The impact of case definition on attention-deficit/hyperactivity disorder prevalence estimates in community-based samples of school-aged children.
The impact of case definition on attention-deficit/hyperactivity disorder prevalence estimates in community-based samples of school-aged children.
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DOI：
10.1016/j.jaac.2014.10.014
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发表时间：
2015-01
影响因子：
13.3
通讯作者：
Visser, Susanna N.
中科院分区：
文献类型：
--
作者：
McKeown, Robert E.;Holbrook, Joseph R.;Danielson, Melissa L.;Cuffe, Steven P.;Wolraich, Mark L.;Visser, Susanna N.
确定不同的 ADHD 诊断标准（包括新的 DSM-5 标准）对患病率估计的影响。家长和老师的报告确定了来自两个州小学的多动症高屏幕和低屏幕儿童，这产生了多样化的总体样本。家长访谈阶段包括儿童诊断访谈时间表 – IV (DISC-IV)，以及最多四次额外的后续访谈。加权患病率估计，考虑到复杂的抽样，使用基线和最终的后续访谈数据量化了不同 ADHD 标准的影响。在基线时，我们采访了 1060 名护理人员； 656 人至少进行了一次后续访谈。教师和家长报告称，分别有 20.5%（95% CI：18.1%–23.2%）和 29.8%（CI：24.5%–35.6%）的儿童有 6 种或更多 ADHD 症状，根据障碍标准和 7 岁时发病标准（DSM-IV），将这些比例降低至 16.3%（CI：14.7%–18.0%）和 17.5%（CI：17.5%）。 13.3%–22.8%）；要求至少四种教师报告的症状将家长报告的患病率降低至 8.9%（CI：7.4%–10.6%）。根据 DSM-5 将发病年龄修正为 12 岁，这一估计值增加至 11.3%（CI：9.5%–13.3%），随访时也出现类似的增加：7 岁发病为 8.2%（CI：5.9%–11.2%），而 12 岁时发病为 13.0%（CI：7.6%–21.4%）。 17 岁及以上的人群将这一估计值提高至 13.1%（CI：7.7%–21.5%）。这些发现量化了不同 ADHD 病例定义标准对患病率估计的影响。需要对损伤评级和来自多个知情人的数据进行进一步研究，以便更好地为临床医生进行诊断评估提供信息。 DSM-5 在发病年龄和年龄较大青少年所需症状数量方面的变化似乎增加了患病率估计值，尽管由于我们样本的年龄，其全部影响尚不确定。
To determine the impact of varying ADHD diagnostic criteria, including new DSM-5 criteria, on prevalence estimates. Parent and teacher reports identified ADHD high and low screen children from elementary schools in two states that produced a diverse overall sample. The parent interview stage included the Diagnostic Interview Schedule for Children – IV (DISC-IV), and up to four additional follow-up interviews. Weighted prevalence estimates, accounting for complex sampling, quantified the impact of varying ADHD criteria using baseline and the final follow-up interview data. At baseline 1060 caregivers were interviewed; 656 had at least one follow-up interview. Teachers and parents reported six or more ADHD symptoms for 20.5% (95% CI: 18.1%–23.2%) and 29.8% (CI: 24.5%–35.6%) of children respectively, with criteria for impairment and onset by age seven (DSM-IV) reducing these proportions to 16.3% (CI: 14.7%–18.0%) and 17.5% (CI: 13.3%–22.8%); requiring at least four teacher-reported symptoms reduced the parent-reported prevalence to 8.9% (CI: 7.4%–10.6%). Revising age of onset to 12 years per DSM-5 increased this estimate to 11.3% (CI: 9.5%–13.3%), with a similar increase seen at follow-up: 8.2% with age seven onset (CI: 5.9%–11.2%) versus 13.0% (CI: 7.6%–21.4%) with onset by age 12. Reducing the number of symptoms required for those aged 17 and older increased the estimate to 13.1% (CI: 7.7%–21.5%). These findings quantify the impact on prevalence estimates of varying case definition criteria for ADHD. Further research of impairment ratings and data from multiple informants is required to better inform clinicians conducting diagnostic assessments. DSM-5 changes in age of onset and number of symptoms required for older adolescents appear to increase prevalence estimates, although the full impact is uncertain due to the age of our sample.
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精神障碍的负担。
影响因子：
5.5
作者：
Eaton WW;Martins SS;Nestadt G;Bienvenu OJ;Clarke D;Alexandre P
通讯作者：
Alexandre P
影响因子：
3
作者：
Al-Yagon, Michal;Cavendish, Wendy;Vio, Claudio
通讯作者：
Vio, Claudio
DOI：
10.1097/00004583-200001000-00014
发表时间：
2000-01-01
影响因子：
13.3
作者：
Shaffer, D;Fisher, P;Schwab-Stone, ME
通讯作者：
Schwab-Stone, ME
DOI：
10.1097/00004583-199902000-00011
发表时间：
1999-02-01
影响因子：
13.3
作者：
Angold, A;Costello, EJ;Erkanli, A
通讯作者：
Erkanli, A
影响因子：
7.7
作者：
Polanczyk, Guilherme V.;GWillcutt, Erik;Rohde, Luis A.
通讯作者：
Rohde, Luis A.