PMID: 8953132Nov 1, 1996Paper

Persistent school dysfunction: unrecognized comorbidity and suboptimal therapy

Clinical Pediatrics
D A Kube, B K Shapiro

Abstract

To determine reasons for continued school dysfunction in children previously diagnosed as having attention deficit hyperactivity disorder (ADHD) or enrolled in a special education program (spec. ed.), a retrospective chart review of patients referred for interdisciplinary evaluations at a tertiary center for hyperactivity and learning problems was completed. Interdisciplinary clinical recommendations were used to define reasons for treatment failure in 116 children with prior diagnosis of ADHD or spec. ed. placement. Results showed 45% of children enrolled in spec. ed. had previously undiagnosed ADHD. Thirty-one percent of those with ADHD, 55% of those in spec. ed., and 55% of those diagnosed with ADHD and in spec. ed. (Both) received a new educationally handicapping diagnosis. Psychiatric comorbidity was present in 28% of those with ADHD, 18% of those in spec. ed., and 23% of Both subjects. Thirteen percent of those in spec. ed. had significant coexisting medical conditions. Special education services were insufficient in 55% of children in spec. ed. and 55% of Both subjects. A significant difference (P < 0.01) in medication use was noted between the groups with 56% of the ADHD group, 55% of the Both group, and none of the spe...Continue Reading

References

May 1, 1992·Journal of the American Academy of Child and Adolescent Psychiatry·D P Cantwell, L Baker
Apr 1, 1991·The American Journal of Orthopsychiatry·K M SalyerJ D Noshpitz
Mar 1, 1989·Journal of Child Psychology and Psychiatry, and Allied Disciplines·P SzatmariM H Boyle
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Jun 1, 1993·Pediatric Clinics of North America·B K Shapiro, R P Gallico

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Citations

Jun 4, 1999·The Journal of School Health·A D Sandler
Oct 9, 2002·Clinical Pediatrics·David A KubeFrederick B Palmer
Aug 13, 2011·Beneficial Microbes·P Brandtzaeg
Jul 21, 2001·Annals of the New York Academy of Sciences·L E Wolf

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