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Validity of DSM‐IV Attention‐Deficit/Hyperactivity Disorder for Younger Children
Abstract
Objective Little is known about the validity of the diagnosis of attention-deficit/hyperactivity disorder (ADHD) in young children. Moreover, the results of the DSM-IV field trials raised concerns that inclusion of the new predominantly hyperactive-impulsive type of ADHD in DSM-IV might increase the likelihood of the diagnosis being given to active but unimpaired preschool and primary school children. Method The validity of DSM-IV criteria for each subtype of ADHD was evaluated in 126 children, aged 4 through 6 years, and 126 matched comparison children. Probands and controls were classified by using structured diagnostic interviews of the parent and a DSM-IV checklist completed by the teacher. Results Children who met DSM-IV criteria for each subtype of ADHD according to parent and teacher reports differed consistently from controls on a wide range of measures of social and academic impairment, even when other types of psychopathology and other potential confounds were controlled. Conclusions When diagnosed by means of a structured diagnostic protocol, all three DSM-IV subtypes of ADHD are valid for 4- through 6-year-old children in the sense of identifying children with lower mean scores on measures of adaptive functioning that are independently associated with ADHD.
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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 [33]
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Metadata
- Authors
- LAHEY, B. B., PELHAM, W. E., STEIN, M. A., LONEY, J., TRAPANI, C., NUGENT, K., KIPP, H., SCHMIDT, E., LEE, S., CALE, M., GOLD, E., HARTUNG, C. M., WILLCUTT, E., & BAUMANN, B.
- Affiliations
- University of Chicago (US)
- University of Denver (US)
- Corresponding author
- LAHEY, BENJAMIN B.
- ORCID
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 1998-07
- Volume
- 37
- Issue
- 7
- Pages
- 695-702
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2035729082
- Cited by
- 422
- References
- 1
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 2 · 2023: 5 · 2022: 7 · 2021: 14 · 2020: 6 · 2019: 11 · 2018: 9 · 2017: 9 · 2016: 16 · 2015: 9 · 2014: 13 · 2013: 13 · 2012: 19
- FWCI
- 11.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- NIMH (R01-MH53554)
- 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, DSM-IV diagnostic criteria, diagnostic validity, preschool children, elementary school students, hyperactive-impulsive subtype, inattentive subtype, social dysfunction, academic impairment, adaptive behavior, structured diagnostic interview, teacher rating
- MeSH terms
- Attention Deficit Disorder with Hyperactivity, Child, Child, Preschool, Female, Humans, Male, Predictive Value of Tests, Psychiatric Status Rating Scales, Reproducibility of Results
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