Prevalence of ADHD and comorbid disorders among elementary school children screened for disruptive behavior

Prevalence of ADHD and comorbid disorders among elementary school children screened for disruptive behavior
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DOI:
10.1007/bf01670101
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发表时间:
1996-10-01
影响因子:
3.6
通讯作者:
Crosby, R
Crosby, R
中科院分区:
心理学2区
文献类型:
--
作者:
August, GJ;Realmuto, GM;Crosby, R

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在以学校为基础的行为障碍预防计划的背景下,对7,231名一年级至四年级的儿童进行了交叉设置破坏性行为的筛查。DSM-III-R精神疾病的频率和合并症的模式进行了评估。我们还研究了精神病诊断与儿童和父母特征的相关性,以确定基于诊断亚组的差异风险。注意缺陷多动障碍(ADHD)和对立违抗障碍(ODD)是最常见的诊断。情绪障碍和焦虑症很少作为单一诊断。合并症的模式表明,外化和内化障碍通常与ADHD同时发生。更严重程度的精神病理学和心理社会风险累积到青少年多动症加上共病的外化障碍的亚组。
In the context of a school-based prevention of conduct disorder program, 7,231 first- through fourth-grade children were screened for cross-setting disruptive behavior. Frequencies of DSM-III-R psychiatric disorders and patterns of comorbidity were assessed We also examined the association of psychiatric diagnosis with child and parent characteristics to determine differential risk based on diagnostic subgroups. Attention deficit hyperactivity disorder (ADHD) and oppositional-defiant disorder (ODD) were the most frequent diagnoses. Mood and anxiety disorders were infrequent as single diagnoses. Patterns of comorbidity demonstrated that both externalizing and internalizing disorders commonly cooccurred with ADHD. More severe degrees of psychopathology and psychosocial risk accrued to the subgroup of youths with ADHD plus a comorbid externalizing disorder.