The Impact of Impairment Criteria on Rates of ADHD Diagnoses in Preschoolers

Autor/inn/en	Healey, Dione M.; Miller, Carlin J.; Castelli, Katia L.; Marks, David J.; Halperin, Jeffrey M.
Titel	The Impact of Impairment Criteria on Rates of ADHD Diagnoses in Preschoolers
Quelle	In: Journal of Abnormal Child Psychology, 36 (2008) 5, S.771-778 (8 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0091-0627
DOI	10.1007/s10802-007-9209-1
Schlagwörter	Hyperactivity; Evaluation Criteria; Clinical Diagnosis; Preschool Children; Attention Deficit Disorders; Check Lists; Psychometrics; Symptoms (Individual Disorders); Conceptual Tempo; Measures (Individuals) + Suchen Sie Ihr Suchwort? Hyperaktivität; Pre-school age; Preschool age; Child; Children; Pre-school education; Preschool education; Vorschulalter; Kind; Kinder; Vorschulkind; Vorschulkinder; Vorschulerziehung; Vorschule; Attention deficit hyperactivity disorder; ADHS; Aufmerksamkeits-Defizit-Hyperaktivitäts-Störung; Aufmerksamkeitsstörung; Checkliste; Psychometry; Psychometrie; Psychiatrische Symptomatik; Messdaten
Abstract	Behaviors characteristic of ADHD are common among preschool children, and as such, their clinical significance is oftentimes difficult to ascertain. Thus a focus on impairment is essential in determining the clinical significance of these behaviors. In order to explore the impact of impairment criteria on rates of diagnoses in inattentive/hyperactive children aged 36 through 60-months-old, we first developed, and psychometrically evaluated, the Children's Problem Checklist (CPC) which was designed to assess psychosocial impairment associated with ADHD in a community sample of preschoolers (n=394), and found its reliability and validity to be acceptable. We then examined the impact of the inclusion of various CPC-determined impairment criteria, over and above symptom criteria measured by the ADHD-RS-IV, using various cut points ranging from the 75th to 90th percentile of our community sample. This reduced the number of children meeting criteria for ADHD by 46-77%. These findings are discussed in terms of the importance of using impairment criteria, rather than just severity of inattention, impulsivity and hyperactivity, when diagnosing ADHD in preschool children. (Author).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10