Childhood ADHD: a stepped diagnosis approach.
Since publication of DSM-IV in 1994, the prevalence of parent-reported diagnosed attentiondeficit/hyperactivity disorder (ADHD) has tripled to more than 10% of children. Although it is hard to know for sure whether ADHD is overdiagnosed, underdiagnosed, or misdiagnosed, it is argued that ADHD is especially prone to diagnostic inflation and overdiagnosis. Therefore, we propose a model of stepped diagnosis for childhood ADHD, which may reduce overdiagnosis without risking undertreatment. Calling attention to stepped diagnosis and formalizing the steps may improve its application in clinical practice.
BATSTRA: Department of Special Needs Education and Child Care, University of Groningen, The Netherlands; NIEWEG: Lentis Psychiatric Institute, Groningen; PIJL: University of Groningen and Norwegian University of Science and Technology, Trondheim, Norway; VAN TOL and HADDERS-ALGRA: University Medical Center, University of Groningen.
Laura
L
Batstra
Edo H
EH
Nieweg
Sipjan
S
Pijl
Donald G
DG
Van Tol
Mijna
M
Hadders-Algra
D000293:Adolescent; D000328:Adult; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D002648:Child; D003951:Diagnostic Errors / Q000009:adverse effects / Q000517:prevention & control / Q000706:statistics & numerical data; D039721:Diagnostic and Statistical Manual of Mental Disorders; D006801:Humans; D008960:Models, Psychological; D033282:Parental Consent / Q000523:psychology / Q000706:statistics & numerical data; D010290:Parents / Q000523:psychology*; D018579:Patient Selection; D015995:Prevalence; D011619:Psychotropic Drugs / Q000627:therapeutic use*
D011619:Psychotropic Drugs