DSM-IV field trials for attention deficit hyperactivity disorder in children and adolescents
Abstract
OBJECTIVE: Optimal diagnostic thresholds were determined for DSM-IV attention deficit hyperactivity disorder, and the psychometric properties were compared to alternative definitions. METHOD: Structured diagnostic interviews of multiple informants for 380 clinic-referred youths aged 4-17 years were conducted. In addition, standardized clinicians' validation diagnoses of attention deficit disorder were obtained to assess agreement with clinical judgment. Measures of impairment were obtained to assess the accuracy of identifying youth with an impairing condition. RESULTS: Three subtypes of attention deficit hyperactivity disorder (predominantly inattentive, predominantly hyperactive-impulsive, and combined types) were distinguished on the basis of the degree of deviance on separate dimensions of inattention and hyperactivity-impulsivity. These three subtypes were found to differ in terms of types of impairment, age, and sex ratio, but not ethnicity. In terms of case identification of attention deficit hyperactivity disorder, DSM-IV was found to be very similar to DSM-III-R, except that DSM-IV identified more impaired girls and preschool children. CONCLUSIONS: These results support the decision to subdivide the heterogeneous category of DSM-III-R attention deficit hyperactivity disorder into three subtypes. The resulting DSM-IV definition appears to be somewhat less biased toward the symptom pattern typical of elementary school boys.
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Comorbidity rates in adult ADHD do not differ as a function of gender.
“Comorbidity rates in adult ADHD do not differ as a function of gender [18].”
From Advances in understanding and treating ADHD (2011) · cites this paper as [18]
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- Authors
- Lahey, B. B., Applegate, B. E., McBurnett, K., Biederman, J., Greenhill, L. L., Hynd, G. W., Barkley, R. A., Newcorn, J. H., Jensen, P. S., & Richters, J. E.
- Affiliations
- University of Miami (US)
- ORCID
- Venue
- American Journal of Psychiatry
- Published
- 1994-11-01
- Volume
- 151
- Issue
- 11
- Pages
- 1673-1685
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2148863165
- Cited by
- 935
- References
- 17
- Citations by year
- 2026: 11 · 2025: 17 · 2024: 9 · 2023: 22 · 2022: 9 · 2021: 22 · 2020: 19 · 2019: 13 · 2018: 17 · 2017: 15 · 2016: 35 · 2015: 29 · 2014: 39 · 2013: 41 · 2012: 44
- FWCI
- 10.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Civil War Book Review (submittedVersion)
- Funders
- National Institutes of Health (5p01mh047200-03)
- National Institute of Mental Health (MH-47200)
- 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, DSM-III-R, diagnostic criteria, diagnostic thresholds, predominantly inattentive type, combined type, inattention, hyperactivity/impulsivity, diagnostic agreement, case finding, sex differences, children and adolescents
- MeSH terms
- Adolescent, Age Factors, Attention Deficit Disorder with Hyperactivity, Attitude, Child, Child, Preschool, Ethnicity, Female, Humans, Male, Terminology as Topic, Parents, Psychiatric Status Rating Scales, Psychometrics, Regression Analysis, Sex Factors, Students, Teaching
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