Poor utility of the age of onset criterion for DSM-IV attention deficit/hyperactivity disorder: recommendations for DSM-V and ICD-11

2008 ◽  
Vol 49 (9) ◽  
pp. 942-949 ◽  
Author(s):  
Richard D. Todd ◽  
Hongyan Huang ◽  
Cynthia A. Henderson
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Attention Deficit ◽  
Age Of Onset ◽  
Hyperactivity Disorder ◽  
Dsm V ◽  
Dsm Iv

Impact of the DSM-V Attention Deficit Hyperactivity Disorder Criteria for Diagnosing Children With High IQ

2016 ◽  
Vol 119 (2) ◽  
pp. 365-373 ◽  
Author(s):  
Therdpong Thongseiratch ◽  
Juthamas Worachotekamjorn
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Behavioral Problems ◽  
Attention Deficit ◽  
Medical Records ◽  
Pervasive Developmental Disorders ◽  
Developmental Disorders ◽  
Age Of Onset ◽  
Hyperactivity Disorder ◽  
Dsm V ◽  
Dsm Iv

This study compared the number of attention deficit hyperactivity disorder (ADHD) cases defined by Diagnostic and Statistical Manual (DSM)-IV versus DSM-V criterion in children who have learning or behavioral problems with high IQ. The medical records of children ≤15 years of age who presented with learning or behavioral problems and underwent a Wechsler Intelligence Scale for Children (WISC)-III IQ test at the Pediatric Outpatient Clinic unit between 2010 and 2015 were reviewed. Information on DSM-IV and DSM-V criteria for ADHD were derived from computer-based medical records. Twenty-eight children who had learning or behavioral problems were identified to have a full-scale IQ ≥120. Sixteen of these high-IQ children met the DSM-IV criteria diagnosis for ADHD. Applying the extension of the age-of-onset criterion from 7 to 12 years in DSM-V led to an increase of three cases, all of which were the inattentive type ADHD. Including the pervasive developmental disorder criterion led to an increase of one case. The total number of ADHD cases also increased from 16 to 20 in this group. The data supported the hypothesis that applying the extension of the age-of-onset ADHD criterion and enabling the diagnosis of children with pervasive developmental disorders will increase the number of ADHD diagnoses among children with high IQ.

scholarly journals A review of changes to the attention deficit/hyperactivity disorder age of onset criterion using the checklist for modifying disease definitions

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sharon Sanders ◽  
Rae Thomas ◽  
Paul Glasziou ◽  
Jenny Doust
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
High Risk ◽  
Attention Deficit ◽  
Age Of Onset ◽  
Risk Of Bias ◽  
Number Of Children ◽  
Hyperactivity Disorder ◽  
Potential Benefits ◽  
Dsm Iv ◽  
The Impact

Abstract Background Widening definitions of health conditions have the potential to affect millions of people and should only occur when there is strong evidence of benefit. In the last version of the Diagnostic and Statistical Manual of Mental Disorders (DSM), the DSM-5 Committee changed the Attention Deficit Hyperactivity Disorder (ADHD) age of onset criterion in two ways: raising the age of symptom onset and removing the requirement for symptoms to cause impairment. Given concerns about ADHD prevalence and treatment rates, we aimed to evaluate the evidence available to support these changes using a recently developed Checklist for Modifying Disease Definitions. Methods We identified and analysed research informing changes to the DSM-IV-TR ADHD age of onset criterion. We compared this evidence to the evidence recommended in the Checklist for Modifying Disease Definitions. Results The changes to the DSM-IV-TR age of onset criterion were based on a literature review (publicly available as a 2 page document with online table of included studies), which we appraised as at high risk of bias. Estimates of the change in ADHD prevalence resulting from change to the age of onset criterion were based on a single study that included only a small number of children with ADHD (n = 68) and only assessed the impact of change to the age component of the criterion. No evidence was used by, or available to the Committee regarding the impact on prevalence of removal of the requirement for impairment, or the effect of the criterion changes on diagnostic precision, the prognosis of, or the potential benefits or harms for individuals diagnosed by the new, but not old criterion. Conclusions The changes to the age of onset criterion were based on minimal research evidence that suffered from either high risk of bias or poor applicability. The minimal documentation available makes it difficult to judge the rigor of the process behind the criterion changes. Use of the Checklist for Modifying Disease Definitions would assist future proposed modifications of the DSM ADHD criteria, provide guidance on the studies needed to inform potential changes and would improve the transparency and documentation of the process.

scholarly journals Diagnosis dan penanganan rehabilitasi medik pada anak dengan Attention Deficit Hyperactivity Disorder

2016 ◽  
Vol 8 (3) ◽  
Author(s):  
Bayu D. Susanto ◽  
Lidwina S. Sengkey
Keyword(s):  
Mental Health ◽  
Attention Deficit Hyperactivity Disorder ◽  
Peer Relationships ◽  
Attention Deficit ◽  
Age Of Onset ◽  
Medical Rehabilitation ◽  
Children With Adhd ◽  
Hyperactivity Disorder ◽  
Brain Functions ◽  
Dsm Iv

