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Diagnostic Outcomes of Childhood ADHD in Chinese Adults
- Source :
- Journal of Attention Disorders. 24:126-135
- Publication Year :
- 2018
- Publisher :
- SAGE Publications, 2018.
-
Abstract
- Objective: We examined adulthood diagnostic, functioning, and social outcomes of childhood ADHD in a Hong Kong Chinese clinical sample. Method: We identified from the central registry 499 Chinese adults clinically diagnosed with ADHD aged 6 to 12 in 2002-2005 in four Hong Kong child psychiatric centers. Assessments included ADHD Clinical Diagnostic Scale (ACDS), Structured Clinical Interview for DSM Disorders (SCID), and World Health Organization Disability Assessment Schedule (WHO-DAS). Results: Eligible participants = 499. One hundred forty-five completed assessments, two deceased, six incarcerated, 100 had invalid contact, 83 declined, 34 emigrated, and 129 unable to attend. Mean follow-up duration = 14.9 years. Nonrespondents were slightly younger (19.78 vs. 20.53, p < .001). In all, 83.1% of all participants currently met Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) ADHD criteria (36.8% inattentive subtype (IA), 43% combined, 3.3% hyperactive/impulsive subtype (H/I) ). One third of persistent ADHD participants currently received care. ADHD persistence was associated with significantly increased psychiatric comorbidity (49.5% vs. 22.7%, p = .02) and poor academic and social outcomes. ADHD persistence and comorbidity independently predicted impairment. Conclusion: Adulthood-persistence of clinically presented childhood ADHD is common and impairing in Hong Kong Chinese.
- Subjects :
- Adult
Persistence (psychology)
Longitudinal study
medicine.medical_specialty
Comorbidity
World health
Disability assessment
03 medical and health sciences
Psychiatric comorbidity
0302 clinical medicine
mental disorders
Developmental and Educational Psychology
medicine
Humans
0501 psychology and cognitive sciences
Child
Psychiatry
Clinical interview
05 social sciences
Chinese adults
medicine.disease
Diagnostic and Statistical Manual of Mental Disorders
Clinical Psychology
Attention Deficit Disorder with Hyperactivity
Impulsive Behavior
Hong Kong
Psychology
030217 neurology & neurosurgery
050104 developmental & child psychology
Subjects
Details
- ISSN :
- 15571246 and 10870547
- Volume :
- 24
- Database :
- OpenAIRE
- Journal :
- Journal of Attention Disorders
- Accession number :
- edsair.doi.dedup.....b194e6db0b165c68f6585d0b62130c80