Attention-Deficit Hyperactivity Disorder in Primary Care
Current DSM-IV Diagnostic Criteria
According to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), criteria for this disorder require one of two patterns of symptoms: inattention or hyperactivity/impulsivity, as delineated below. Currently, three subtypes of attention-deficit hyperactivity disorder (ADHD) are recognized: (1) primarily inattentive, (2) primarily hyperactive/impulsive, and (3) combined type. The inattentive subtype consists of individuals who exhibit inattentive behaviors but not hyperactive or impulsive behaviors. The hyperactive/impulsive subtype consists of the presence of hyperactive and impulsive features, without inattentive behaviors. The combined subtype presents with inattention and hyperactivity/impulsivity.
According to DSM-IV, the individual must exhibit six or more of the following symptoms of inattention. These symptoms must have persisted for at least 6 months, and must be causing significant impairment in the child’s...
KeywordsADHD Symptom Parent Training Stimulant Medication Social Skill Training Behavioral Parent Training
- American Academy of Pediatrics and National Initiative for Children’s Healthcare Quality (2002). Caring for children with ADHD: A resource toolkit for clinicians. Elk Grove, IL. Accessed on from: http://www.nichq.org/NICHQ/Topics/ChronicConditions/ADHD/Tools/ADHD.htm on November 14, 2007.
- American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders.4th ed. Washington, DC: American Psychiatric Association; 1994.Google Scholar
- American Academy of Pediatrics (2001). Clinical practice guideline: Diagnosis and evaluation of the child with attention-deficit/hyperactivity disorder. Pediatrics, 105, 1158–1170.Google Scholar
- Angold, A., Costello, E. J., & Erkanli, A. (1999). Comorbidity. Journal of Child Psychology and Psychiatry, 40, 57–87. Google Scholar
- Brown, R. T., Freeman, W. S., Perrin, J. M., Stein, M. T., Amler, R. W. et al. (2001a). Prevalence and assessment of attention-deficit/hyperactivity disorder in primary care settings. Pediatrics, 107(3), e43 – e54.Google Scholar
- Brown T. E. (2001b). Brown ADD Scales for Children and Adolescents. San Antonio, TX: Psychological Corp.Google Scholar
- Centers for Disease Control and Prevention (2007). ADHD: A public health perspective conference. Accessed from http://www.cdc.gov/ncbddd/adhd/dadphra.htm#social on November 5, 2007.
- Conners, C. K. Conners’ rating scales—revised: Instruments for use with children and adolescents. New York, NY: Multi-Health Systems, Inc; 1997Google Scholar
- Division 53 of the American Psychological Association: Society of Clinical Child and Adolescent Psychology and the Network on Youth Mental Health (2007). Attention Deficit/Hyperactivity Disorder—Evidence-Based Treatment Options. Accessed from: www.wjh.harvard.edu/˜nock/Div53/EST/index_files/Page650.htm
- DuPaul, G. J., Power, T. J., Anastopoulos, A. D., & Reid, R. (1998). ADHD rating scale-IV: Checklists, norms, and clinical interpretation. New York: Guilford.Google Scholar
- Green, M., Wong, M., Atkins, D., et al. (1999). Diagnosis of Attention-Deficit/Hyperactivity Disorder: Technical Review 3, Agency for Health Care Policy and Research publication 99-0050, US Department of Health and Human Services, Agency for Health Care Policy and Research, Rockville, Md.Google Scholar
- Hopkins, M., Herrerias, C. T., Stein, M., & Homer, C. (2001). ADHD: Variations in diagnostic practices in primary care physicians: A national survey. Abstracts of Academic Health Services Research Health Policy Meeting, 18, 20.Google Scholar
- National Institutes of Mental Health (2007). The numbers count: mental disorders in America. Accessed November 5, 2007, from: http://www.nimh.nih.gov/health/publications/the-numbers-count-mental-disorders-in-america.shtml
- Lahey, B. B., Miller, T. L., Gordon, R. A., & Riley A. W. (1999). Developmental epidemiology of disruptive behavior disorders. In H. C. Quay & A. C. Hogan (Eds.). Handbook of disruptive behavior disorders. New York: Kluwer. Google Scholar
- Pelham, W. E., & Waschbusch, D. A. (2006). Attention-deficit hyperactivity disorder (ADHD). In J. E. Fisher & W. O’Donohue (Eds.). Practitioner’s guidelines for evidence based psychotherapy. New York: Kluwer.Google Scholar
- Scott-Levin Associates (2001). Physician drug and diagnosis audit. Newton, MA: Scott-Levin Associates.Google Scholar
- Swanson, J. M., Kraemer, H. C., Hinshaw, S. P., et al. (2001). Clinical relevance of the primary findings of the MTA: Success rates based on severity of ADHD and ODD symptoms at the end of treatment. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 168–179.PubMedCrossRefGoogle Scholar