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Published on: June 12, 2020
Common Danish standards in prescribing medication for children and adolescents with ADHD
Søren Dalsgaard1, Maria Knoth Humlum, Helena Skyt Nielsen
1Department of Economics and Business, National Centre for Register-based Research, School of Business and Social Sciences, Aarhus University, Fuglesangs Allé 4 Building K, 8210, Aarhus, Denmark, sdalsgaard@ncrr.dk.
Abstract:
Assessing whether symptoms of attention-deficit hyperactivity disorder (ADHD) in children are age-inappropriate is essential. Hence, comparing children within one school grade is problematic and the risk of applying relative standards is inherent. Being young-for-grade increases the likelihood of receiving medication in countries with high prevalence of ADHD medication. We test the same hypothesis in a cohort of 418,396 children and find no difference between children who are young-for-grade and old-for-grade. The Danish system, with its restrictive approach to medication and clear diagnostic guidelines seems to have avoided a systematic bias of ADHD medication in young children reported in other countries.
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