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Mental disorders in five-year-old children with or without developmental delay: focus on ADHD
Bruce L Baker1, Cameron L Neece, Rachel M Fenning
1Department of Psychology, University of California, Los Angeles, 90095, USA. baker@psych.ucla.edu
Children with developmental delay (DD) show higher rates of behavioral issues, particularly Attention Deficit Hyperactivity Disorder (ADHD). Parenting stress and maternal scaffolding influence ADHD diagnosis in young children.
Area of Science:
- Developmental Psychology
- Child Psychiatry
- Behavioral Science
Background:
- Intellectual disability (ID) in children and adolescents is often accompanied by significant behavior problems (30-50%).
- Limited research exists on young children, cognitively typical peers, specific disorders, and family factors in this population.
Purpose of the Study:
- To assess clinical diagnoses and behavioral issues in 5-year-old children with and without developmental delay (DD).
- To investigate the prevalence of specific disorders, particularly Attention Deficit Hyperactivity Disorder (ADHD), in young children with DD.
- To examine family correlates, including parenting stress and maternal scaffolding, associated with ADHD diagnosis.
Main Methods:
- A structured interview was used to assess clinical diagnoses in 236 five-year-old children (95 with DD, 141 typically developing).
- Prevalence rates of various disorders were compared between the DD and typical development groups.
- Regression analyses explored the relationship between early behavior problems, parenting stress, maternal scaffolding, and later ADHD diagnosis.
Main Results:
- All assessed disorders were more prevalent in the DD group compared to the typical development group.
- Attention Deficit Hyperactivity Disorder (ADHD) showed the highest differentiation between groups (ratio = 3.21:1).
- Externalizing behavior problems at age 3 predicted ADHD diagnoses at age 5. Parenting stress at age 3 and maternal scaffolding in the DD group were significant predictors of ADHD.
Conclusions:
- Young children with developmental delay (DD) exhibit a higher prevalence of clinical diagnoses, especially ADHD.
- Early behavioral patterns and specific family dynamics, such as parenting stress and maternal scaffolding, are crucial factors in the development of ADHD in young children.
- These findings highlight the importance of early identification and intervention for behavioral problems in children with DD.
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