The Prevalence of ADHD in a Population-Based Sample.

Published

Journal Article

Few studies of ADHD prevalence have used population-based samples, multiple informants, and Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) criteria. Moreover, children who are asymptomatic while receiving ADHD medication often have been misclassified. Therefore, we conducted a population-based study to estimate the prevalence of ADHD in elementary school children using DSM-IV criteria.We screened 7,587 children for ADHD. Teachers of 81% of the children completed a DSM-IV checklist. We then interviewed parents using a structured interview (DISC). Of these, 72% participated. Parent and teacher ratings were combined to determine ADHD status. We also estimated the proportion of cases attributable to other conditions.Overall, 15.5% of our sample met DSM- (4th ed.; text rev., DSM-IV-TR) criteria for ADHD (95% CI [14.6%, 16.4%]); 42% of cases reported no previous diagnosis. With additional information, other conditions explained 9% of cases.The prevalence of ADHD in this population-based sample was considerably higher than 3% to 7%. To compare study results, the DSM criteria need standardization.

Full Text

Duke Authors

Cited Authors

  • Rowland, AS; Skipper, BJ; Umbach, DM; Rabiner, DL; Campbell, RA; Naftel, AJ; Sandler, DP

Published Date

  • September 2015

Published In

Volume / Issue

  • 19 / 9

Start / End Page

  • 741 - 754

PubMed ID

  • 24336124

Pubmed Central ID

  • 24336124

Electronic International Standard Serial Number (EISSN)

  • 1557-1246

International Standard Serial Number (ISSN)

  • 1087-0547

Digital Object Identifier (DOI)

  • 10.1177/1087054713513799

Language

  • eng