P Rasmussen1, C Gillberg. 1. Institute for the Health of Women and Children, Department of Child and Adolescent Psychiatry, University of Göteborg, Sweden. peder.rasmussen@sahlgrenska.se
Abstract
OBJECTIVE: There is a need for controlled longitudinal studies in the field of attention disorders in the general population. METHOD: In a community-based follow-up study, 55 of 61 subjects aged 22 years, who had attention-deficit/hyperactivity disorder (ADHD) with and without comorbid developmental coordination disorder (DCD) at initial workup at age 7 years, were compared, on a multitude of outcome variables, with 46 of 51 age-matched subjects without such diagnoses. None of the subjects had received stimulant treatment. Psychiatrists performing the follow-up study were blind to original diagnostic group status. RESULTS: In the ADHD/DCD group 58% had a poor outcome compared with 13% in the comparison group (p < .001). Remaining symptoms of ADHD, antisocial personality disorder, alcohol abuse, criminal offending, reading disorders, and low educational level were overrepresented in the ADHD/DCD groups. The combination of ADHD and DCD appeared to carry a particularly gloomy outlook. CONCLUSIONS: Childhood ADHD and DCD appears to be a most important predictor of poor psychosocial functioning in early adulthood. It would seem appropriate to screen for such disorders in schools and clinics so that therapies may be started early.
OBJECTIVE: There is a need for controlled longitudinal studies in the field of attention disorders in the general population. METHOD: In a community-based follow-up study, 55 of 61 subjects aged 22 years, who had attention-deficit/hyperactivity disorder (ADHD) with and without comorbid developmental coordination disorder (DCD) at initial workup at age 7 years, were compared, on a multitude of outcome variables, with 46 of 51 age-matched subjects without such diagnoses. None of the subjects had received stimulant treatment. Psychiatrists performing the follow-up study were blind to original diagnostic group status. RESULTS: In the ADHD/DCD group 58% had a poor outcome compared with 13% in the comparison group (p < .001). Remaining symptoms of ADHD, antisocial personality disorder, alcohol abuse, criminal offending, reading disorders, and low educational level were overrepresented in the ADHD/DCD groups. The combination of ADHD and DCD appeared to carry a particularly gloomy outlook. CONCLUSIONS: Childhood ADHD and DCD appears to be a most important predictor of poor psychosocial functioning in early adulthood. It would seem appropriate to screen for such disorders in schools and clinics so that therapies may be started early.
Authors: M Rösler; W Retz; P Retz-Junginger; J Thome; T Supprian; T Nissen; R-D Stieglitz; D Blocher; G Hengesch; G E Trott Journal: Nervenarzt Date: 2004-09 Impact factor: 1.214
Authors: Salvatore Mannuzza; Francisco X Castellanos; Erica R Roizen; Jesse A Hutchison; Erin C Lashua; Rachel G Klein Journal: J Atten Disord Date: 2010-04-08 Impact factor: 3.256
Authors: E Fliers; N Rommelse; S H H M Vermeulen; M Altink; C J M Buschgens; S V Faraone; J A Sergeant; B Franke; J K Buitelaar Journal: J Neural Transm (Vienna) Date: 2007-11-12 Impact factor: 3.575
Authors: María A Ramos-Olazagasti; Francisco Xavier Castellanos; Salvatore Mannuzza; Rachel G Klein Journal: J Am Acad Child Adolesc Psychiatry Date: 2018-06-18 Impact factor: 8.829
Authors: Mark A Riddle; Kseniya Yershova; Deborah Lazzaretto; Natalya Paykina; Gayane Yenokyan; Laurence Greenhill; Howard Abikoff; Benedetto Vitiello; Tim Wigal; James T McCracken; Scott H Kollins; Desiree W Murray; Sharon Wigal; Elizabeth Kastelic; James J McGough; Susan dosReis; Audrey Bauzó-Rosario; Annamarie Stehli; Kelly Posner Journal: J Am Acad Child Adolesc Psychiatry Date: 2013-02-08 Impact factor: 8.829