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Stimulant Treatment for Children: A Community Perspective
Open accessAbstract
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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“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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Metadata
- Authors
- ANGOLD, A., ERKANLI, A., EGGER, H. L., & COSTELLO, E. J.
- Affiliations
- Duke Medical Center (US)
- Duke University (US)
- 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)
- 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
- bronze
- doi.org
- 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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