Should the diagnosis of Attention-Deficit/ Hyperactivity disorder be considered in children with Pervasive Developmental Disorder?
Department of Psychiatry
Medical Subject Headings
Attention Deficit Disorder with Hyperactivity; Child Development Disorders, Pervasive
Objective: To assess the overlap between Pervasive Developmental Disorder (PDD) and Attention-Deficit/Hyperactivity Disorder (ADHD) in a consecutive sample of referred youth. We hypothesized that children with PDD plus ADHD-like symptoms would have a symptom profile similar to ADHD children.
Method: Subjects were consecutively referred children meeting DSM-III-R criteria for PDD with (PDD+ADHD, N = 50) and without (PDD, N= 10) ADHD-like symptoms and ADHD without PDD (ADHD, N= 105). All subjects were comprehensively assessed with structured diagnostic interviews.
Results: Clinical characteristics of PDD were similar in those PDD children who did and who did not have ADHD, and ADHD features were very similar in ADHD children with and without PDD.
Conclusion: These results suggest that children with PDD with concomitant symptoms of inattention, hyperactivity and impulsivity may have true comorbid ADHD. If confirmed, these findings challenge the exclusionary criteria for the diagnosis of ADHD in PDD youth.
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Citation: J.A. Frazier, J. Biederman, C.A. Bellordre, S.B. Garfield, D.A. Geller, B.J. Coffey, and S.V. Faraone. Should the diagnosis of Attention-Deficit/ Hyperactivity disorder be considered in children with Pervasive Developmental Disorder? Journal of Attention Disorders, April 2001 4: 203-211, doi:10.1177/108705470100400402
Frazier, Jean A.; Biederman, Joseph; Bellordre, Christine A.; Garfield, Stacey B.; Geller, Daniel A.; Coffey, Barbara J.; and Faraone, Stephen V., "Should the diagnosis of Attention-Deficit/ Hyperactivity disorder be considered in children with Pervasive Developmental Disorder?" (2001). Psychiatry Publications and Presentations. 427.