Diagnostic Instability of "DSM-IV" ADHD Subtypes: Effects of Informant Source, Instrumentation, and Methods for Combining Symptom Reports

Autor/inn/en	Valo, Shana; Tannock, Rosemary
Titel	Diagnostic Instability of "DSM-IV" ADHD Subtypes: Effects of Informant Source, Instrumentation, and Methods for Combining Symptom Reports
Quelle	In: Journal of Clinical Child and Adolescent Psychology, 39 (2010) 6, S.749-760 (12 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1537-4416
Schlagwörter	Physicians; Attention Deficit Hyperactivity Disorder; Attention Deficit Disorders; Identification; Rating Scales; Evaluation Methods; Clinical Diagnosis; Teaching Methods; Classification; Symptoms (Individual Disorders); Referral; Psychiatry; Parent Attitudes; Teacher Attitudes; Pediatrics; Interviews + Suchen Sie Ihr Suchwort? Physician; Doctor; Arzt; Attention deficit hyperactivity disorder; ADHS; Aufmerksamkeits-Defizit-Hyperaktivitäts-Störung; Aufmerksamkeitsstörung; Identifikation; Identifizierung; Rating-Skala; Teaching method; Lehrmethode; Unterrichtsmethode; Classification system; Klassifikation; Klassifikationssystem; Psychiatrische Symptomatik; Psychiatrie; Elternverhalten; Lehrerverhalten; Klinische Sozialpädiatrie; Interviewing; Interviewtechnik
Abstract	Using data from 123 children (aged 6-12 years) referred consecutively to a pediatric neuropsychiatry clinic by community physicians for assessment of Attention-Deficit/Hyperactivity Disorder (ADHD) and related problems, we investigated the effects of informant (parent, teacher), tool (interview, rating scale), and method for combining symptom reports ("and," "or" algorithms), on the diagnosis of ADHD and its subtypes. Results indicated that as many as 50% of cases were reclassified from one subtype to another, depending on whether information was derived from one or two informants, a semistructured clinical interview and/or rating scale, and the algorithm used to combine informant reports. We conclude that the diagnosis of "DSM-IV" ADHD subtypes is capricious in that it is influenced by clinicians' decisions regarding informants, instrumentation, and method for aggregating information across informants and instruments. (Contains 6 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10