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Abstract
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OBJECTIVE
This study's objective was to compare the demographic patterns in the diagnosed prevalence of attention-deficit/hyperactivity disorder (ADHD) to oppositional defiant disorder and conduct disorder (ODD/CD) in a national sample, with consideration for children with both disorders. Prior to 2013, these frequently co-occurring disorders have been nosologically grouped together in the Diagnostic and Statistical Manual of Mental Disorders (DSM) as behavioral disorders with childhood onset. However in the 2013 DSM-5, ADHD was grouped with neurodevelopmental disorders, and ODD and CD were grouped with disruptive disorders. Investigating the epidemiology of ADHD and ODD/CD has the potential to inform efforts to diagnose, treat, and manage these disorders. This information is particularly relevant for pediatricians, who are the single largest group of diagnosing physicians, diagnosing approximately 39% of children with ADHD.
Methods
Data from the 2011-2012 National Survey of Children's Health (NSCH) were analyzed; this telephone survey of parents and guardians (herein referred to as parents) included a variety of indicators of children's health and well-being. The sampling frame comprised households screened for the National Immunization Survey, a continuous list-assisted random-digit-dialed survey. One child was randomly selected from households with any children under the age of 18 as the interview subject. The survey completion rate was 54.1% for the landline sample and 41.2% for the cell phone sample; the overall survey response rate was 23.0%.5 The analyses were restricted to children aged 4 to 17 years with valid responses on sex and both of the diagnosis variables of interest (n = 75 778).
The diagnosis variables …
Language: en |