Predictive Validity of a Continuous Alternative to Nominal Subtypes of Attention-Deficit/Hyperactivity Disorder for DSM – V
Open accessAbstract
Three subtypes of attention-deficit/hyperactivity disorder (ADHD) based on numbers of symptoms of inattention (I) and hyperactivity-impulsivity (HI) were defined in the Diagnostic and Statistical Manual of Mental Disorders (4th ed.) to reduce heterogeneity of the disorder, but the subtypes proved to be highly unstable over time. A continuous alternative to nominal subtyping is evaluated in a longitudinal study of 129 four- to six-year-old children with ADHD and 130 comparison children. Children who met criteria for all subtypes in Year 1 continued to exhibit greater functional impairment than comparison children during Years 2 to 9. Among children with ADHD in Year 1, I and HI symptoms differentially predicted teacher-rated need for treatment and reading and mathematics achievement scores over the next 8 years in controlled analyses. Consistent with other studies, these findings suggest that the use of diagnostic modifiers specifying the numbers of I and HI symptoms could reduce heterogeneity and facilitate clinical intervention, prognosis, and research.
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Hyperactivity is more observable in children than in adults.
“This reflects the findings on the development of ADHD symptoms from childhood to adulthood, demonstrating that hyperactivity is more observable in children than in adults [14, 83, 84].”
From Assessing ADHD symptoms in children and adults: evaluating the role of objective measures (2018) · cites this paper as [84]
The paper’s introductory passage (labelled Abstract in our copy; page unavailable) says hyperactivity-impulsivity symptoms decline substantially from early childhood through at least adolescence. That supports an age-related decline, but the passage does not compare children with adults or establish that hyperactivity is more observable in children than in adults. (LLM, conf=0.86)
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References 26 · Cited by 144
- Authors
- Lahey, B. B., & Willcutt, E. G.
- Affiliations
- University of Chicago (US)
- Corresponding author
- Lahey, Benjamin B.
- Venue
- Journal of Clinical Child & Adolescent Psychology
- Publisher
- Informa UK Limited
- Published
- 2010-11-11
- Volume
- 39
- Issue
- 6
- Pages
- 761-775
- ISSN
- 1537-4416 (ISSN-L)
- 1537-4424
- PMC
- PMC3056555
- OpenAlex
- W1976903979
- Cited by
- 144
- References
- 26
- Citations by year
- 2026: 4 · 2024: 3 · 2023: 5 · 2022: 8 · 2021: 6 · 2020: 6 · 2019: 10 · 2018: 6 · 2017: 7 · 2016: 9 · 2015: 12 · 2014: 15 · 2013: 20 · 2012: 21
- FWCI
- 11.56
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Child & Adolescent Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH063941, R01MH053554)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD047264)
- 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, ADHD subtypes, inattentive symptoms, hyperactivity/impulsivity symptoms, DSM-IV diagnostic criteria, predictive validity, functional disability, academic performance, treatment needs, children, longitudinal follow-up
- MeSH terms
- Achievement, Attention Deficit Disorder with Hyperactivity, Child, Child, Preschool, Diagnosis, Differential, Female, Follow-Up Studies, Humans, Male, Mathematics, Predictive Value of Tests, Prognosis, Psychiatric Status Rating Scales, Case-Control Studies, Diagnostic and Statistical Manual of Mental Disorders
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