Changes in ADHD Symptom Endorsement: Preschool to School Age
Changes in ADHD Symptom Endorsement: Preschool to School Age
复制标题
DOI：
10.1007/s10802-013-9834-9
复制
发表时间：
2014-08-01
影响因子：
3.6
通讯作者：
Halperin, Jeffrey M.
中科院分区：
文献类型：
--
作者：
Curchack-Lichtin, Jocelyn T.;Chacko, Anil;Halperin, Jeffrey M.
在4-5岁、5-6岁和6-7岁的ADHD儿童和非ADHD儿童（n = 144）的纵向样本中，研究ADHD的18种DSM-IV症状之间的认可模式。在所有时间点，通过K-SADS-PL对家长进行访谈，并辅以教师问卷调查和临床观察，确定症状认可和诊断。随着时间的推移，18个DSM-IV症状的背书模式的变化被确定。几种症状，特别是注意力不集中的症状，很少被认可，在4-5岁时的诊断效用显然有限;多动症儿童中多动/冲动症状比注意力不集中症状更常见。然而，到6-7岁时，注意力不集中项目在区分ADHD儿童和非ADHD儿童方面具有一定的上级优势。一些DSM-IV和现在的DSM-V症状在学龄前提供了有限的诊断区分，特别是那些在正规学校教育中最常见的症状。在DSM的未来迭代中应考虑到这种发展和背景差异。
To investigate endorsement patterns among the 18 DSM-IV symptoms of ADHD in a longitudinal sample of children with and without ADHD (n = 144), as assessed at ages 4-5, 5-6, and 6-7 years. Symptom endorsements and diagnoses were determined at all time-points via K-SADS-PL interview administered to parents and supplemented by teacher questionnaires and clinician observations. Changes in endorsement patterns over time for each of the 18 DSM-IV symptoms were ascertained. Several symptoms, particularly those of inattention, were infrequently endorsed and of apparently limited diagnostic utility at ages 4-5; hyperactive/impulsive symptoms were more frequently endorsed among young children with ADHD than were inattentive symptoms. However, by ages 6-7, inattention items were somewhat superior at discriminating ADHD from Non-ADHD children. Several DSM-IV and now DSM-V symptoms provide limited diagnostic differentiation prior to school-age, particularly those most commonly observed in the context of formal schooling. Consideration should be made in future iterations of the DSM that account for such developmental and contextual differences.