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.
Children's Hospital, Birmingham, U.K.
M
M
Prendergast
E
E
Taylor
J L
JL
Rapoport
J
J
Bartko
M
M
Donnelly
A
A
Zametkin
M B
MB
Ahearn
G
G
Dunn
H M
HM
Wieselberg
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