Three-year predictive validity of DSM-IV attention deficit hyperactivity disorder in children diagnosed at 4-6 years of age
Three-year predictive validity of DSM-IV attention deficit hyperactivity disorder in children diagnosed at 4-6 years of age
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DOI：
10.1176/appi.ajp.161.11.2014
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发表时间：
2004-11-01
影响因子：
17.7
通讯作者：
Massetti, G
中科院分区：
文献类型：
--
作者：
Lahey, BB;Pelham, WE;Massetti, G
目标：方法：作者对255名4-6岁波1期先证者和配对对照儿童进行了4年一次的ADHD和功能损害评估。几乎所有在波1中符合ADHD完整标准的儿童在接下来的3年中都符合ADHD的完整标准，并且相对于对照儿童继续显示出明显的功能障碍，即使在智力、共同发生的精神病理学和人口统计学特征得到控制的情况下。这些发现支持DSM-IV诊断ADHD的有效性，证明症状和相关的损害可能会持续到小学。
objective: Predictive validity is a fundamental consideration in evaluating the DSM-IV diagnostic criteria for attention deficit hyperactivity disorder (ADHD), particularly for younger children.Method: The authors conducted four annual assessments of ADHD and functional impairment using multiple informants in 255 probands and matched comparison children who were 4-6 years old in wave 1.Results: Nearly all children who met full criteria for ADHD in wave 1 met full criteria for ADHD over the next 3 years and continued to display marked functional impairment relative to comparison children, even when intelligence, co-occurring psychopathology, and demographic characteristics were controlled.Conclusions: These findings support the validity of the DSM-IV diagnosis of ADHD in younger children by demonstrating that the symptoms and associated impairment are likely to persist well into elementary school.