Validity of DSM-IV attention-deficit/hyperactivity disorder for younger children
Validity of DSM-IV attention-deficit/hyperactivity disorder for younger children
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DOI：
10.1097/00004583-199807000-00008
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发表时间：
1998-07-01
影响因子：
13.3
通讯作者：
Baumann, B
中科院分区：
文献类型：
--
作者：
Lahey, BB;Pelham, WE;Baumann, B
关于幼儿注意力缺陷多动障碍（ADHD）诊断的有效性知之甚少。此外，DSM-IV现场试验的结果引起了人们的担忧，即在DSM-IV中纳入新的主要是多动-冲动型ADHD可能会增加活跃但未受损的学龄前和小学儿童被诊断的可能性。方法：在126名4 - 6岁儿童和126名匹配的对照儿童中评估了DSM-IV标准对ADHD各亚型的有效性。先证者和对照者通过父母的结构化诊断访谈和由教师完成的USM-IV检查表进行分类。结果如下：根据父母和老师的报告，符合DSM-IV标准的ADHD每种亚型的儿童在社会和学术障碍的广泛测量方面与对照组一致，即使在其他类型的精神病理学和其他潜在的混乱被控制的情况下。结论：当通过结构化诊断协议进行诊断时，所有三种DSM-IV亚型的ADHD对于4至B岁的儿童都是有效的，因为它们可以识别出与ADHD独立相关的适应功能指标平均得分较低的儿童。
Little is known about the validity of the diagnosis of attention-deficit/hyperactivity disorder (ADHD) in young children. Moreover, the results of the DSM-IVfield trials raised concerns that inclusion of the new predominantly hyperactive-impulsive type of ADHD in DSM-IV might increase the likelihood of the diagnosis being given to active but unimpaired preschool and primary school children. Method: The validity of DSM-IV criteria for each subtype of ADHD was evaluated in 126 children, aged 4 through 6 years, and 126 matched comparison children. Probands and controls were classified by using structured diagnostic interviews of the parent and a USM-IVchecklist completed by the teacher. Results: Children who met DSM-IVcriteria for each subtype of ADHD according to parent and teacher reports differed consistently from controls on a wide range of measures of social and academic impairment, even when other types of psychopathology and other potential confounds were controlled. Conclusions: When diagnosed by means of a structured diagnostic protocol, all three DSM-IV subtypes of ADHD are valid for 4- through B-year-old children in the sense of identifying children with lower mean scores on measures of adaptive functioning that are independently associated with ADHD.