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Am J Psychiatry. 2004 Nov;161(11):2014-20.

Three-year predictive validity of DSM-IV attention deficit hyperactivity disorder in children diagnosed at 4-6 years of age.

Author information

  • 1Department of Psychiatry (MC 3077), University of Chicago, 5811 South Maryland Avenue, Chicago, IL 60637, USA. blahey@yoda.bsd.uchicago.edu

Abstract

OBJECTIVE:

Predictive validity is a fundamental consideration in evaluating the DSM-IV diagnostic criteria for attention deficit hyperactivity disorder (ADHD), particularly for younger children.

METHOD:

The authors conducted four annual assessments of ADHD and functional impairment using multiple informants in 255 probands and matched comparison children who were 4-6 years old in wave 1.

RESULTS:

Nearly all children who met full criteria for ADHD in wave 1 met full criteria for ADHD over the next 3 years and continued to display marked functional impairment relative to comparison children, even when intelligence, co-occurring psychopathology, and demographic characteristics were controlled.

CONCLUSIONS:

These findings support the validity of the DSM-IV diagnosis of ADHD in younger children by demonstrating that the symptoms and associated impairment are likely to persist well into elementary school.

PMID:
15514401
[PubMed - indexed for MEDLINE]
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