Abstract: Attention deficit hyperactivity disorder (ADHD) is one of the most common childhood disorders and can continue through adolescence and adulthood. The average age of onset is 7 years old. Symptoms in children is characteriterized by inattention, hyperactivity and impulsivity, or a combination of these symptoms, which compromise basic daily functions such as learning to read and making friends. ADHD is a complex disorder of impairment of brain functions, associated with low rates of high-school graduation and completion of postsecondary education as well as poor peer relationships, even when it is appropriately managed, leading to high economic and social burdens. In many cases, it is accompanied by one or more serious psychiatric comorbidities. In practice, the diagnosis is often made in children who meet some but not all of the criteria recommended in DSM-IV. According to National Institute of Mental Health and professional organizations such as AACAP, the management of children with ADHD is a comprehensive, multidisciplinary and multimodal approach. The managerial team of children with ADHD involves medical rehabilitation specialists, physiatrists with occupational therapiests, psychologists, social workers, parents, teachers, care givers, and environment.Keywords: ADHD, inattention, hyperactivity, impulsivity, rehabilitation medicineAbstrak: Attention deficit hyperactivity disorder (ADHD) adalah adanya pola menetap dari inatensi yang disertai hiperaktifitas dan impulsivitas, umumnya terjadi pada anak usia dini dan usia sekolah. Gejala dapat diketahui sebelum usia 7 tahun dan dapat menetap sampai masa remaja dan dewasa. ADHD dapat mengganggu fungsi dasar seorang anak, permasalahan dalam hal belajar, dan kesulitan membina hubungan dengan teman. ADHD merupakan gangguan yang kompleks dari fungsi otak yang menimbulkan masalah dalam pendidikan dan sosial serta membutuhkan biaya yang cukup besar. Pada banyak kasus disertai oleh 1 atau lebih masalah psikiatri yang serius. Kriteria diagnosis didasarkan pada Diagnostic and Statistic Manual IV (DSM-IV). Sampai saat ini belum ada satu jenis terapi yang dapat diakui untuk menyembuhkan anak dengan ADHD secara total. Berdasarkan National Institute of Mental Health serta organisasi profesi lainnya di dunia seperti AACAP penanganan anak dengan ADHD ialah dengan pendekatan komprehensif yang multidisiplin dan multimodal. Penanganan pada anak dengan ADHD melibatkan multidisipliner ilmu termasuk dokter spesialis kedokteran fisik dan rehabilitasi bersama tim termasuk psikolog, okupasi terapi, sosial medik, orang tua, guru, care giver dan lingkungan.Kata kunci: ADHD, inattention, hyperactivity, impulsivity, rehabilitation medicine

Subtypes of Attention Deficit Hyperactivity Disorder: Evidence From DSM-IV Field Trials

1995 ◽  
Author(s):  
B. B. Lahey ◽  
B. Applegate ◽  
K. McBurnett ◽  
J. Biederman ◽  
L. Greenhill ◽  
...  
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Attention Deficit ◽  
Field Trials ◽  
Hyperactivity Disorder ◽  
Dsm Iv

scholarly journals Association of Attention Deficit Hyperactivity Disorder with Heroin Addiction

2014 ◽  
Vol 13 (2) ◽  
pp. 128-134 ◽  
Author(s):  
Saad Salman ◽  
Muhammad Idrees ◽  
Muhammad Anees ◽  
Jawaria Idrees ◽  
Fariha Idrees ◽  
...  
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Attention Deficit ◽  
Mental Illnesses ◽  
Heroin Addiction ◽  
Heroin Addicts ◽  
Hyperactivity Disorder ◽  
Co Morbidity ◽  
Dsm Iv ◽  
The Mean ◽  
The Difference

Objectives: To study the association of attention-deficit hyperactivity disorder (ADHD) with heroin addiction. Study design: A cross-sectional, hospital based study. Place and duration of study: The study was carried out at Lady Reading Hospital and Khyber Teaching Hospital, Peshawar, Pakistan from 4th April 2012 to 13th September 2012. Subjects and Methods: A sample of 137 adult heroin addicts were analyzed that whether they were ADHD and that childhood problem continues to manifest symptoms in adults. For retrospective assessment of childhood ADHD, the Wender Utah Rating Scale (WURS) as well as the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) symptom checklist for ADHD was used. The Conners’ Adult ADHD Rating Scales (CAARS) was used to assess the persisting symptoms of ADHD in adults. Inclusion criteria: Patient diagnosed with heroin addiction according to ICD-9 and DSM-IV. Exclusion criteria: Patient has co-morbid with any other mental illnesses. Results: The difference between the mean score of WURS and CAARS of ADHD patients were significantly greater than the normal patients. Heroin addicts showed 41.6% (WURS) and 38.6% (DSM-IV diagnostic criteria) that indicated evidence of retrospective ADHD affliction in childhood. 22.6% were IV users. CAARS was presented in 37.9% heroin addicts who exhibited a substantiation of ADHD persistent in adulthood. The difference between the mean score of WURS and CAARS of ADHD patients were significantly greater (P = 0.003), than the normal patients. Conclusions: These results revealed that addiction is associated with co-morbidity with ADHD, expressed in the form of heroin addiction. DOI: http://dx.doi.org/10.3329/bjms.v13i2.18294 Bangladesh Journal of Medical Science Vol.13(2) 2014 p.128-134

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