Predicting attention-deficit/hyperactivity disorder and oppositional defiant disorder from preschool diagnostic assessments.
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The present study examined the power of measures of early preschool behavior to predict later diagnoses of attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD)/conduct disorder (CD). Participants were 168 children with behavior problems at age 3 who underwent a multimethod assessment of ADHD and ODD symptoms and were followed annually for 3 years. Fifty-eight percent of 3-year-old children with behavior problems met criteria for ADHD and/or ODD/CD 3 years later. Using a diagnostic interview and rating scales at age 3, the authors could accurately predict later diagnostic status for 3/4 of children for ADHD and for 2/3 of children for ODD/CD. Predictive power of the best models did not increase significantly at age 4 and age 5 compared with age 3. Results provide support for the validity of early diagnoses of ADHD, although caution is needed in making diagnoses because a significant minority of children with early hyperactivity and inattention do outgrow their problems.
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The diagnostic criteria for ADHD (DSM-5) can be applied to preschool-aged children.
“There is evidence that the diagnostic criteria for ADHD can be applied to preschool-aged children.33–39”
From Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents (2019) · cites this paper as [35]
The Abstract reports that early assessments support the validity of ADHD diagnoses in preschool children, and the Discussion says children with ADHD could be distinguished from those with transient problems as early as age 3. The Methods specify that the study used DSM-IV symptom counts, not DSM-5 criteria, so the DSM-5 qualification in the supplied claim is not supported by this source. (LLM, conf=0.88)
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- Authors
- Harvey, E. A., Youngwirth, S. D., Thakar, D. A., & Errazuriz, P. A.
- Affiliations
- University of Massachusetts Amherst (US)
- Corresponding author
- Harvey, Elizabeth A.
- ORCID
- Harvey, Elizabeth A.
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2009
- Volume
- 77
- Issue
- 2
- Pages
- 349-354
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- PMC
- PMC4655077
- OpenAlex
- W2170606589
- Cited by
- 102
- References
- 23
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 5 · 2022: 6 · 2021: 9 · 2020: 5 · 2019: 6 · 2018: 10 · 2017: 3 · 2016: 7 · 2015: 7 · 2014: 6 · 2013: 12 · 2012: 9
- FWCI
- 4.12
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH60132)
- 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 › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- attention deficit hyperactivity disorder, oppositional defiant disorder, conduct disorder, preschool children, early diagnosis, diagnostic prediction, hyperactivity, inattention, behavioral problems, longitudinal follow-up, diagnostic validity
- MeSH terms
- Attention Deficit Disorder with Hyperactivity, Child, Preschool, Female, Humans, Male, Predictive Value of Tests, Prospective Studies, Psychiatric Status Rating Scales, Attention Deficit and Disruptive Behavior Disorders
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