Attention Deficit Hyperactivity Disorder in Preschool Children
Abstract
Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder with a childhood onset of symptoms and impairment. Although it is most frequently identified during elementary school years, epidemiologic data suggest that the onset of ADHD frequently occurs earlier, with presentation as young as 3 years of age. Early identification, however, allows consideration of appropriate interventions. Many data are available on safe and efficacious treatment options for school-aged children who have ADHD; however, little is known about the use of these modalities in preschoolers and, ultimately, the long-term effects of early treatment. Recognition of the preschool presentation of ADHD, appropriate differential diagnosis, and identification of comorbid conditions, and a developmental perspective on the course and potential outcomes of the disorder may guide treatment planning. Newly available data on the safety and efficacy of pharmacotherapy and psychosocial intervention for preschoolers who have ADHD may help clinicians make treatment decisions for these young children and their families.
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Evidence for the use of methylphenidate in preschool-aged children consists of 1 multisite study of 165 children and 10 other smaller, single-site studies ranging from 11 to 59 children, for a total of 269 children.
“Evidence for the use of methylphenidate consists of 1 multisite study of 165 children83 and 10 other smaller, single-site studies ranging from 11 to 59 children, for a total of 269 children.129”
From Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents (2019) · cites this paper as [129]
Seven of the 10 single-site studies revealed efficacy for methylphenidate in preschoolers.
“Seven of the 10 single-site studies revealed efficacy for methylphenidate in preschoolers.”
From Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents (2019) · cites this paper as [129]
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- Authors
- Greenhill, L. L., Posner, K., Vaughan, B. S., & Kratochvil, C. J.
- Affiliations
- New York State Psychiatric Institute (US)
- University of Nebraska Medical Center (US)
- Corresponding author
- Greenhill, Laurence L.
- Venue
- Child and Adolescent Psychiatric Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2008-04
- Volume
- 17
- Issue
- 2
- Pages
- 347-366
- ISSN
- 1056-4993 (ISSN-L)
- OpenAlex
- W2011235330
- Cited by
- 126
- References
- 12
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 3 · 2022: 2 · 2021: 3 · 2020: 1 · 2019: 8 · 2018: 4 · 2017: 1 · 2016: 14 · 2015: 8 · 2014: 10 · 2013: 9 · 2012: 10
- FWCI
- 1.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Child and Adolescent Psychiatric Clinics of North America (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Keywords
- attention deficit hyperactivity disorder, preschool children, early detection, differential diagnosis, comorbidities, course and outcome, psychosocial interventions, treatment planning
- MeSH terms
- Age Factors, Central Nervous System Stimulants, Attention Deficit Disorder with Hyperactivity, Child, Child Behavior Disorders, Child, Preschool, Combined Modality Therapy, Diagnosis, Differential, Education, Humans, Methylphenidate, Risk-Taking, Comorbidity, Randomized Controlled Trials as Topic, Outcome Assessment, Health Care, Early Diagnosis
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