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Brief report: pervasive developmental disorder can evolve into ADHD: case illustrations.

Deborah Fein1, Pamela Dixon, Jennifer Paul

  • 1Department of Psychology, University of Connecticut, 406 Babbidge Rd., Storrs, CT 06269-1020, USA. deborah.fein@uconn.edu

Journal of Autism and Developmental Disorders
|September 1, 2005
PubMed
Summary

Pervasive Developmental Disorders (PDD) can evolve into Attention Deficit Hyperactivity Disorder (ADHD) in childhood. This developmental trajectory highlights a potential diagnostic shift, impacting long-term outcomes for affected children.

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Area of Science:

  • Child Psychology
  • Neurodevelopmental Disorders
  • Clinical Psychiatry

Background:

  • Limited research exists on the relationship between Pervasive Developmental Disorders (PDD) and Attention Deficit Hyperactivity Disorder (ADHD).
  • Outcome studies for PDD predominantly focus on language, education, and adaptive skills, neglecting diagnostic evolution.
  • The potential for PDD to transition into other clinical syndromes requires further investigation.

Observation:

  • Three detailed case studies and data from eight additional cases were analyzed.
  • The cases illustrate a developmental progression from PDD to ADHD.
  • This evolution was observed from early to middle childhood.

Findings:

  • Prototypical cases of PDD demonstrated a clear shift in clinical presentation towards ADHD.

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  • Attentional symptoms, prominent in PDD, became more defined as ADHD criteria.
  • Implications:

    • This suggests a potential diagnostic overlap and developmental pathway between PDD and ADHD.
    • Clinical assessments for PDD should consider the possibility of evolving ADHD symptoms.
    • Understanding this diagnostic transition is crucial for accurate prognosis and tailored interventions in child development.