Abstract
The purposes of this study were (a) to estimate the prevalence of Attention-Deficit/Hyperactivity Disorder (AD/HD) symptoms in the general preschool and school population; and (b) to analyze the influence of gender, age, and socioeconomic status (SES) variables on AD/HD symptoms. Out of the 80,000 preschool and schoolchildren living in Manizales, Colombia, a random sample of 540 children was selected. Two gender, three age (4- to 5-year olds, 6- to 11 -year olds, and 12- to 17-year olds), and three SES (low, middle, and high) groups were used. The 18 DSM-IV symptoms corresponding to AD/HD Criterion A were assessed on a scale of 0 (never) to 3 (almost always). All three demographic variables established statistically significant differences: AD/HD symptoms were more frequent in 6-to 11-year-old, low-SES, male participants. DSM-IV Criterion A for AD/HD was fulfilled by 19.8% of the boys and 12.3% of the girls. However, this difference was marginally significant only in the AD/HD Subtype I: Combined. It was concluded that demographic variables are significant correlates of the AD/HD diagnosis. The prevalence found in this study was higher than usually reported, even though only the symptomatic DSM-IV AD/HD criterion was analyzed. We failed to confirm the assumed AD/HD gender ratio.
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REFERENCES
Alvarez, G. (1983). Effects of material deprivation on neurological functioning. Social Science Medicine, 17, 1097-1105.
American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders-revised (3rd ed.). Washington, DC: Author.
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Applegate, B., Lahey, B. B., Hart, E. L., & Biederman, J. (1997). Validity of the age-of-onset criterion for ADHD: A report from the DSM-IV field trials. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1211-1221.
Ardila, A., & Rosselli, M. (1996). Soft neurological signs in children: A normative study. Developmental Neuropsychology, 12, 179-198.
Ardila, A., & Rosselli, M. (In press). Socioeconomic effects and normative data for soft signs. Developmental Neuropsychology.
Barkley R. A. (1990). Attention deficit hyperactivity disorder. A handbook for diagnosis and treatment. New York: Guilford Press.
Bauermeister, J. J., Alegria, M., Bird, H., Rubio-Stipec, M., & Canino, G. (1992). Are attentional hyperactivity deficits unidimensional or multidimensional syndromes? Empirical findings from a community survey. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 423-431.
Baumgaertel, A., Wolraich, M., & Dietrich, M. (1995). Comparison of diagnostic criteria for attention deficit disorders in a German elementary school sample. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 629-638.
Bhatia, M. S., Nigam, V. R., Bohra, N., & Malik, S. C. (1991). Attention deficit disorder with hyperactivity among pediatric outpatients. Journal of Child Psychology and Psychiatry, 32, 297-306.
Biederman, J. (1991). Attention deficit hyperactivity disorder (ADHD). Annals of Clinical Psychiatry, 3, 9-22.
Bird, H. R., Canino, G., Rubio-Stipec, M., Gould, M. S., Ribera, J., Sesman, M., Woodbury, M., Huertas-Goldman, S., Pagan, A., Sanchez-Lacay, A., & Moscoso, M. (1988). Estimates of the prevalence of childhood maladjustment in a community survey in Puerto Rico. Archives of General Psychiatry, 45, 1120-1126.
Cantwell, D. P. (1996). Outcome and prognosis of attention deficit disorders and related disorders. International Pediatrics, 11, 304-312.
Cantwell, D. P., Lewinsohn, P. M., Rohde, P., & Seeley J. R. (1997). Correspondence between adolescent report and parent report of psychiatric diagnostic data. Journal of American Academy of Child and Adolescent Psychiatry, 36, 610-619.
Centers for Disease Control & Prevention and World Health Organization (CDC/WHO). (1994). Epi-Info (Version 6.01) [Computer Software]. Author.
Chen, W. J., Faraone, S. V., Biederman, J. & Tsuang, M. T. (1994). Diagnostic accuracy of the Child Behavior Checklist scales for attention-deficit hyperactivity disorder: A receiver-operating characteristic analyses. Journal of Consulting and Clinical Psychology, 62, 1017-1025.
