The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.
The Epidemiology and Diagnostic Issues in Preschool Attention-Deficit/Hyperactivity Disorder: A Review
Abstract
This study aims to review the nosology and epidemiology of attention-deficit/hyperactivity disorder (ADHD) in children aged 2 through 5 years. Studies, primarily in community or pediatric clinic settings, were reviewed. In studies using DSM diagnostic criteria, the prevalence of ADHD in preschool children ranges from 2.0% to 7.9%, with hyperactive-impulsive type and combined type significantly more common than pure inattentive type ADHD. Boys and older preschoolers (4- and 5-year-olds vs 2- and 3-year-olds) are more likely to meet criteria for ADHD. Preschoolers with ADHD are significantly impaired in their relationships with adults and other children, in their functioning at home and outside the home, and in cognitive and academic performance. Preschoolers with ADHD are significantly more likely to meet criteria for other psychiatric disorders and those who do meet criteria for other psychiatric disorders are more severely impaired than preschoolers with ADHD alone. Despite the severity of impairment, only about a quarter of preschoolers with ADHD are referred for mental health evaluation or treatment. Preschool ADHD predicts future ADHD and persistent impairment. Preschoolers with ADHD look like older children with ADHD with similar symptom presentations, associated features, and prognosis. These findings suggest that DSM-IV-TR ADHD is a reliable and valid diagnosis for children aged 2 through 5 years.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“There is evidence that appropriate diagnosis can be accomplished in the primary care setting for children and adolescents.30,31”
From Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents (2019) · cites this paper as [30]
In the citing paper
“For extended-release guanfacine and extended-release clonidine, adverse effects include somnolence, dry mouth, dizziness, irritability, headache, bradycardia, hypotension, and abdominal pain.30,124,125”
From Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents (2019) · cites this paper as [30]
Citations
Cites
A Coefficient of Agreement for Nominal Scales
Cohen, J. (1960) · Educational and Psychological Measurement · doi:10.1177/001316446002000104 · Cited by 42,398
Intraclass correlations: Uses in assessing rater reliability.
Shrout, P. E., & Fleiss, J. L. (1979) · Psychological Bulletin · doi:10.1037/0033-2909.86.2.420 · Cited by 24,532
Kochanska, G., Murray, K. T., & Harlan, E. T. (2000) · Developmental Psychology · doi:10.1037/0012-1649.36.2.220 · Cited by 1,993
Angold, A., Costello, E. J., & Erkanli, A. (1999) · Journal of Child Psychology and Psychiatry · doi:10.1111/1469-7610.00424 · Cited by 1,872
Self-citationConners, C. K., Sitarenios, G., Parker, J. D. A., & Epstein, J. N. (1998) · Journal of Abnormal Child Psychology · doi:10.1023/a:1022602400621 · Cited by 1,772
The British Child and Adolescent Mental Health Survey 1999: The Prevalence of DSM-IV Disorders
FORD, T., GOODMAN, R., & MELTZER, H. (2003) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200310000-00011 · Cited by 1,227
Gender Differences in ADHD: A Meta-Analysis and Critical Review
GAUB, M., & CARLSON, C. L. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199708000-00011 · Cited by 1,117
The Development of Self-Regulation in the First Four Years of Life
Kochanska, G., Coy, K. C., & Murray, K. T. (2001) · Child Development · doi:10.1111/1467-8624.00336 · Cited by 937
Gender Differences in ADHD: A Meta-Analysis and Critical Review
Gaub, M., & Carlson, C. L. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199708000-00023 · Cited by 871
Angold, A. C., Costello, E. J., Farmer, E. M. Z., Burns, B. J., & ERKANLI, A. (1999) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199902000-00011 · Cited by 564
Self-citationRichman, N., Stevenson, J., & GRAHAM, P. J. (1975) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1975.tb00362.x · Cited by 368
Keenan, K., & Wakschlag, L. S. (2000) · Journal of Abnormal Child Psychology · doi:10.1023/a:1005118000977 · Cited by 341
Mental health in pediatric settings: distribution of disorders and factors related to service use.
