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

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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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Authors: ANGOLD, A., ERKANLI, A., EGGER, H. L., & COSTELLO, E. J.
Affiliations: Duke Medical Center (US)
Duke University (US)
ORCID: EGGER, HELEN L.
COSTELLO, E. JANE
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: bronze
doi.org
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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Stimulant Treatment for Children: A Community Perspective

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