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Characteristics of children suffering from ADHD symptoms: Can primary health care evaluate and diagnose ADHD? Sehovic-Duric N., Elgen I 1Department of Child and Adolescent Psychiatry, Helse Fonna Haugesund Hospital, Norway 2 Centre for Child and Adolescent Mental Health, University of Bergen, Norway 3 Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Results
Half of the ADHD-referred children met criteria for ADHD and among the non-ADHD children one fifth did not receive any diagnosis. Mean referral-age was 10,5 years and 82% were male. General health for ADHD children was comparable to non-ADHD children. The ADHD families had lower education levels and contained more housewives. More children were living outside their families compared to the non-ADHD children. Fewer ADHD families were in need of support from Child Welfare (CW) in the referral period (OR:0,23 ; 95% CI 0,1 to 3,1).The sensitivity was 51% (96/187) and specificity 77% regarding the primary health care`s ability to diagnose ADHD.
Background/Aims
To describe characteristics of children suffering from ADHD symptoms regarding ADHD.tekst
Methods
A population of 494 children was referred during one year to an outpatient clinic for Child and Adolescent Mental Health in Norway. Forty percent had ADHD symptoms as referral symptoms. A screening program regarding attention-deficit/hyperactivity disorder (ADHD) was employed, in addition, general health and socio-economic status was assessed.
Conclusion
More than one third of children in need of mental health services displayed ADHD symptoms but only half of these children met criteria for ADHD. A low sensitivity in primary health care regarding diagnosing ADHD was found. Further screening programs for ADHD children are needed.
References
Austin M, Reiss NS, Burgdorf L (2007) Onset and Prevalence of ADHD, Devereux.
Barkley RA (1998) Taking charge of ADHD. New York: Guilford Press.
Barkley RA (1998) Attention-Deficit Hyperactivity Disorder. A Handbook for
Diagnosis and Treatment. New York: Guilford Press.
4. Bjerke LK, Fjeldstad S (2008) ADHD - Forekomst, Symptomer og Komorbiditet.
The University of Oslo.
Boden SA (2008) Is this issue /abstract thinking:primary care providers and ADHD
in community settings. J Am Acad Child Adolesc Psychiatry Jul;47(7):
Culpepper L, Mattingly G (2008) A practical guide to recognition and diagnosis of
ADHD in adults in the primary care setting. Postgrad Med Sep;120(3):16-26.
Diagnostic and Statistical Manual of Mental Disorders DSM-IV, Publ 1994.
Elgen I, Bruaroy S, Laegreid LM.(2007) Complexity of foetal alcohol or drug neuroimpairments.Acta Paediatr
96 (12): Epub 2007 Oct 30.PMID: Elgen I, Lundervold AJ, Sommer
felt K (2004) Aspects of inattention in low birth-
weight. Pediatr Neurol Feb;30(2):92-8.
Elgen I, Sommerfelt K, Ellertsen B( 2003) Cognitive performance in low birth weight
cohort at 5 and 11 years of age.Pediatr Neurol Aug;29(2):111-6.
Elgen I, Johansson KA, Markestad T, Sommerfelt K(2005) A handicapped cohort of
low –birthweight children :growth and general health status at 11 years of age. Acta
Paediatr Sep;94(9):
Faraone SV, Sergeant J, Gillberg C, Biederman J (2003) The worldwide
prevalence of ADHD: is it an American condition? World Psychiatry. 2003
Jun;2(2):
Gomez R, Vance A (2008) Parent rating of ADHD symptoms: differential symptom
functioning across Malaysian Malay and Chinese children .J Abnorm Child Psychol.
2008 Aug;36(6): Epub 2008 Mar 4.
Hopkins M, Herrerias CT, Stein M, Homer C (2001) ADHD: Variations in Diagnos
ractices in Primary Care Physicians: A National Survey.Academy for Health
Services Research and Health Policy. Meeting. Abstr Acad Health Serv Res Health
Policy Meet.18: 20.
