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Cited by 353Attention Deficit Hyperactivity DisorderChild and Adolescent Psychosocial and Emotional DevelopmentBehavioral and Psychological Studies

Stimulant Treatment for Children: A Community Perspective

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ANGOLD, ADRIAN, ERKANLI, ALAATTIN, EGGER, HELEN L., COSTELLO, E. JANE·2000·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1097/00004583-200008000-00009
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Abstract

Objective To examine the use of prescribed stimulants in relation to research diagnoses of attention-deficit hyperactivity disorder (ADHD) in a community sample of children.Method Data from 4 annual waves of interviews with 9- to 16-year-olds from the Great Smoky Mountains Study were analyzed.Results Over a 4-year period, almost three quarters of children with an unequivocal diagnosis of ADHD received stimulant medications. However, girls and older children with ADHD were less likely to receive such treatment. Most children with impairing ADHD symptoms not meeting full criteria for DSM-III-R ADHD did not receive stimulant treatment. Stimulant treatment in this group was significantly related to the level of symptoms reported by parents and teachers and was much more common in individuals who met criteria for oppositional defiant disorder. The majority of individuals who received stimulants were never reported by their parents to have any impairing ADHD symptoms. They did have higher levels of nonimpairing parent-reported ADHD symptoms, higher levels of teacher-reported ADHD symptoms, and interviewer-observed ADHD behaviors, but these typically fell far below the threshold for a DSM-III-R diagnosis of ADHD.Conclusions In this area of the Great Smoky Mountains, stimulant treatment was being used in ways substantially inconsistent with current diagnostic guidelines.

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  • The rate of stimulant treatment exceeds that of strictly diagnosed ADHD.

    “It is clear that the rate of stimulant treatment exceeds that of strictly diagnosed ADHD (38,39).”

    From Pediatric psychopharmacology: Too much or too little? (2013) · cites this paper as [38]

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Authors
ANGOLD, A., ERKANLI, A., EGGER, H. L., & COSTELLO, E. J.
Affiliations
  • Duke Medical Center (US)
  • Duke University (US)
ORCID
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2000-08
Volume
39
Issue
8
Pages
975-984
ISSN
0890-8567 (ISSN-L)
DOI
10.1097/00004583-200008000-00009
OpenAlex
W2057459801
Semantic Scholar
e5fd8c5d60132349a104840b9c36a67381656158
Cited by
353
References
21
Citations by year
2024: 1 · 2023: 1 · 2022: 3 · 2021: 7 · 2020: 43 · 2019: 6 · 2018: 4 · 2017: 10 · 2016: 7 · 2015: 8 · 2014: 15 · 2013: 14 · 2012: 13
FWCI
14.77
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • NIMH (MH-48085, MH-57761)
  • NIDA (DA-11301)
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, stimulant medication, diagnostic criteria, DSM-III-R, oppositional defiant disorder, sex differences in treatment, age differences in treatment, Great Smoky Mountains Study, community children
MeSH terms
Adolescent, Age Factors, Central Nervous System Stimulants, Attention Deficit Disorder with Hyperactivity, Child, Diagnosis, Differential, Female, Humans, Interview, Psychological, Longitudinal Studies, Male, North Carolina, Population Surveillance, Psychiatric Status Rating Scales, Risk Factors, Sex Factors, Guideline Adherence

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