Differential diagnosis between Attention-Deficit/Hyperactivity Disorder and Pervasive Developmental Disorder – not otherwise specified
Abstract
The lack of clarity in diagnostic classification and the lack of specificity of assessment devices deter accurate identification of children with Pervasive Developmental Disorder-Not Otherwise Specified (PDD--NOS). The current study was designed to assess the utility of the Personality Inventory for Children (PIC) and the Conners Parent Rating Scale (CPRS-48) in differentiating PDD--NOS from Attention Deficit Hyperactivity Disorder (ADHD), disorders with overlapping symptom constellations. Subjects were 44 children recruited from a tertiary-care center with the diagnosis of ADHD or PDD--NOS. Results showed significant differences between groups on PIC scales assessing internalizing behaviors, social skills, and unusual affect and behavior. There were no group differences on the externalizing or learning scales of the CPRS-48. Discriminant function analysis using preselected PIC variables yielded a correct group classification of 92.7%. The PIC appears to be a useful tool in the differential diagnosis between PDD--NOS and ADD, while the CPRS-48, a commonly used screening measure for attentional and behavioral disorders, does not.
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It may be difficult to differentiate between ADHD and autism on behavioral scales commonly used to screen for attentional and behavioral disorders.
“it may prove to be difficult to differentiate between these two disorders on behavioral scales commonly used to screen for attentional and behavioral disorders”
From Relationships between neuropsychological measures of executive function and behavioral measures of ADHD symptoms and comorbid behavior (2006) · cites this paper as Jensen, Larrieu, & Mack, 1997
In clinical practice it often appears difficult to discriminate between ADHD and ASD.
“in clinical practice it often appears difficult to discriminate between the two disorders (Clark et al., 1999; Jensen et al., 1997).”
From Error and feedback processing in children with ADHD and children with Autistic Spectrum Disorder: An EEG event-related potential study (2008) · cites this paper as Jensen et al., 1997
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- Authors
- Jensen, V. K., Larrieu, J. A., & Mack, K. K.
- Affiliations
- Cleveland Clinic (US)
- ORCID
- Larrieu, Julie A.
- Venue
- Clinical Pediatrics
- Publisher
- SAGE Publications
- Published
- 1997-10
- Volume
- 36
- Issue
- 10
- Pages
- 555-561
- ISSN
- 0009-9228 (ISSN-L)
- 1938-2707
- OpenAlex
- W2137038423
- Cited by
- 83
- References
- 17
- Citations by year
- 2023: 1 · 2021: 2 · 2020: 1 · 2018: 4 · 2017: 1 · 2016: 4 · 2015: 4 · 2014: 5 · 2013: 5 · 2012: 4
- FWCI
- 0.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- attention deficit hyperactivity disorder, pervasive developmental disorder not otherwise specified, differential diagnosis, Personality Inventory for Children, Conners' Parent Rating Scale, internalizing problems, social skills, children, diagnostic classification, screening measures
- MeSH terms
- Attention Deficit Disorder with Hyperactivity, Child, Developmental Disabilities, Child, Preschool, Diagnosis, Differential, Female, Humans, Infant, Male, Personality Inventory
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