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Studying the epidemiology of attention-deficit hyperactivity disorder: screening method and pilot results.

Publication ,  Journal Article
Rowland, AS; Umbach, DM; Catoe, KE; Stallone, L; Long, S; Rabiner, D; Naftel, AJ; Panke, D; Faulk, R; Sandler, DP
Published in: Canadian journal of psychiatry. Revue canadienne de psychiatrie
December 2001

As part of a larger epidemiologic study of risk factors for attention-deficit hyperactivity disorder (ADHD), this pilot study combined parent and teacher information to estimate ADHD prevalence among elementary school children in a North Carolina county. The methods developed for this study and the pitfalls we encountered illustrate the challenges involved in conducting population-based studies of ADHD.We employed 2-stage screening using DSM-IV criteria. Teachers completed behaviour-rating scales for all children. We then administered a structured telephone interview to parents of potential cases. We screened 362 of 424 (85%) children in grades 1 to 5 in 4 schools.According to parent reports, 43 children (12%) had previously been diagnosed with ADHD by a health professional. Thirty-four children (9%) were taking ADHD medication. Forty-six children (12.7%) met study case criteria for ADHD, based on combined teacher and parent reports. Of the 46 cases, 18 (39%) had not been previously identified. Eight previously diagnosed children, however, did not meet case criteria. After we adjusted for nonresponse, the estimated prevalence was 16% (95%CI, 12% to 20%).These data suggest that the DSM-IV prevalence of ADHD has been substantially underestimated, although the true prevalence in this population may be less than the 16% estimated here. Population-based studies of ADHD are feasible and may provide important information about practice and treatment patterns in community settings, as well as a broader understanding of the etiology and life course of this common disorder.

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Published In

Canadian journal of psychiatry. Revue canadienne de psychiatrie

DOI

EISSN

1497-0015

ISSN

0706-7437

Publication Date

December 2001

Volume

46

Issue

10

Start / End Page

931 / 940

Related Subject Headings

  • Risk Factors
  • Psychiatry
  • Psychiatric Status Rating Scales
  • Pilot Projects
  • Personality Assessment
  • North Carolina
  • Mass Screening
  • Male
  • Incidence
  • Humans
 

Citation

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Rowland, A. S., Umbach, D. M., Catoe, K. E., Stallone, L., Long, S., Rabiner, D., … Sandler, D. P. (2001). Studying the epidemiology of attention-deficit hyperactivity disorder: screening method and pilot results. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, 46(10), 931–940. https://doi.org/10.1177/070674370104601005
Rowland, A. S., D. M. Umbach, K. E. Catoe, L. Stallone, S. Long, D. Rabiner, A. J. Naftel, D. Panke, R. Faulk, and D. P. Sandler. “Studying the epidemiology of attention-deficit hyperactivity disorder: screening method and pilot results.Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie 46, no. 10 (December 2001): 931–40. https://doi.org/10.1177/070674370104601005.
Rowland AS, Umbach DM, Catoe KE, Stallone L, Long S, Rabiner D, et al. Studying the epidemiology of attention-deficit hyperactivity disorder: screening method and pilot results. Canadian journal of psychiatry Revue canadienne de psychiatrie. 2001 Dec;46(10):931–40.
Rowland, A. S., et al. “Studying the epidemiology of attention-deficit hyperactivity disorder: screening method and pilot results.Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, vol. 46, no. 10, Dec. 2001, pp. 931–40. Epmc, doi:10.1177/070674370104601005.
Rowland AS, Umbach DM, Catoe KE, Stallone L, Long S, Rabiner D, Naftel AJ, Panke D, Faulk R, Sandler DP. Studying the epidemiology of attention-deficit hyperactivity disorder: screening method and pilot results. Canadian journal of psychiatry Revue canadienne de psychiatrie. 2001 Dec;46(10):931–940.
Journal cover image

Published In

Canadian journal of psychiatry. Revue canadienne de psychiatrie

DOI

EISSN

1497-0015

ISSN

0706-7437

Publication Date

December 2001

Volume

46

Issue

10

Start / End Page

931 / 940

Related Subject Headings

  • Risk Factors
  • Psychiatry
  • Psychiatric Status Rating Scales
  • Pilot Projects
  • Personality Assessment
  • North Carolina
  • Mass Screening
  • Male
  • Incidence
  • Humans