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Abstract

The Diagnostic and Statistical Manual of Mental Disorders, fourth edition (American Psychiatric Association, 1994) has differentiated children with attentional deficits with hyperactivity from those with only attentional deficits. Research has also found that children with Attention Deficit Hyperactivity Disorder (ADHD) and children with Undifferentiated Attention Deficit Disorder (UADD) have different diagnostic characteristics, and different psychological outcomes. However, research has not investigated whether children with ADHD and children with UADD are treated differently educationally. The primary purpose of this study was to examine the types of medical and educational services received by children with Attention Deficit Hyperactivity Disorder (ADHD) and children with Undifferentiated Attention Deficit Disorder (UADD). Children with ADHD were reportedly diagnosed more than one year earlier than were children with UADD. Interestingly, even though children were differentially diagnosed, we found that children with ADHD and children with UADD received similar educational and medical interventions. The implications of these findings are discussed.

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References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders, 3rd edn, revised. Washington, DC: Author.

American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders, 4th edn, revised. Washington, DC: Author.

Barkley, R.A. (1989) 'Attention-Deficit-Hyperactivity-Disorder', in E.J. Mash and R.A. Barkley (eds) Treatment of Childhood Disorders, pp. 39-72. New York: Guilford Press.

Barkley, R.A. (1990) Attention Deficit Hyperactivity Disorder: A Handbook for Diagnosis and Treatment. New York: Guilford Press.

Barkley, R.A. , DuPaul, G.J. and McMurray, M.B. (1990) 'Comprehensive Evaluation of Attention Deficit Disorder with and without Hyperactivity as Defined by Research Criteria', Journal of Consulting and Clinical Psychology 58: 775-789.

Brown, T.E. (1995) 'Differential Diagnosis of ADD versus ADHD in Adults', in Kathleen G. Nadeau (ed.) A Comprehensive Guide to Attention Deficit Disorder in Adults: Research, Design, and Treatment. New York: Brunner/Mazel.

Busch, B. (1993) 'Attention Deficits: Current Concepts, Controversies, Management, and Approaches to Classroom Instruction', Annals of Dyslexia 43: 5-25.

Dykman, R.A. and Ackerman, P.T. (1993) 'Behavioral Subtypes of Attention Deficit Disorder', Exceptional Children 60: 132-141.

Goodman, R. and Stevenson, J. (1989) 'A Twin Study of Hyperactivity-II. The Aetiological Role of Genes, Family Relationships and Perinatal Adversity', Journal of Child Psychology and Psychiatry 30: 691-709.

10.

Healey, J.M. , Newcorn, J.H. , Halperin, J.M. , Wolf, L.E. , Pascualvaca, D.M. , Schmeidler, J. and O'Brien, J.D. (1993) 'The Factor Structure of ADHD Items in DSM-III-R: Internal Consistency and External Validation', Journal of Abnormal Child Psychology 21: 441-453.

11.

Lahey, B.B. and Carlson, C.L. (1991) 'Validity of the Diagnostic Category of Attention Deficit Disorder without Hyperactivity: A Review of the Literature', Journal of Learning Disabilities 24: 110-120.

12.

McIntosh, D.E. , Mulkins, R.S. and Dean, R.S. (1995) 'Utilization of Maternal Perinatal Risk Indicators in the Differential Diagnosis of ADHD and UADD Children', International Journal of Neuroscience 81: 35-46.

13.

Miller, D. (1977) Handbook of Research Design and Social Measurement, 3rd edn. New York: David McKay.

14.

Mulkins, R.S. (1993) 'Differentiation between Children with Attention Deficit-Hyperactivity Disorder and Children with Undifferentiated Attention Deficit Disorder using the Maternal Perinatal Scale'. Unpublished doctoral dissertation, Oklahoma State University, Stillwater.

15.

Pelham, W.E. , Evans, S.W. , Gnagy, E.M. and Greenslade, K.E. (1992)'Teacher Ratings of DSM-III-R Symptoms for the Disruptive Behavior Disorders: Prevalence, Factor Analyses, and Conditional Probabilities in a Special Education Sample', School Psychology Review 21: 285-299.

16.

Rapport, M.D. , DuPaul, G.J. , Stoner, G. and Jones, J.T. (1986) 'Comparing Classroom and Clinic Measurement of Attention Deficit Disorder: Differential, Idiosyncratic, and Dose-response Effects of Methylphenidate', Journal of Applied Behavior Analysis 15: 205-216.

17.

Reid, R. , Maag, J.W. , Vasa, S.F. and Wright, G. (1994) 'Who are the Children with Attention Deficit-Hyperactivity Disorder? A School-based Survey', The Journal of Special Education 28: 117-137.

18.

Silver, A.A. (1992) 'The Heterogeneity of ADHD and some Implications for Education', paper presented at the meeting of the International Conference of the Learning Disabilities Association, Atlanta, GA (March).

19.

Stanford, L.D. and Hynd, G.W. (1994) 'Congruence of Behavioral Symptomalogy in Children with ADD/H, ADD/WO, and Learning Disabilities', Journal of Learning Disabilities 27: 243-253.

20.

Szatmari, P. , Offord, D.R. and Boyle, M.H. (1989) 'Ontario Child Health Study: Prevalence of Attention Deficit Disorder with Hyperactivity', Journal of Child Psychology and Psychiatry 30: 219-230.

21.

Walker, J.L. , Lahey, B.B. , Hynd, G.W. and Frame, C.L. (1987) 'Comparison of Specific Patterns of Antisocial Behavior in Children with Conduct Disorder with or without Coexisting Hyperactivity', Journal of Consulting and Clinical Psychology 55: 910-913.

Characteristics and Types of Services Received by Children with Two Types of Attention Deficits

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