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Attention deficit hyperactivity disorder: an epidemiological screening method.

Gerald J August1, Rick Ostrander, Michael J Bloomquist

  • 1U Minnesota Hosp & Clinic, Div of Child & Adolescent Psychiatry, Minneapolis.

The American Journal of Orthopsychiatry
|July 1, 1992
PubMed
Summary

Multistage identification effectively screened for attention-deficit hyperactivity disorder (ADHD) in elementary students. Diagnosed children showed greater impairment and higher rates of disruptive behavior disorders compared to subclinical cases.

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Area of Science:

  • Pediatric Psychology
  • Developmental Neuroscience
  • Child Psychiatry

Background:

  • Attention-deficit hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder impacting children's academic and social functioning.
  • Early identification and intervention are crucial for managing ADHD symptoms and associated challenges.
  • Epidemiological screening methods play a vital role in identifying at-risk populations within school settings.

Purpose of the Study:

  • To evaluate the efficacy of multistage identification as an epidemiological screening method for diagnosing ADHD in elementary school students.
  • To compare the adjustment measures and coexisting conditions between children diagnosed with ADHD and those identified as subclinical non-ADHD.

Main Methods:

  • A multistage identification process, a form of diagnostic assessment, was employed.

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  • The study involved a sample of 1,490 elementary school students.
  • Data were collected on adjustment measures and the presence of disruptive behavior disorders.

    • Main Results:

    • Children diagnosed with ADHD using the multistage method demonstrated significantly more impairment on various adjustment measures.
    • A higher prevalence of coexisting disruptive behavior disorders was observed in children diagnosed with ADHD.
    • Subclinical non-ADHD children exhibited fewer adjustment difficulties and lower rates of comorbid conditions.

    Conclusions:

    • Multistage identification is a viable epidemiological screening tool for detecting ADHD in school-aged children.
    • Children with ADHD experience greater functional impairment and are more prone to comorbid disruptive behavior disorders.
    • The findings underscore the importance of systematic screening for ADHD to facilitate timely support and intervention.