Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Email this article to a Colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Articles & Searches Download to citation manager Citing Articles via HighWire Citing Articles via Google Scholar Articles by Busch, B. Articles by Faraone, S. V. Search for Related Content PubMed Citation Articles by Busch, B. Articles by Faraone, S. V. Attention Deficit Hyperactivity Disorder

Correlates of ADHD Among Children in Pediatric and Psychiatric Clinics

OBJECTIVE: Conventional wisdom among pediatricians has been that children with attention-deficit hyperactivity disorder (ADHD) who receive their diagnosis and are managed in the primary care setting have fewer comorbid psychiatric disorders and milder impairments than those seen in psychiatric clinics. The authors sought to determine whether comorbidity and clinical correlates of ADHD differ among children in these two settings. METHODS: A case-control study design was used. Participants were 522 children and adolescents of both sexes, six to 18 years of age, with (N=280) and without (N=242) ADHD. Participants were drawn from pediatric and psychiatric clinics in a tertiary care hospital and a health maintenance organization in a large metropolitan area. Assessments were conducted with standardized measures of psychiatric, cognitive, social, academic, and family function. RESULTS: The number, type, clusters, and age at onset of ADHD symptoms were nearly identical for youths at pediatric and psychiatric ascertainment sources. Regardless of source, participants with ADHD were significantly more likely than controls to have a higher prevalence of mood disorders, other disruptive behavior, anxiety disorders, and substance use disorders. Significant impairments of intellectual, academic, interpersonal, and family functioning did not differ between ascertainment sources. CONCLUSIONS: Children with ADHD from both psychiatric and pediatric practices have prototypical symptoms of the disorder; high levels of comorbidity with mood, anxiety, and disruptive behavior disorders; and impairments in cognitive, interpersonal, and academic function that do not differ by ascertainment source. These findings suggest that children cared for in pediatric practice have similar levels of comorbidity and dysfunction as psychiatrically referred youth.

This article has been cited by other articles:

				J. Biederman, M. C. Monuteaux, T. Spencer, T. E. Wilens, and S. V. Faraone Do Stimulants Protect Against Psychiatric Disorders in Youth With ADHD? A 10-Year Follow-up Study Pediatrics, July 1, 2009; 124(1): 71 - 78. [Abstract] [Full Text] [PDF]

				A. Ghanizadeh, M. R. Mohammadi, and R. Moini Comorbidity of Psychiatric Disorders and Parental Psychiatric Disorders in a Sample of Iranian Children With ADHD J Atten Disord, September 1, 2008; 12(2): 149 - 155. [Abstract] [PDF]

				J. Biederman, M. C. Monuteaux, T. Spencer, T. E. Wilens, H. A. MacPherson, and S. V. Faraone Stimulant Therapy and Risk for Subsequent Substance Use Disorders in Male Adults With ADHD: A Naturalistic Controlled 10-Year Follow-Up Study Focus, June 1, 2008; 6(3): 358 - 365. [Abstract] [Full Text] [PDF]

				J. Biederman, M. C. Monuteaux, T. Spencer, T. E. Wilens, H. A. MacPherson, and S. V. Faraone Stimulant Therapy and Risk for Subsequent Substance Use Disorders in Male Adults With ADHD: A Naturalistic Controlled 10-Year Follow-Up Study Am J Psychiatry, May 1, 2008; 165(5): 597 - 603. [Abstract] [Full Text] [PDF]

				L. K. Leslie and M. L. Wolraich ADHD Service Use Patterns in Youth J. Pediatr. Psychol., July 1, 2007; 32(6): 695 - 710. [Abstract] [Full Text] [PDF]

				D. B. Schatz and A. L. Rostain ADHD with comorbid anxiety: a review of the current literature. J Atten Disord, November 1, 2006; 10(2): 141 - 149. [Abstract] [PDF]

				K. A. Bailey, D. A. Chavira, M. T. Stein, and M. B. Stein Brief Measures to Screen for Social Phobia in Primary Care Pediatrics J. Pediatr. Psychol., June 1, 2006; 31(5): 512 - 521. [Abstract] [Full Text] [PDF]

				D M Foreman, D Foreman, and E B Minty The association between hyperkinesis and breakdown of parenting in clinic populations Arch. Dis. Child., March 1, 2005; 90(3): 245 - 248. [Abstract] [Full Text] [PDF]

Get information about faster international access.

Privacy Policy

Copyright © 2002 American Psychiatric Association. All rights reserved.

Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us