This study compares teacher-reported prevalence rates for disruptive behavior disorders using DSM-IV, DSM-III-R, and DSM-III criteria within the same population of elementary school students and examines the relationships between DSM « subtypes » and academic performance, perceived behavior problems, and demographic variables.
Teacher rating scales were obtained on 1,077 students in five rural and five urban public schools in Regensburg, Germany.
Overall prevalence for attention deficit disorders increased from 9.6% (DSM-III) to 17.8% (DSM-IV) primarily because of new cases identified as AD/HD-AD (inattentive type) and to a lesser degree, AD/HD-HI (hyperactive-impulsive type).
Inattention in any subtype was associated with academic problems, and perceived behavior problems were associated with more than 80% of the cases that included hyperactivity-impulsivity.
DSM-IV AD/HD subtypes showed significant behavioral, academic, and demographic differences.
Application of DSM-IV criteria increased total AD/HD prevalence rates by 64% and identified the majority of children with academic and/or behavioral dysfunction.
The data show significant heterogeneity between the subtypes and imply that many children screened into these subtypes require further evaluation to ensure appropriate management.
Mots-clés Pascal : Etude comparative, Critère, Diagnostic, Trouble attention, Hyperactivité, Diagnostic and Statistical Manual III, Version revisée, Diagnostic and Statistical Manual IV, Trouble comportement, Impulsivité, Echec scolaire, Prévalence, Epidémiologie, Allemagne, Europe, Enseignement primaire, Enfant, Homme, Trouble conduite, Trouble oppositionnel avec provocation
Mots-clés Pascal anglais : Comparative study, Criterion, Diagnosis, Attentional disorder, Hyperactivity, Diagnostic and Statistical Manual III, Revised drafting, Diagnostic and Statistical Manual IV, Behavioral disorder, Impulsivity, School failure, Prevalence, Epidemiology, Germany, Europe, Elementary education, Child, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0318327
Code Inist : 002B18B02. Création : 01/03/1996.