Abstract
The aim of this study was to examine the factors associated with a time lag between initial parental concern about ADHD symptoms and the first visit to a hospital in Japan that offers child psychiatric services. We investigated the demographic characteristic, symptoms, diagnosis, and healthcare system factors including duration between initial parental concern about symptoms and the first visit to a hospital (N = 387). The mean time lag between initial parental concern and the first visit to a hospital was 2.6 years. Risk factors for a longer time lag include the young age of a child, behavioral problems of the child, lower maternal education, difficulty in determining appropriate medical institution, referral route, and the distance from home to the hospital. A more established connection between a hospital with child psychiatric services and other health institutions is recommended for earlier referral to an appropriate hospital.
References
Berger, I., & Nevo, Y. (2011). Early developmental cues for diagnosis of attention deficit/hyperactivity disorder in young children. Developmental Disabilities Research Reviews, 17(2), 170–179. doi:10.1002/ddrr.1111.
Biederman, J., Petty, C. R., Woodworth, K. Y., Lomedico, A., Hyder, L. L., & Faraone, S. V. (2012). Adult outcome of attention-deficit/hyperactivity disorder: A controlled 16-year follow-up study. Journal of Clinical Psychiatry, 73(7), 941–950. doi:10.4088/JCP.11m07529.
Brentani, H., de Paula, C. S., Bordini, D., Rolim, D., Sato, F., Portolese, J., … McCracken, J. T. (2013). Autism spectrum disorders: an overview on diagnosis and treatment. Revista Brasileira de Psiquiatria, 35(Suppl 1), S62–S72. doi:10.1590/1516-4446-2013-S104
Brook, U., & Boaz, M. (2005). Attention deficit and hyperactivity disorder (ADHD) and learning disabilities (LD): Adolescents perspective. Patient Education and Counseling, 58(2), 187–191. doi:10.1016/j.pec.2004.08.011.
Cherkasova, M., Sulla, E. M., Dalena, K. L., Ponde, M. P., & Hechtman, L. (2013). Developmental course of attention deficit hyperactivity disorder and its predictors. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 22(1), 47–54.
Connor, D. F., Steeber, J., & McBurnett, K. (2010). A review of attention-deficit/hyperactivity disorder complicated by symptoms of oppositional defiant disorder or conduct disorder. Journal of Developmental and Behavioral Pediatrics, 31(5), 427–440. doi:10.1097/DBP.0b013e3181e121bd.
Deault, L. C. (2010). A systematic review of parenting in relation to the development of comorbidities and functional impairments in children with attention-deficit/hyperactivity disorder (ADHD). Child Psychiatry and Human Development, 41(2), 168–192. doi:10.1007/s10578-009-0159-4.
Dreyer, B. P. (2006). The diagnosis and management of attention-deficit/hyperactivity disorder in preschool children: The state of our knowledge and practice. Current Problems in Pediatric and Adolescent Health Care, 36(1), 6–30. doi:10.1016/j.cppeds.2005.10.001.
Freitag, C. M., Hanig, S., Schneider, A., Seitz, C., Palmason, H., Retz, W., & Meyer, J. (2012). Biological and psychosocial environmental risk factors influence symptom severity and psychiatric comorbidity in children with ADHD. Journal of Neural Transmission, 119(1), 81–94. doi:10.1007/s00702-011-0659-9.
Ghanizadeh, A. (2007). Educating and counseling of parents of children with attention-deficit hyperactivity disorder. Patient Education and Counseling, 68(1), 23–28. doi:10.1016/j.pec.2007.03.021.
Greenhill, L. L., Posner, K., Vaughan, B. S., & Kratochvil, C. J. (2008). Attention deficit hyperactivity disorder in preschool children. Child and Adolescent Psychiatric Clinics of North America, 17(2), 347–366. doi:10.1016/j.chc.2007.11.004. (ix).
Hill, L. G., Coie, J. D., Lochman, J. E., & Greenberg, M. T. (2004). Effectiveness of early screening for externalizing problems: issues of screening accuracy and utility. Journal of Consulting and Clinical Psychology, 72(5), 809–820. doi:10.1037/0022-006X.72.5.809.
Larson, K., Russ, S. A., Kahn, R. S., & Halfon, N. (2011). Patterns of comorbidity, functioning, and service use for US children with ADHD, 2007. Pediatrics, 127(3), 462–470. doi:10.1542/peds.2010-0165.
Latimer, W. W., August, G. J., Newcomb, M. D., Realmuto, G. M., Hektner, J. M., & Mathy, R. M. (2003). Child and familial pathways to academic achievement and behavioral adjustment: A prospective six-year study of children with and without ADHD. Journal of Attention Disorders, 7(2), 101–116.