BRIGGS-GOWAN, M. J., HORWITZ, S. M., SCHWAB-STONE, M. E., LEVENTHAL, J. M., & LEAF, P. J. (2000) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200007000-00012 · Cited by 320
Barkley, R. A., Anastopoulos, A. D., Guevremont, D. C., & Fletcher, K. E. (1991) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/s0890-8567(10)80010-3 · Cited by 252
Sonuga-Barke, E. J. S., Dalen, L., Daley, D., & Remington, B. (2002) · Developmental Neuropsychology · doi:10.1207/s15326942dn2103_3 · Cited by 250
Carlson, C. L., Tamm, L., & Gaub, M. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199712000-00019 · Cited by 237
Sonuga-Barke, E. J. S., Dalen, L., & Remington, B. (2003) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/01.chi.0000087564.34977.21 · Cited by 233
Goodman, S. H., LAHEY, B. B., Fielding, B., Dulcan, M. K., Narrow, W. E., & Regier, D. A. (1997) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.106.1.3 · Cited by 207
Adolescent Outcomes of Childhood Disorders: The Consequences of Severity and Impairment
Costello, E. J., Angold, A. C., & Keeler, G. P. (1999) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199902000-00010 · Cited by 199
Self-citationConnor, D. F. (2002) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/00004703-200202001-00002 · Cited by 197
DSM-III-R Disorders in Preschool Children From Low-Income Families
Keenan, K. E., Shaw, D. S., Walsh, B., Delliquadri, E., & Giovannelli, J. L. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199705000-00012 · Cited by 192
DSM-IV Symptoms in Community and Clinic Preschool Children
Gadow, K. D., Sprafkin, J. N., & Nolan, E. E. (2001) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200112000-00008 · Cited by 177
Who gets treated? Factors associated with referral in children with psychiatric disorders
Costello, E. J., & Janiszewski, S. (1990) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1990.tb05492.x · Cited by 173
Child psychiatric symptoms and psychosocial impairment: relationship and prognostic significance
Pickles, A. R., Rowe, R., Simonoff, E. A., Foley, D. L., Rutter, M. L., & Silberg, J. L. (2001) · The British Journal of Psychiatry · doi:10.1192/bjp.179.3.230 · Cited by 146
Differences between preschool children with ODD, ADHD, and ODD+ADHD symptoms
Gadow, K. D., & Nolan, E. E. (2002) · Journal of Child Psychology and Psychiatry · doi:10.1111/1469-7610.00012 · Cited by 132
Rasmussen, E., Neuman, R. J., Heath, A. C., Lévy, F., Hay, D. A., & Todd, R. D. (2004) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2004.00248.x · Cited by 114
Rasmussen, E. R., Neuman, R. J., Heath, A. C., Lévy, F., Hay, D. A., & Todd, R. D. (2002) · Journal of Child Psychology and Psychiatry · doi:10.1111/1469-7610.00229 · Cited by 105
Patterns of Psychopathology and Dysfunction in Clinically Referred Preschoolers
Wilens, T. E., Biederman, J., BROWN, S., Monuteaux, M. C., Prince, J. B., & Spencer, T. J. (2002) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/00004703-200202001-00006 · Cited by 98
Developmental neuropsychopathology of attention deficit and impulsiveness
TAYLOR, E. (1999) · Development and Psychopathology · doi:10.1017/s0954579499002230 · Cited by 88
Toward Establishing an Empirical Basis for the Diagnosis of Oppositional Defiant Disorder
Angold, A. C., & Costello, E. J. (1996) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199609000-00018 · Cited by 84
Self-citationImplications of Early Versus Late Onset of Attention-Deficit/Hyperactivity Disorder Symptoms
