Are all the 18 DSM-IV and DSM-5 criteria equally useful for diagnosing ADHD and predicting comorbid conduct problems?

European Child & Adolescent Psychiatry
Alexandra Garcia RosalesWai Chen

Abstract

In view of ICD-11 revision, we evaluate whether the 18 DSM-IV diagnostic items retained by DSM-5 could be further improved (i) in predicting ADHD 'caseness' and 'impairment' and (ii) discriminating ADHD without CD (ADHD - CD) cases from ADHD with CD (ADHD + CD) cases. In a multi-centre study sample consisting of 1497 ADHD probands and 291 unaffected subjects, 18 diagnostic items were examined for redundancy; then each item was evaluated for association with caseness, impairment and CD status using Classical Test Theory, Item-Response Theory and logistic regression methods. First, all 18 DSM-IV items contributed significantly and independently to the clinical diagnosis of ADHD. Second, not all the DSM-IV items carried equal weighting. "Often loses things", "forgetfulness" and "difficulty sustaining attention" mark severity for Inattentiveness (IA) items and "often unduly noisy", "exhibits a persistent pattern of restlessness", "leaves seat in class" and "often blurts out answers" for Hyperactivity/Impulsivity (HI) items. "Easily distracted", "inattentive to careless mistakes", "often interrupts" and "often fidgets" are associated with milder presentations. In the IA domain, "distracted" yields most information in the low-severit...Continue Reading

References

Nov 1, 1991·Journal of Child Psychology and Psychiatry, and Allied Disciplines·C Caron, M Rutter
May 1, 1995·Journal of the American Academy of Child and Adolescent Psychiatry·R Schachar, R Tannock
May 1, 1994·Journal of the American Academy of Child and Adolescent Psychiatry·P J FrickR A Barkley
Jul 22, 1998·Journal of Child Psychology and Psychiatry, and Allied Disciplines·J OosterlaanJ A Sergeant
Feb 24, 2001·Journal of the American Academy of Child and Adolescent Psychiatry·P S JensenB Vitiello
Feb 24, 2001·Journal of the American Academy of Child and Adolescent Psychiatry·J H NewcornB Vitiello
Jun 23, 2006·Twin Research and Human Genetics : the Official Journal of the International Society for Twin Studies·Bengt MuthénIrene Rebollo
Jan 15, 2008·American Journal of Medical Genetics. Part B, Neuropsychiatric Genetics : the Official Publication of the International Society of Psychiatric Genetics·Wai ChenPhilip Asherson
Jun 17, 2008·American Journal of Medical Genetics. Part B, Neuropsychiatric Genetics : the Official Publication of the International Society of Psychiatric Genetics·Kaixin ZhouStephen V Faraone
Dec 17, 2008·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Eric Taylor
May 21, 2009·Child Psychiatry and Human Development·Deidra J YoungDavid A Hay
Apr 23, 2010·Journal of the American Academy of Child and Adolescent Psychiatry·Ujjwal P RamtekkarRichard D Todd
May 25, 2010·Journal of the American Academy of Child and Adolescent Psychiatry·Regina BussingCynthia Garvan
Oct 1, 2010·Optometry : Journal of the American Optometric Association
Mar 25, 2011·Attention Deficit and Hyperactivity Disorders·Eric Taylor
May 23, 2012·Journal of Abnormal Psychology·Erik G WillcuttBenjamin B Lahey
Feb 1, 2013·Journal of Developmental and Behavioral Pediatrics : JDBP·Mark L WolraichLaoma Beck

❮ Previous
Next ❯

Related Concepts

Related Feeds

Basal Ganglia

Basal Ganglia are a group of subcortical nuclei in the brain associated with control of voluntary motor movements, procedural and habit learning, emotion, and cognition. Here is the latest research.

Attention Disorders

Attention is involved in all cognitive activities, and attention disorders are reported in patients with various neurological diseases. Here are the latest discoveries pertaining to attention disorders.

Related Papers

Journal of the American Academy of Child and Adolescent Psychiatry
Heather GelhornThomas Crowley
The Australian and New Zealand Journal of Psychiatry
Florence Levy
The Australian and New Zealand Journal of Psychiatry
Michael J Ostacher
© 2022 Meta ULC. All rights reserved