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Related Experiment Videos

[Attention deficit/hyperactivity. Diagnostic criteria and classification]

B Sanne, N Lie, M Medhus

    Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
    |August 30, 1997
    PubMed
    Summary

    Diagnostic criteria for attention deficit/hyperactivity disorder (ADHD) have converged between ICD-10 and DSM-IV, though subtype classifications differ. Researchers should note changes in criteria for accurate interpretation of studies.

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    Area of Science:

    • Psychiatry
    • Neurodevelopmental Disorders

    Context:

    • Diagnostic criteria for Attention Deficit/Hyperactivity Disorder (ADHD) have historically presented challenges in classification.
    • Recent diagnostic systems, including ICD-10 and DSM-IV, show significant convergence.

    Purpose:

    • To compare the most recent diagnostic systems for ADHD.
    • To evaluate the convergence and overlap of current diagnostic criteria.
    • To provide recommendations for clinical practice and research.

    Summary:

    • ICD-10 clinical criteria remain descriptive, while DCR-10 (ICD-10 research criteria) and DSM-IV utilize operational criteria.
    • Symptom lists and core criteria in DCR-10 and DSM-IV are nearly identical.
    • Subtype classifications differ substantially between DCR-10 and DSM-IV, with no single system recommended.

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  • For clinical practice and research, fulfilling DCR-10's "disturbance of activity and attention" (F90.0) or DSM-IV's "ADHD, combined type" (314.01) is advised.
  • Significant differences exist between historical and current diagnostic criteria, necessitating careful consideration when interpreting past research.

    • Impact:

    • Facilitates more consistent ADHD diagnosis and classification across different systems.
    • Improves the comparability of research findings by highlighting convergence and divergence in diagnostic criteria.
    • Guides clinicians and researchers in applying current, standardized criteria for ADHD assessment and study.
    • Emphasizes the need to account for evolving diagnostic standards when reviewing historical ADHD research data.