WILLOUGHBY, M. T., CURRAN, P. J., COSTELLO, E. J., & ANGOLD, A. (2000) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200012000-00013 · Cited by 75
Self-citationAttention deficit disorder and age of onset of problem behaviors
McGee, R. O., Williams, S., & Feehan, M. (1992) · Research on Child and Adolescent Psychopathology · doi:10.1007/bf00916811 · Cited by 73
Maternal report of attention deficit hyperactivity disorder symptoms in preschool children
Gimpel, G. A., & Kuhn, B. R. (2000) · Child Care Health and Development · doi:10.1046/j.1365-2214.2000.00126.x · Cited by 69
Teacher Ratings of Hyperactivity, Inattention, and Conduct Problems in Preschoolers
Miller, L. S., Koplewicz, H. S., & KLEIN, R. G. (1997) · Research on Child and Adolescent Psychopathology · doi:10.1023/a:1025727428097 · Cited by 57
Application of DSM-III in an epidemiological study of preschool children
Earls, F. J. (1982) · American Journal of Psychiatry · doi:10.1176/ajp.139.2.242 · Cited by 51
Thomas, B., Byrne, C., Offord, D. R., & Boyle, M. H. (1991) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/00004703-199106000-00006 · Cited by 25
Parent reported preschool attention deficit hyperactivity: measurement and validity
Pavuluri, M. N., Luk, S.-L., & McGee, R. (1999) · European Child & Adolescent Psychiatry · doi:10.1007/s007870050093 · Cited by 24
Research works printed but not linked: 1
- Barkley, 1991, Journal of the American Academy of Child and Adolescent Psychiatry, 30, 752
Cited by
Sorted by citations
Subcommittee on Attention-Deficit/Hyperactivity Disorder, S. C. O. Q. I. A. M. (2011) · Pediatrics · doi:10.1542/peds.2011-2654 · Cited by 2,185
Wolraich, M. L., Hagan, J. F., Allan, C., Chan, E., Davison, D., Earls, M., Evans, S. W., Flinn, S. K., Froehlich, T., Frost, J., et al. (2019) · Pediatrics · doi:10.1542/peds.2019-2528 · Cited by 1,562
“For extended-release guanfacine and extended-release clonidine, adverse effects include somnolence, dry mouth, dizziness, irritability, headache, bradycardia, hypotension, and abdominal pain.(30,124,125) Because rebound hypertension after abrupt guanfacine and clonidine discontinuation has been observed,(126) these me…”
Martel, M. M. (2013) · Psychological Bulletin · doi:10.1037/a0032247 · Cited by 348
Sonuga‐Barke, E. J. S., & Halperin, J. M. (2010) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2009.02195.x · Cited by 320
Psychiatric Disorders in Preschoolers: Continuity From Ages 3 to 6
Bufferd, S. J., Dougherty, L. R., Carlson, G. A., Rose, S., & Klein, D. N. (2012) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2012.12020268 · Cited by 307
Metadata
- Authors
- Egger, H. L., Kondo, D., & Angold, A.
- Affiliations
- Duke University (US)
- Venue
- Infants & Young Children
- Published
- 2006-04
- Volume
- 19
- Issue
- 2
- Pages
- 109-122
- ISSN
- 0896-3746 (ISSN-L)
- OpenAlex
- W2321811198
- Cited by
- 137
- References
- 37
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 3 · 2023: 7 · 2022: 3 · 2021: 5 · 2020: 6 · 2019: 6 · 2018: 8 · 2017: 8 · 2016: 14 · 2015: 6 · 2014: 11 · 2013: 10 · 2012: 7
- FWCI
- 4.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Infants & Young Children (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, ADHD prevalence, disease classification, DSM-IV-TR diagnostic criteria, hyperactive-impulsive type, combined type, inattentive subtype, psychiatric comorbidity, functional disability, underdiagnosis, prognosis, sex differences, age differences
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review