Overdiagnosis and medication for attention-deficit hyperactivity disorder in children with cleft: diagnostic examination and follow-up

Lynn C Richman; Susan Ryan; Tammy Wilgenbusch; Tom Millard

doi:10.1597/03-047.1

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Overdiagnosis and medication for attention-deficit hyperactivity disorder in children with cleft: diagnostic examination and follow-up

Journal article

Peer reviewed

Overdiagnosis and medication for attention-deficit hyperactivity disorder in children with cleft: diagnostic examination and follow-up

Lynn C Richman, Susan Ryan, Tammy Wilgenbusch and Tom Millard

The Cleft palate-craniofacial journal, Vol.41(4), pp.351-354

07/2004

DOI: 10.1597/03-047.1

PMID: 15222786

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Abstract

To examine the diagnosis of attention-deficit hyperactivity disorder (ADHD) in children with cleft to determine whether language-learning characteristics are taken into account when making this diagnosis. Prospective examination of 177 consecutive patients. Objective behavioral ratings, cognitive assessments, and attention/impulsivity testing of 32 of the 177 children with nonsyndromic cleft lip and palate (CLP) who had previously been diagnosed as ADHD and were receiving medication were performed. the prospective 6- to 9-month follow-up examination was examined to determine the accuracy of prior and posttest diagnoses. University hospital-based cleft palate clinic. Pretest/posttest design to determine accuracy of DSM-IV psychiatric diagnosis. The results show that the proportion of children originally diagnosed with ADHD (18%) was significantly higher than posttest diagnosis of ADHD (6% p <.001). Also, the frequency of pretest diagnosis of learning disorder (LD; 31%) was significantly different from posttest diagnosis (66% p <.01). The overdiagnosis of ADHD and underdiagnosis of LD in this sample of children with nonsyndromic unilateral cleft lip and palate appears to be due to lack of language-learning assessment.

Attention Deficit Disorder with Hyperactivity - diagnosis

Attention Deficit Disorder with Hyperactivity - etiology

Child

Cleft Lip - complications

Cleft Palate - complications

Diagnosis, Differential

Diagnostic Errors

Female

Humans

Language Disorders - diagnosis

Language Disorders - etiology

Learning Disorders - diagnosis

Learning Disorders - etiology

Male

Prospective Studies

Psychometrics

Details

Title: Subtitle: Overdiagnosis and medication for attention-deficit hyperactivity disorder in children with cleft: diagnostic examination and follow-up
Creators: Lynn C Richman - University of Iowa
Susan Ryan - University of Iowa
Tammy Wilgenbusch - University of Iowa
Tom Millard - Together Enhancing Awareness Coalition
Resource Type: Journal article
Publication Details: The Cleft palate-craniofacial journal, Vol.41(4), pp.351-354
DOI: 10.1597/03-047.1
PMID: 15222786
ISSN: 1055-6656
eISSN: 1545-1569
Grant note: DE13076 / NIDCR NIH HHS
Language: English
Date published: 07/2004
Academic Unit: Pediatric Psychology; Stead Family Department of Pediatrics
Record Identifier: 9984353831302771

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