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Br J Psychiatry. 2002 Nov;181:416-21.

Conduct problems, gender and adult psychiatric outcome of children with attention-deficit hyperactivity disorder.

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  • 1Psychiatric Hospital for Children and Adolescents, Aarhus University Hospital, Denmark. sda@buh.aaa.dk

Abstract

BACKGROUND:

Attention-deficit hyperactivity disorder (ADHD) is a common childhood condition, and is more prevalent in boys. The adult outcome of girls with ADHD has never been studied.

AIMS:

To identify predictors for adult psychiatric outcome of children with ADHD, including gender and comorbidity.

METHOD:

Children aged 4-15 years, referred for hyperactivity/inattention and treated with stimulants were included (n=208). The Psychiatric Case Register provided follow-up data on psychiatric admissions in adulthood until a mean age of 31 years.

RESULTS:

A total of 47 cases (22.6%) had a psychiatric admission in adulthood. Conduct problems in childhood were predictive (hazard ratio HR=2.3; 95% CI 1.22-4.33). Girls had a higher risk compared with boys (HR=2.4; 95% CI 1.1-5.6).

CONCLUSIONS:

Girls with ADHD had a higher risk of adult psychiatric admission than boys. Conduct problems were also associated with a higher risk. Girls with ADHD with conduct problems had a very high risk of a psychiatric admission in adulthood.

PMID:
12411268
[PubMed - indexed for MEDLINE]
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