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(Velg Sett inn i toppmeny, deretter velger du Bilde->Fra fil)
Conference, location, country, date

2. (Velg Sett inn i toppmeny, deretter velger du Bilde->Fra fil)
Characteristics of children suffering from ADHD symptoms: Can primary health care evaluate and diagnose ADHD? Sehovic-Duric N., Elgen I 1Department of Child and Adolescent Psychiatry, Helse Fonna Haugesund Hospital, Norway 2 Centre for Child and Adolescent Mental Health, University of Bergen, Norway 3 Department of Clinical Medicine, University of Bergen, Bergen, Norway
Sett inn diagram
(For å sette inn diagram fra Excel. Merk og kopier diagrammet i Excel-arket, og lim det inn her. Deretter kan du justere størrelsen ved å trekke i hjørnene)
Results
Half of the ADHD-referred children met criteria for ADHD and among the non-ADHD children one fifth did not receive any diagnosis. Mean referral-age was 10,5 years and 82% were male. General health for ADHD children was comparable to non-ADHD children. The ADHD families had lower education levels and contained more housewives. More children were living outside their families compared to the non-ADHD children. Fewer ADHD families were in need of support from Child Welfare (CW) in the referral period (OR:0,23 ; 95% CI 0,1 to 3,1).The sensitivity was 51% (96/187) and specificity 77% regarding the primary health care`s ability to diagnose ADHD.
Background/Aims
To describe characteristics of children suffering from ADHD symptoms regarding ADHD.tekst
Methods
A population of 494 children was referred during one year to an outpatient clinic for Child and Adolescent Mental Health in Norway. Forty percent had ADHD symptoms as referral symptoms. A screening program regarding attention-deficit/hyperactivity disorder (ADHD) was employed, in addition, general health and socio-economic status was assessed.
Conclusion
More than one third of children in need of mental health services displayed ADHD symptoms but only half of these children met criteria for ADHD. A low sensitivity in primary health care regarding diagnosing ADHD was found. Further screening programs for ADHD children are needed.
References
Austin M, Reiss NS, Burgdorf L (2007) Onset and Prevalence of ADHD, Devereux.
Barkley RA (1998) Taking charge of ADHD. New York: Guilford Press.
Barkley RA (1998) Attention-Deficit Hyperactivity Disorder. A Handbook for
Diagnosis and Treatment. New York: Guilford Press.
4. Bjerke LK, Fjeldstad S (2008) ADHD - Forekomst, Symptomer og Komorbiditet.
The University of Oslo.
Boden SA (2008) Is this issue /abstract thinking:primary care providers and ADHD
in community settings. J Am Acad Child Adolesc Psychiatry Jul;47(7):
Culpepper L, Mattingly G (2008) A practical guide to recognition and diagnosis of
ADHD in adults in the primary care setting. Postgrad Med Sep;120(3):16-26.
Diagnostic and Statistical Manual of Mental Disorders DSM-IV, Publ 1994.
Elgen I, Bruaroy S, Laegreid LM.(2007) Complexity of foetal alcohol or drug neuroimpairments.Acta Paediatr
96 (12): Epub 2007 Oct 30.PMID: Elgen I, Lundervold AJ, Sommer
felt K (2004) Aspects of inattention in low birth-
weight. Pediatr Neurol Feb;30(2):92-8.
Elgen I, Sommerfelt K, Ellertsen B( 2003) Cognitive performance in low birth weight
cohort at 5 and 11 years of age.Pediatr Neurol Aug;29(2):111-6.
Elgen I, Johansson KA, Markestad T, Sommerfelt K(2005) A handicapped cohort of
low –birthweight children :growth and general health status at 11 years of age. Acta
Paediatr Sep;94(9):
Faraone SV, Sergeant J, Gillberg C, Biederman J (2003) The worldwide
prevalence of ADHD: is it an American condition? World Psychiatry. 2003
Jun;2(2):
Gomez R, Vance A (2008) Parent rating of ADHD symptoms: differential symptom
functioning across Malaysian Malay and Chinese children .J Abnorm Child Psychol.
2008 Aug;36(6): Epub 2008 Mar 4.
Hopkins M, Herrerias CT, Stein M, Homer C (2001) ADHD: Variations in Diagnos
ractices in Primary Care Physicians: A National Survey.Academy for Health
Services Research and Health Policy. Meeting. Abstr Acad Health Serv Res Health
Policy Meet.18: 20.
Sett inn logo
(Velg Sett inn i toppmeny, deretter velger du Bilde->Fra fil)
Conference, location, country, date