Experimental cross-validation of DSM-IV types of attention-deficit/hyperactivity disorder

被引:83
作者
McBurnett, K
Pfiffner, LJ
Willcutt, E
Tamm, L
Lerner, M
Ottolini, YL
Furman, MB
机构
[1] Univ Chicago, Dept Psychiat, Hyperact Attent & Learning Problems Clin, Chicago, IL 60637 USA
[2] Univ Texas, Austin, TX 78712 USA
[3] Univ Calif Irvine, Dept Pediat, Irvine, CA 92717 USA
关键词
attention-deficit/hyperactivity disorder; classification; DSM-IV; functional impairment; rating scales;
D O I
10.1097/00004583-199901000-00015
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective: To examine the discriminant validity of DSM-IV attention-deficit/hyperactivity disorder (ADHD) types by testing the hypothesis that types are associated with specific kinds of functional impairment and to compare overlap of DSM-IV and DSM-III-R ADHD. Method: Consecutive referrals (n = 692) to a pediatric subspecialty clinic for ADHD were classified into 1 of each of the 3 DSM-IV types of ADHD using parent and teacher checklist ratings of ADHD symptoms. The resulting types were compared on clinical correlates and on whether the children also met criteria for DSM-III-R ADHD. Results: The validity of DSM-IV types was supported by dimension-specific impairment and other distinct correlates. Academic problems aggregated in the 2 types defined by extreme inattention, and externalizing problems aggregated in the 2 types defined by extreme hyperactivity. Conclusion: DSM-IV appeared superior to DSM-III-R in subcategorical homogeneity and in exhaustiveness (ability to classify all apparent cases).
引用
收藏
页码:17 / 24
页数:8
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