Overdiagnosis and medication for attention-deficit hyperactivity disorder in children with cleft: diagnostic examination and follow-up

The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
Lynn RichmanTom Millard

Abstract

To examine the diagnosis of attention-deficit hyperactivity disorder (ADHD) in children with cleft to determine whether language-learning characteristics are taken into account when making this diagnosis. Prospective examination of 177 consecutive patients. Objective behavioral ratings, cognitive assessments, and attention/impulsivity testing of 32 of the 177 children with nonsyndromic cleft lip and palate (CLP) who had previously been diagnosed as ADHD and were receiving medication were performed. the prospective 6- to 9-month follow-up examination was examined to determine the accuracy of prior and posttest diagnoses. University hospital-based cleft palate clinic. Pretest/posttest design to determine accuracy of DSM-IV psychiatric diagnosis. The results show that the proportion of children originally diagnosed with ADHD (18%) was significantly higher than posttest diagnosis of ADHD (6% p <.001). Also, the frequency of pretest diagnosis of learning disorder (LD; 31%) was significantly different from posttest diagnosis (66% p <.01). The overdiagnosis of ADHD and underdiagnosis of LD in this sample of children with nonsyndromic unilateral cleft lip and palate appears to be due to lack of language-learning assessment.

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Citations

May 18, 2004·Clinics in Plastic Surgery·Kathleen A Kapp-Simon
Feb 3, 2009·Child Neuropsychology : a Journal on Normal and Abnormal Development in Childhood and Adolescence·Amy Lynn ConradScott Dailey
Mar 2, 2012·Child Neuropsychology : a Journal on Normal and Abnormal Development in Childhood and Adolescence·Thomasin E McCoyEdward F Bell
Nov 19, 2008·Social Cognitive and Affective Neuroscience·Aaron D BoesPeg Nopoulos
Sep 13, 2014·Otolaryngologic Clinics of North America·Christen M HolderWendy L Ward
Dec 28, 2011·Biological Psychiatry·Anne HalmøyJan Haavik
Jan 23, 2016·Psychology & Health·Nicola Marie Stock, Kristin Billaud Feragen
Jan 11, 2018·Translational Psychiatry·Lydia J Ansen-WilsonRobert J Lipinski
Jul 25, 2019·Psychotherapy and Psychosomatics·Brett ThombsIan Shrier

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