DSM-IV field trials for attention deficit hyperactivity disorder in children and adolescents
1994; American Psychiatric Association; Volume: 151; Issue: 11 Linguagem: Inglês
10.1176/ajp.151.11.1673
ISSN1535-7228
AutoresBenjamin B. Lahey, Brooks Applegate, Keith McBurnett, Joseph Biederman, Laurence L. Greenhill, George W. Hynd, R. A. Barkley, Jeffrey H. Newcorn, Peter S. Jensen, John E. Richters,
Tópico(s)Maternal Mental Health During Pregnancy and Postpartum
ResumoBack to table of contents Previous article Next article No AccessDSM-IV field trials for attention deficit hyperactivity disorder in children and adolescentsPublished Online:1 Apr 2006https://doi.org/10.1176/ajp.151.11.1673AboutSectionsView articleAbstractPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View articleAbstractOBJECTIVE: Optimal diagnostic thresholds were determined for DSM-IV attention deficit hyperactivity disorder, and the psychometric properties were compared to alternative definitions. METHOD: Structured diagnostic interviews of multiple informants for 380 clinic-referred youths aged 4-17 years were conducted. In addition, standardized clinicians' validation diagnoses of attention deficit disorder were obtained to assess agreement with clinical judgment. Measures of impairment were obtained to assess the accuracy of identifying youth with an impairing condition. RESULTS: Three subtypes of attention deficit hyperactivity disorder (predominantly inattentive, predominantly hyperactive-impulsive, and combined types) were distinguished on the basis of the degree of deviance on separate dimensions of inattention and hyperactivity-impulsivity. These three subtypes were found to differ in terms of types of impairment, age, and sex ratio, but not ethnicity. In terms of case identification of attention deficit hyperactivity disorder, DSM-IV was found to be very similar to DSM-III-R, except that DSM-IV identified more impaired girls and preschool children. CONCLUSIONS: These results support the decision to subdivide the heterogeneous category of DSM-III-R attention deficit hyperactivity disorder into three subtypes. The resulting DSM-IV definition appears to be somewhat less biased toward the symptom pattern typical of elementary school boys. Access content To read the fulltext, please use one of the options below to sign in or purchase access. 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