Attention-Deficit/Hyperactivity Disorder and Psychiatric Comorbidity: Functional Outcomes in a School-Based Sample of Children

Cuffe, Steven P.; Visser, Susanna N.; Holbrook, Joseph R.; Danielson, Melissa L.; Geryk, Lorie L.; Wolraich, Mark L.; McKeown, Robert E.

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CDC STACKS serves as an archival repository of CDC-published products including scientific findings, journal articles, guidelines, recommendations, or other public health information authored or co-authored by CDC or funded partners. As a repository, CDC STACKS retains documents in their original published format to ensure public access to scientific information.

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Attention-Deficit/Hyperactivity Disorder and Psychiatric Comorbidity: Functional Outcomes in a School-Based Sample of Children

Jul 2020
By Cuffe, Steven P. ; Visser, Susanna N. ; Holbrook, Joseph R. ; ...
Source: J Atten Disord. 24(9):1345-1354

[PDF-117.03 KB]

English

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Details:

Alternative Title:

J Atten Disord
Personal Author:

Cuffe, Steven P. ; Visser, Susanna N. ; Holbrook, Joseph R. ; Danielson, Melissa L. ; Geryk, Lorie L. ; ... More +

Cuffe, Steven P. ; Visser, Susanna N. ; Holbrook, Joseph R. ; Danielson, Melissa L. ; Geryk, Lorie L. ; Wolraich, Mark L. ; McKeown, Robert E. Less -
Description:

Objective

Investigate prevalence and impact of psychiatric comorbidities in community-based samples of schoolchildren with/without attention-deficit/hyperactivity disorder (ADHD).

Method

Teachers and parents screened children in South Carolina (SC; n=4,604) and Oklahoma (OK; n=12,626) for ADHD. Parents of high-screen and selected low-screen children received diagnostic interviews (SC: n=479; OK: n=577).

Results

Psychiatric disorders were increased among children with ADHD and were associated with low academic performance. Conduct disorder/oppositional defiant disorder (CD/ODD) were associated with grade retention (ODD/CD+ADHD: OR=3.0; CI=1.5-5.9; ODD/CD without ADHD: OR=4.0; CI=1.7-9.7). School discipline/police involvement was associated with ADHD alone (OR=3.2; CI=1.5-6.8), ADHD+CD/ODD (OR=14.4, CI=7.3-27.1), ADHD+anxiety/depression (OR=4.8, CI=1.6-14.8) and CD/ODD alone (OR=2.8, CI=1.2-6.4). Children with ADHD+anxiety/depression had ten-fold risk for poor academic performance (odds ratio (OR)=10.8; CI=2.4-49.1). This should be interpreted with caution due to the wide confidence interval.

Conclusion

Most children with ADHD have psychiatric comorbidities, which worsens functional outcomes. The pattern of outcomes varies by type of comorbidity.
Subjects:

[+]

Attention Deficit And Disruptive Behavior Disorders Attention Deficit Disorder With Hyperactivity Child Comorbidity Conduct Disorder Humans Schools South Carolina
Source:

J Atten Disord. 24(9):1345-1354
Pubmed ID:

26610741
Pubmed Central ID:

PMC4879105
Document Type:

Journal Article
Funding:

CC999999/ImCDC/Intramural CDC HHSUnited States/
Place as Subject:

Oklahoma ; South Carolina

Oklahoma ; South Carolina Less -
Volume:

24
Issue:

9
Collection(s):

CDC Public Access
Main Document Checksum:

[+]

urn:sha256:e96cd6738935bb623a565b9488800561df8128a7ee1eaa301b4a7c85ce58558d
Download URL:

https://stacks.cdc.gov/view/cdc/39618/cdc_39618_DS1.pdf
File Type:

nihms-745235.nxml

xml

More +