Journal of the American Academy of Child & Adolescent Psychiatry
ArticlesCorrelates of Comorbid Psychopathology in Children With ADHD
Section snippets
Study Site
The ADHD clinic is a specialty clinical referral and research setting located in a tertiary care academic hospital center. Many providers in the surrounding community make referrals to the clinic including primary care physicians, community mental health providers, and school districts. The catchment area includes urban, suburban, and rural communities surrounding the medical center. The ADHD clinic participates in grant-funded ADHD research as well as clinical assessment (Barkley et al., 1993,
Subject Characteristics
Characteristics of the sample are presented in Table 1. There was a 5:1 male-female ratio. Ethnicity was not coded, but most were white. ADHD age-of-onset was ≤4 years in 67% of the sample (0–2 years in 120 [40%] of children, 3–4 years in 82 [27.3%], 5–6 years in 76 [25.3%], and older than 6 years in 22 [7.4%] [for ADHD NOS]).
Risk Factor Models
Results of the six regression analyses are presented in Murphy and Myors, 1998).
Estimated Age of Onset and Comorbidity
Controlling for known risk factors, estimated ADHD duration, and ADHD symptom severity at
DISCUSSION
The purpose of our research was to assess correlates of comorbid psychopathology in a clinically referred sample of children with ADHD. A specific focus of this analysis involved investigating the relationships between estimated age of onset and symptom severity to comorbid symptom presentation. Our results show that, in addition to known risk factors, severity of ADHD at time of referral and estimated age of onset of child ADHD symptoms are associated with a greater degree of comorbid symptoms
REFERENCES (29)
- et al.
Validity of the age-of-onset criterion for ADHD: a report from the DSM-IV field trials
J Am Acad Child Adolesc Psychiatry
(1997) - et al.
Patterns of diagnostic comorbidity in a community sample of children aged 9 through 16 years
J Am Acad Child Adolesc Psychiatry
(1993) - et al.
Stability of mothers' recall of the age of onset of their child's attention and hyperactivity problems
J Am Acad Child Adolesc Psychiatry
(1991) - et al.
Impact of comorbid oppositional or conduct problems on attention-deficit hyperactivity disorder
J Am Acad Child Adolesc Psychiatry
(1997) - et al.
Age of onset of ADHD symptoms
J Am Acad Child Adolesc Psychiatry
(2002) - et al.
Psychiatric comorbidity and functioning in clinically referred preschool children and school-age youths with ADHD
J Am Acad Child Adolesc Psychiatry
(2002) The Parenting Stress Index
(1986)Child Behavior Checklist, Cross-Informant Version
(1991)- et al.
The family history approach to diagnosis: how useful is it?
Arch Gen Psychiatry
(1986) - et al.
Driving-related risks and outcomes of attention deficit hyperactivity disorder in adolescents and young adults: a 3- to 5-year follow-up survey
Pediatrics
(1993)
A comparison of three family therapy programs for treating family conflicts in adolescents with attention-deficit hyperactivity disorder
J Consult Clin Psychol
Attention Deficit Hyperactivity Disorder: A Clinical Workbook
Preliminary findings of an early intervention program with aggressive hyperactive children
Ann N Y Acad Sci
Attention-deficit/hyperactivity disorder: a life-span perspective
J Clin Psychiatry
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The authors thank Trang Au for editorial assistance.