OBJECTIVE: This study investigated adolescent and caregiver reports of ADHD symptoms in a sample of clinically referred inner-city adolescents. METHOD: Participants (N = 168) included youth ages 12-18 (54% male, 98% ethnic minority) and their caregivers who each completed diagnostic interviews of ADHD symptoms and assessments of perceived need for ADHD treatment and correlated behavior problems. RESULTS: Informants showed poor agreement on DSM-IV diagnostic categories and also dimensional scales, Inattention/Disorganization (I/D) and Hyperactivity/Impulsivity (H/I). Both caregiver and adolescent reports of I/D symptoms, but not H/I symptoms, were related to perceived need for ADHD treatment. Caregiver reports were linked to behavioral correlates typically associated with ADHD: I/D symptoms correlated with planning/organization and socioemotional deficits, and H/I symptoms correlated with externalizing and behavior regulation deficits. In contrast, adolescent reports of I/D were related to internalizing and externalizing problems, and their reports of H/I correlated with externalizing only. Few gender effects were found. CONCLUSION: Study results underscore the developmental salience of I/D symptoms and have implications for ADHD diagnosis and treatment planning for adolescents.
OBJECTIVE: This study investigated adolescent and caregiver reports of ADHD symptoms in a sample of clinically referred inner-city adolescents. METHOD:Participants (N = 168) included youth ages 12-18 (54% male, 98% ethnic minority) and their caregivers who each completed diagnostic interviews of ADHD symptoms and assessments of perceived need for ADHD treatment and correlated behavior problems. RESULTS: Informants showed poor agreement on DSM-IV diagnostic categories and also dimensional scales, Inattention/Disorganization (I/D) and Hyperactivity/Impulsivity (H/I). Both caregiver and adolescent reports of I/D symptoms, but not H/I symptoms, were related to perceived need for ADHD treatment. Caregiver reports were linked to behavioral correlates typically associated with ADHD: I/D symptoms correlated with planning/organization and socioemotional deficits, and H/I symptoms correlated with externalizing and behavior regulation deficits. In contrast, adolescent reports of I/D were related to internalizing and externalizing problems, and their reports of H/I correlated with externalizing only. Few gender effects were found. CONCLUSION: Study results underscore the developmental salience of I/D symptoms and have implications for ADHD diagnosis and treatment planning for adolescents.
Entities:
Keywords:
ADHD correlates; ADHD subtypes; adolescent ADHD; informant agreement; perceived need for treatment
Authors: Marc S Atkins; Stacy L Frazier; Dina Birman; Jaleel Abdul Adil; Maudette Jackson; Patricia A Graczyk; Elizabeth Talbott; A David Farmer; Carl C Bell; Mary M McKay Journal: Adm Policy Ment Health Date: 2006-03
Authors: L A Rohde; G Barbosa; G Polanczyk; M Eizirik; E R Rasmussen; R J Neuman; R D Todd Journal: J Am Acad Child Adolesc Psychiatry Date: 2001-06 Impact factor: 8.829
Authors: Darcey M Allan; Nicholas P Allan; Christopher J Lonigan; Laura E Hume; Amber L Farrington; Megan H Vinco Journal: Learn Individ Differ Date: 2018-05-28