Ching-Yen, L, Copeland, E., & Martin, J. D. (1995). Peer relations of children in Taiwan with characteristics of attention deficit hyperactivity disorder. Psychology International, 16, 379-388.
Conners, C. K. (1979a). Conners Parents Rating Scale (Hyperkinesis index). Chicago, IL: Abbott Laboratories.
Conners, C. K. (1979b). Conners Teacher Rating Scale (Hyperkinesis index). Chicago, IL. Abbott Laboratories.
Cravioto, J., & Arrieta, R. (1982). Nutrición, desarrollomental, conducta y aprendizaje [Nutrition, mental development, behavior, and learning]. Mexico: United Nations International Children's Emergency Fund.
Doyle, A., Ostrander, R., Skare, S., Crosby, R. D., & August, G. J. (1997). Convergent and criterion-related validity of the Behavior Assessment System for Children-Parent Rating Scale. Journal of Clinical Child Psychology, 26, 276-284.
Farre-Riba, A., & Narbona, J. (1997). Conners Rating Scales in the assessment of attention deficit disorder with hyperactivity. A new validation and factor analysis in Spanish children. Revista de Neurolología, 25, 200-204.
Gittelman, Mannuzza, Ronald, & Bonagura (1985). Hyperactive boys: Almost Grown Up—psychiatric status. Archives of General Psychiatry, 42, 937-947.
Glow, R. A., Glow, P. H., & Rump, E. (1982). The stability of Child Behavior Disorders. A one year test-retest study of Adelaide Versions of the Conners teacher and parents rating scales. Journal of Abnormal Child Psychology, 10, 33-60.
Goldman, L. S., Genel, M., Bezman, R. J., & Slanetz, P. J. (1998). Diagnosis and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Council on Scientific Affairs, American Medical Association. Journal of the American Medical Association, 214, 1100-1107.
Gómez, J. G., Arciniegas, E., & Torres, J. (1978). Prevalence of epilepsy in Bogotá, Colombia. Neurology, 28, 90-94.
Gracia, F., Bayard, V., & Triana, E. (1988). Prevalencia de enfermedades neurologicas en el corregimiento Belisario Potas [Prevalence of neurological diseases in Bolisario Potas town, Panamá]. Revista Médica de Panamá, 13, 408-411.
Harris, J. C. (1995). Developmental neuropsychiatry, New York: Oxford University Press.
Ideus, K. (1994). Cultural foundations of ADHD: A sociological analysis. Therapeutic Care and Education, 3, 173-192.
Kurtzke, J. F. (1992). Neuroepidemiology. In R. J. Joint (Ed.), Clinical neurology, (Vol. 4, pp. 1-29). Philadelphia: Lippincott.
Lahey, B. B., Aplegate, B., McBurnet, K., Biederman, J., Greenhill, L., Hynd, G. W., Barkley, R. A., Newcorn, J., Jensen, P., Richters, J., Garfinkel, B., Kerdyck, L., Frick, Ollendick, T., Perez, D., Hart, E. L., Waldam, I., & Shaffer, D. (1994). DSM-IV field trials for attention-deficit hyperactivity disorder in children and adolescents. American Journal of Psychiatry, 151, 1673-1685.
Lamminmaki, T., Ahonen, T., Narhi, V., & Lytinen, H. (1995). Attention deficit hyperactivity disorder subtypes: Are there differences in academic problems? Developmental Neuropsychology, 11, 297-310.
Madoki, M. W., Sumner, G. S., Mathews-Ferrari, K. (1991). Subcategories of attention deficit hyperactivity disorder. South Medical Journal, 84, 751-754.
Mann, E. M. (1992). Cross-cultural differences in rating hyperactive-disruptive behaviors in children. American Journal of Psychiatry, 149, 1539-1542.
Mannuzza, S., Gittelman, R., Bonagura, N., Horowitz, P., & Giampino, T. (1989). Hyperactive boys almost grown up. Criminality and its relationship to psychiatric status. Archives of General Psychiatry, 46, 1073-1079.
