Differences between preschool children with ODD, ADHD, and ODD plus ADHD symptoms
Differences between preschool children with ODD, ADHD, and ODD plus ADHD symptoms
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DOI：
10.1111/1469-7610.00012
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发表时间：
2002-02-01
影响因子：
7.6
通讯作者：
Nolan, EE
中科院分区：
文献类型：
--
作者：
Gadow, KD;Nolan, EE
背景资料：本研究探讨了儿童（3至6岁）谁有对立违抗性障碍（ODD）的症状，或没有注意力缺陷多动障碍（ADHD），ADHD单独和nonODD/ADHD对照组之间的差异。父母（N = 595）和教师（N = 538）的评级，获得参加同一社区的儿童早期教育计划和青少年在门诊评价（N = 224）使用DSM-IV参考的评级量表。结果如下：症状组之间的差异取决于他们如何配置（教师与家长评级）和设置（诊所与社区）。一般来说，ODD+ADHD组的其他疾病症状、与同伴的困难和发育缺陷的严重程度评分最高（对照组最低）。此外，合并症的临床影响在很大程度上是累加的。ODD与ADHD症状的青少年之间的差异在社区样本中的教师定义组和诊所样本中的父母定义组中最为明显。结论：总的来说，这些研究结果提供了初步的证据，ODD和ADHD可能构成不同的临床实体在学龄前儿童的概念，并建议，在制定诊断标准，线人可能是一个重要的考虑因素。
Background: This study examines differences between children (ages 3 to 6 years) who have the symptoms of oppositional defiant disorder (ODD) with or without attention-deficit/hyperactivity disorder (ADHD), ADHD alone, and a nonODD/ADHD comparison group. Parent (N = 595) and teacher (N = 538) ratings were obtained for children attending the same community early childhood programs and for youngsters evaluated in an outpatient clinic (N = 224) using a DSM-IV-referenced rating scale. Results: Differences between symptom groups varied depending on how they were configured (teacher versus parent ratings) and setting (clinic versus community). In general, the ODD+ADHD group received the highest (and the comparison group the lowest) ratings of severity for the symptoms of other disorders, difficulties with peers, and developmental deficits. Moreover, the clinical impact of comorbidity was largely additive. Differences between youngsters with ODD versus ADHD symptoms were most apparent for teacher-defined groups in the community sample and parent-defined groups in the clinic sample. Conclusions: Collectively, these findings provide preliminary evidence for the notion that ODD and ADHD may constitute distinct clinical entities in preschool-aged children and suggest that informant may be an important consideration in the formulation of diagnostic criteria.