stationery Office, London CrossRef
75.
go back to reference Thornicroft G, Mehta N, Clement S et al (2016) Evidence for effective interventions to reduce mental-health-related stigma and discrimination. Lancet 387:123–1132 CrossRef Thornicroft G, Mehta N, Clement S et al (2016) Evidence for effective interventions to reduce mental-health-related stigma and discrimination. Lancet 387:123–1132 CrossRef
Metagegevens
Titel
What Differentiates Children with ADHD Symptoms Who Do and Do Not Receive a Formal Diagnosis? Results from a Prospective Longitudinal Cohort Study
Auteurs
Cliodhna O’Connor
Fiona McNicholas
Publicatiedatum
05-08-2019
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 1/2020
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-019-00917-1