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Type: Journal article
Title: Validity of DSM-IV ADHD subtypes in a nationally representative sample of Australian children and adolescents
Author: Graetz, B.
Sawyer, M.
Hazell, P.
Arney, F.
Baghurst, P.
Citation: Journal of the American Academy of Child and Adolescent Psychiatry, 2001; 40(12):1410-1417
Publisher: Lippincott Williams & Wilkins
Issue Date: 2001
ISSN: 0890-8567
Statement of
Brian W. Graetz, Michael G. Sawyer, Philip L. Hazell, Fiona Arney and Peter Baghurst.
Abstract: Objective: To examine the discriminant validity of DSM-IV attention-deficit/hyperactivity disorder (ADHD) subtypes in a nationally representative sample of Australian youths. Method: The Diagnostic Interview Schedule for Children, including the symptom-specific impairment questions, was administered to 3,597 parents of children aged 6 to 17 years (response rate = 70%). Parents also completed questionnaires assessing children's emotional and behavioral problems and quality of life. Results: Current DSM-IV ADHD prevalence was 7.5% (6.8% with impairment) with inattentive types being more common than hyperactive-impulsive and combined types. ADHD was more prevalent among young males and was linked to social adversity, particularly for combined types. Compared with non-ADHD controls, all three ADHD subtypes were rated as having more emotional and behavioral problems and lower psychosocial quality of life, with combined types consistently rated the most impaired. Combined types received higher ratings than hyperactive-impulsive and inattentive types on externalizing behavior problems, disruption to family activities, and symptom-specific impairments with schoolwork and peer-related activities. Inattentive types were rated as having lower self-esteem, more social and school-related problems, but fewer externalizing problems than hyperactive-impulsive types. Conclusion: These findings support the view of DSM-IV ADHD subtypes as distinct clinical entities with impairments in multiple domains.
Keywords: Humans
Mass Screening
Severity of Illness Index
Attention Deficit Disorder with Hyperactivity
Psychiatric Status Rating Scales
Quality of Life
Surveys and Questionnaires
Description: Copyright 2001 © American Academy of Child and Adolescent Psychiatry
DOI: 10.1097/00004583-200112000-00011
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Paediatrics publications

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