The diagnosis of childhood hyperactivity. A U.S.-U.K. cross-national study of DSM-III and ICD-9.
The unequal prevalence of hyperactivity in Britain and the U.S. was investigated with a cross-national diagnostic study. Case histories of 6-11-yr-old boys were evaluated by British and American research teams as well as British and American clinician panels using both ICD-9 and DSM-III. Interrater agreement was acceptably high only for the specially trained research teams. ICD-9 generated fewer diagnoses of Hyperkinetic Syndrome than did DSM-III of Attention Deficit Disorder with Hyperactivity. The difference was greatest for U.K. clinicians. Diagnostic scheme and clinician training both contribute to the difference in reported rates.
Prendergast
M
M
Children's Hospital, Birmingham, U.K.
Taylor
E
E
Rapoport
J L
JL
Bartko
J
J
Donnelly
M
M
Zametkin
A
A
Ahearn
M B
MB
Dunn
G
G
Wieselberg
H M
HM
D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis* / Q000523:psychology; D002648:Child; D003431:Cross-Cultural Comparison; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008370:Manuals as Topic; D011594:Psychometrics; D006113:United Kingdom; D014481:United States