Malek, A., Amiri, S., Sadegfard, M., Abdi, S., & Amini, S. (2012). Associated factors with attention deficit hyperactivity disorder (ADHD): A case–control study. Archives of Iranian Medicine, 15(9), 560–563.
Mannuzza, S., Klein, R. G., & Moulton, J. L, 3rd. (2003). Persistence of attention-deficit/hyperactivity disorder into adulthood: What have we learned from the prospective follow-up studies? Journal of Attention Disorders, 7(2), 93–100.
Murphy, K., & Barkley, R. A. (1996). Attention deficit hyperactivity disorder adults: Comorbidities and adaptive impairments. Comprehensive Psychiatry, 37(6), 393–401.
Pachter, L. M., & Dworkin, P. H. (1997). Maternal expectations about normal child development in 4 cultural groups. Archives of Pediatrics and Adolescent Medicine, 151(11), 1144–1150.
Rajendran, K., Trampush, J. W., Rindskopf, D., Marks, D. J., O’Neill, S., & Halperin, J. M. (2013). Association between variation in neuropsychological development and trajectory of ADHD severity in early childhood. American Journal of Psychiatry, 170(10), 1205–1211. doi:10.1176/appi.ajp.2012.12101360.
Robins, D. L., Fein, D., Barton, M. L., & Green, J. A. (2001). The modified checklist for autism in toddlers: An initial study investigating the early detection of autism and pervasive developmental disorders. Journal of Autism and Developmental Disorders, 31(2), 131–144.
Rydell, A. M. (2010). Family factors and children’s disruptive behaviour: An investigation of links between demographic characteristics, negative life events and symptoms of ODD and ADHD. Social Psychiatry and Psychiatric Epidemiology, 45(2), 233–244. doi:10.1007/s00127-009-0060-2.
Shaffer, D., Gould, M. S., Brasic, J., Ambrosini, P., Fisher, P., Bird, H., & Aluwahlia, S. (1983). A children’s global assessment scale (CGAS). Archives of General Psychiatry, 40(11), 1228–1231.
Shelton, T. L., Barkley, R. A., Crosswait, C., Moorehouse, M., Fletcher, K., Barrett, S., … Metevia, L. (1998). Psychiatric and psychological morbidity as a function of adaptive disability in preschool children with aggressive and hyperactive-impulsive-inattentive behavior. Journal of Abnormal Child Psychology, 26(6), 475–494.
Sonuga-Barke, E. J., & Halperin, J. M. (2010). Developmental phenotypes and causal pathways in attention deficit/hyperactivity disorder: Potential targets for early intervention? Journal of Child Psychology and Psychiatry, 51(4), 368–389. doi:10.1111/j.1469-7610.2009.02195.x.
Swanson, J. M., Sergeant, J. A., Taylor, E., Sonuga-Barke, E. J., Jensen, P. S., & Cantwell, D. P. (1998). Attention-deficit hyperactivity disorder and hyperkinetic disorder. Lancet, 351(9100), 429–433.
Tsai, C. H., & Gau, S. F. (1999). Long-term outcome studies of hyperactive children: literature review. Kaohsiung Journal of Medical Sciences, 15(6), 307–314.
Yamauchi, Y., Fujiwara, T., Okuyama, M., & Ida, H. (2013). A scale for evaluating difficulties in daily and social life based on the Children’s Global Assessment Scale. Nihon Shonika Gakkai Zasshi, 117(6), 1002–1007.
Acknowledgments
We would like to thank Dr. Julian Tang of the Department of Education for Clinical Research, National Center for Child Health and Development, for proofreading and editing this manuscript. This research is supported by Research on the Healthcare System for Children with Mental Problems and Development of Child Psychiatrists, in Research on Children and Families, Health, and Labor Sciences Research Grants, from the Ministry of Health, Labor, and Welfare, and a Grant-in-aid for Scientific Research on Innovative Areas, Ministry of Education, Culture, Sports, Science and Technology KAKENHI (21119003).
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The authors declared no potential conflicts of interests with respect to the authorship and/or publication of this article.
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Yamauchi, Y., Fujiwara, T. & Okuyama, M. Factors Influencing Time Lag Between Initial Parental Concern and First Visit to Child Psychiatric Services Among ADHD Children in Japan. Community Ment Health J 51, 857–861 (2015). https://doi.org/10.1007/s10597-014-9803-y
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DOI: https://doi.org/10.1007/s10597-014-9803-y