TY - JOUR
T1 - Changes in ADHD symptom endorsement
T2 - Preschool to school age
AU - Curchack-Lichtin, Jocelyn T.
AU - Chacko, Anil
AU - Halperin, Jeffrey M.
N1 - Funding Information:
Acknowledgments This work was supported by NIH R01-MH068286 to JMH. We acknowledge the statistical assistance of Drs. Yoko Nomura and Khushmand Rajendran.
PY - 2014/8
Y1 - 2014/8
N2 - To investigate endorsement patterns among the 18 DSM-IV symptoms of ADHD in a longitudinal sample of children with and without ADHD (n=144), as assessed at ages 4-5, 5-6, and 6-7 years. Symptom endorsements and diagnoses were determined at all time-points via K-SADS-PL interview administered to parents and supplemented by teacher questionnaires and clinician observations. Changes in endorsement patterns over time for each of the 18 DSM-IV symptoms were ascertained. Several symptoms, particularly those of inattention, were infrequently endorsed and of apparently limited diagnostic utility at ages 4-5; hyperactive/impulsive symptoms were more frequently endorsed among young children with ADHD than were inattentive symptoms. However, by ages 6-7, inattention items were somewhat superior at discriminating ADHD from Non-ADHD children. Several DSM-IV and now DSM-V symptoms provide limited diagnostic differentiation prior to school-Age, particularly those most commonly observed in the context of formal schooling. Consideration should be made in future iterations of the DSM that account for such developmental and contextual differences.
AB - To investigate endorsement patterns among the 18 DSM-IV symptoms of ADHD in a longitudinal sample of children with and without ADHD (n=144), as assessed at ages 4-5, 5-6, and 6-7 years. Symptom endorsements and diagnoses were determined at all time-points via K-SADS-PL interview administered to parents and supplemented by teacher questionnaires and clinician observations. Changes in endorsement patterns over time for each of the 18 DSM-IV symptoms were ascertained. Several symptoms, particularly those of inattention, were infrequently endorsed and of apparently limited diagnostic utility at ages 4-5; hyperactive/impulsive symptoms were more frequently endorsed among young children with ADHD than were inattentive symptoms. However, by ages 6-7, inattention items were somewhat superior at discriminating ADHD from Non-ADHD children. Several DSM-IV and now DSM-V symptoms provide limited diagnostic differentiation prior to school-Age, particularly those most commonly observed in the context of formal schooling. Consideration should be made in future iterations of the DSM that account for such developmental and contextual differences.
KW - ADHD
KW - Diagnosis
KW - Hyperactivity
KW - Inattention
KW - Preschool
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U2 - 10.1007/s10802-013-9834-9
DO - 10.1007/s10802-013-9834-9
M3 - Article
C2 - 24343794
AN - SCOPUS:84904209963
SN - 0091-0627
VL - 42
SP - 993
EP - 1004
JO - Journal of Abnormal Child Psychology
JF - Journal of Abnormal Child Psychology
IS - 6
ER -