Mannuzza, S., Gittelman, R., Bonagura, N., Horowitz, P., & Shenker, R. (1988). Hyperactive boys almost grown up. Status of subjects without a mental disorder. Archives of General Psychiatry, 45, 13-18.
McGee, R., & Feehan, M. (1991). Are girls with problems of attention underrecognized? Journal of Psychopathology and Behavioral Assessment, 13, 187-198.
Milberger, S., Biederman, J., Faraone, S. V., Murphy J., & Tsuang, M. T. (1995). Attention deficit hyperactivity disorder and comorbid disorders: Issues of overlapping symptoms. American Journal of Psychiatry, 12, 1793-1799.
Miranda, G., & Caryn, C. (1997). Behavioral characteristics of DSM-IV ADHD subtypes in a school-based population. Journal of Abnormal Child Psychology, 25, 103-111.
Ostrander, R., Weinfurt, K. P., Yarnold, P. R., & August, G. J. (1998). Diagnosis of attention deficit disorders with the Behavioral Assessment System for Children and Child Behavior Checklist: Construct validity and analyses using optimal discriminant classification trees. Journal of Consulting and Clinical Psychology, 66, 660-672.
Pineda, D. (1996). Disfunción ejecutiva en niños con trastornos por deficiencia atencional con hiperactividad [Executive dysfunction in children with attention deficit hyperactivity disorder]. Acta Neurologica Colombiana, 12, 19-25.
Pineda, D., Ardila, A., & Rosselli, M. (1999). Neuropsychological and behavioral assessment of ADHD in seven to 12 years children. A discriminant analysis. Journal of Learning Disabilities, 32, 159-173.
Pineda, D., Ardila, A., Rosselli, M., Cadavid, C., & Mancheno, S. (1988). Executive dysfunction in attention deficit hyperactivity disorder children. International Journal of Neuroscience, 96, 177-196.
Reid, R. (1995). Assessment of ADHD with culturally different groups: The use of behavioral rating scales. School Psychology Review, 24, 537-560.
Reid, R., DuPaul, G. J., Power, T. J., Anastopoulos, A. D., Rogers-Adkinson, Noll, M. B., & Riccio, C. (1998). Assessing culturally different students for attention deficit hyperactivity disorder using behavioral rating scales. Journal of Abnormal Child Psychology, 26, 187-198.
Riccio, C. A., Hynd, G. W., & Cohen, M. J. (1996). Etiology and Neurobiology of ADHD. In W. M. Bender (Ed.). Understanding ADHD (pp. 23-44). Upper Saddle River, NJ: Merrill.
Satterfield, J., Swanson, J., Schell, A., & Lee, F. (1994). Prediction of antisocial behavior in attention-deficit hyperactivity disorder boys from aggression/defiant scores. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 185-190.
Shealy, A. H. (1994). Attention deficit hyperactivity disorder, etiology, diagnosis and management. Journal of Child and Adolescent Psychiatric Nursing, 7, 24-36.
Silverthorn, P., Frick, P. J., Kuper, K., & Ott, J. (1996). Attention deficit hyperactivity disorder and sex: A test of two etiological models to explain the maie predominance. Journal of Clinical Child Psychology, 25, 52-59.
Vaughn, M. L., Riccio, C. A., Hynd, G. W., & Hall, J. (1997). Diagnosing ADHD (predominantly inattentive and combined type subtypes): Discriminant validity of the Behavior Assessment System for Children and the Achenbach parent and teacher rating scales. Journal of Clinical Child Psychology, 26, 349-357.
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Pineda, D., Ardila, A., Rosselli, M. et al. Prevalence of Attention-Deficit/Hyperactivity Disorder Symptoms in 4- to 17-Year-Old Children in the General Population. J Abnorm Child Psychol 27, 455–462 (1999). https://doi.org/10.1023/A:1021932009936
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DOI: https://doi.org/10.1023/A:1021932009936