Diagnostic overshadowing in a population of children with neurological disabilities: A cross sectional descriptive study on acquired ADHD

被引：33
作者：
Hendriksen, J. G. M. [1 ,2 ,3 ]
Peijnenborgh, J. C. A. W. [1 ,2 ,4 ]
Aldenkamp, A. P. [2 ,3 ,4 ,5 ]
Vles, J. S. H. [1 ,3 ,4 ]
机构：
[1] Kempenhaeghe, Dept Neurol Learning Disabil, NL-5590 AB Heeze, Netherlands
[2] Kernpenhaeghe Epilepsy Ctr, Dept Behav Sci, NL-5590 AB Heeze, Netherlands
[3] Maastricht Univ, Med Ctr, Dept Neurol, NL-6202 AZ Maastricht, Netherlands
[4] Maastricht Univ, Sch Mental Hlth & Neurosci, NL-6229 ER Maastricht, Netherlands
[5] Univ Technol, Dept Elect Engn, NL-5600 MB Eindhoven, Netherlands
来源：
EUROPEAN JOURNAL OF PAEDIATRIC NEUROLOGY | 2015年 / 19卷 / 05期
关键词：
ADHD; Neurology; Neuropsychology; Learning disabilities; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; DEFICIT HYPERACTIVITY DISORDER; DUCHENNE MUSCULAR-DYSTROPHY; TRAUMATIC BRAIN-INJURY; ADOLESCENTS; DISTURBANCE; TYPE-1;
D O I：
10.1016/j.ejpn.2015.04.004
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Aim: Diagnostic overshadowing refers to the underdiagnosis of comorbid conditions in children with known neurological diagnoses. To demonstrate diagnostic overshadowing we determined the prevalence of attention deficit-hyperactivity disorders (ADHD) in a cohort of children with a wide range of neurological disabilities. Method: The study cohort consisted of 685 children (mean age 10.3 years, SD: 3.1; 425 boys and 260 girls) who visited a tertiary outpatient multidisciplinary clinic for neurological learning disabilities. Patients with ADHD were identified by retrospective chart review using DSM-IV criteria. Results: The prevalence of ADHD in this cohort was 38.8% (266 children); of these children only 28.2% (75 children) were diagnosed with ADHD before referral. Interpretation: ADHD is a common problem in children with neurological disabilities and may be underdiagnosed due to overshadowing of somatic, physical or syndromal features of the disability. In our heterogeneous population ADHD was overshadowed in 71.8% of the cases. This finding may have important implications for diagnosis and treatment of mental health needs in children with neurological disabilities. (C) 2015 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.
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收藏
页码：521 / 524
页数：4
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