The Latent Structure of Attention-Deficit/Hyperactivity Disorder: A Taxometric Analysis
Abstract
Objective: To test whether the latent structure of attention deficit/hyperactivity disorder (ADHD) is best understood as categorical or dimensional in samples of 1774 children (aged 6–12 years) and 1222 adolescents (aged 13–17 years) drawn from an Australian epidemiological study. Method: Two taxometric procedures (MAXEIG and MAMBAC) examined ADHD symptom measures assessed by diagnostic interview and parental ratings. Results: Consistent with behavioural genetic research, findings fail to support the view that a latent category underpins ADHD. Conclusions: ADHD is best modelled as a continuum among both children and adolescents, and no discrete dysfunction can therefore be assumed to cause it. The placement of the diagnostic threshold should therefore be decided on pragmatic grounds (e.g. impairment or need for treatment).
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ADHD is best characterized as a continuum of symptoms.
“Symptom counts were used for analysis rather than diagnosis, as the sample was community-recruited, and ADHD appears best characterized as a continuum of symptoms (Haslam et al., 2006; Marcus & Barry, 2011).”
From Reproductive steroids and ADHD symptoms across the menstrual cycle (2018) · cites this paper as Haslam et al., 2006
Use of a nonclinical sample may limit the generalizability of these findings.
“In addition, use of a nonclinical sample may limit generalizability of these findings, despite a consensus that ADHD is best conceptualized dimensionally (Barkley, 2006; Haslam et al., 2006; Larsson et al., 2012; Marcus & Barry, 2011).”
From Reproductive steroids and ADHD symptoms across the menstrual cycle (2018) · cites this paper as Haslam et al., 2006
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- Authors
- Haslam, N., Williams, B., Prior, M., Haslam, R., Graetz, B., & Sawyer, M.
- Affiliations
- The University of Melbourne (AU)
- Austin Health (AU)
- The University of Adelaide (AU)
- Corresponding author
- Haslam, Nick
- Venue
- Australian & New Zealand Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2006-08
- Volume
- 40
- Issue
- 8
- Pages
- 639-647
- ISSN
- 0004-8674 (ISSN-L)
- 1440-1614
- OpenAlex
- W2119575439
- Cited by
- 145
- References
- 42
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 4 · 2023: 3 · 2022: 5 · 2021: 10 · 2020: 9 · 2019: 7 · 2018: 10 · 2017: 9 · 2016: 8 · 2015: 7 · 2014: 4 · 2013: 14 · 2012: 11
- FWCI
- 3.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australian & New Zealand Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- 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 › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- attention deficit hyperactivity disorder, latent structure, taxometric analysis, children, adolescents, diagnostic thresholds, parent ratings, diagnostic interview
- MeSH terms
- Adolescent, Attention Deficit Disorder with Hyperactivity, Australia, Mental Disorders, Child, Child, Preschool, Cross-Sectional Studies, Female, Humans, Male, Mathematical Computing, Personality Assessment, Psychometrics, Reproducibility of Results, Comorbidity, Causality, Diagnostic and Statistical Manual of Mental Disorders
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