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  1. Psychosocial and clinical correlates of ADHD in a community sample of school-age children.

    Article - En anglais

    Objective 

    To identify the psychosocial and clinical correlates of attention-deficit hyperactivity disorder (ADHD) in a community sample of children and to examine the validity of a subclinical form of ADHD.

    Method 

    The sample of 449 children (mean age 9.2 years, SD 1.78 ; 53.6% boys) participated in the second stage of a community survey.

    Of these, 359 (80%) screened positive at stage 1. On the basis of a structured diagnostic interview with a parent, children were classified into 1 of 3 mutually exclusive groups : ADHD (n=89), subthreshold ADHD (n=100), and non-ADHD (n=260).

    Results 

    As measured by the Children's Global Assessment Scale, the ADHD group was more impaired than the subthreshold group, which was more impaired than the non-ADHD group (p<. 05 for each test).

    Children in the ADHD group were more likely to be male, to have mothers with a history of psychiatric treatment, to have fathers with a history of excessive alcohol use, and to live in low-income families with higher levels of family dysfunction (p<. 05 for all variables).

    A model containing male gender, family dysfunction, and low income was most predictive of ADHD status (p<. 01).

    ADHD was also associated with psychiatric comorbidity, especially disruptive behavior disorders.

    Conclusions 

    These results support a dimensional approach to ADHD.

    More severe forms of ADHD are associated with psychosocial adversity and psychiatric comorbidity.

    Mots-clés Pascal : Trouble attention, Hyperactivité, Epidémiologie, Trouble psychiatrique, Association morbide, Milieu familial, Environnement social, Facteur sociodémographique, Age scolaire, Enfant, Homme

    Mots-clés Pascal anglais : Attentional disorder, Hyperactivity, Epidemiology, Mental disorder, Concomitant disease, Family environment, Social environment, Sociodemographic factor, School age, Child, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0369276

    Code Inist : 002B18D05. Création : 14/12/1999.