Comparing Methods to Determine Persistence of Childhood ADHD Into Adulthood: A Prospective,Population-Based Study

Abstract

Objective: To compare the rate of persistence of ADHD into adulthood as determined by a norm-referenced versus non-norm-referenced diagnostic interview, and by standardized questionnaires. Method: Adults from a birth cohort, including research-identified childhood ADHD cases (N = 232; M_age = 27.0 years; 167 males, 65 females) and controls (N = 335; M_age = 28.6 years; 210 males, 125 females), were administered the M.I.N.I. International Neuropsychiatric Interview, the Murphy–Barkley Symptoms Checklist (MB), and the Wender Utah Rating Scale (WURS) Results: Among the childhood ADHD cases, 29.3% fulfilled criteria for adult ADHD using a norm-referenced approach to M.I.N.I. scoring, versus 13.8% using published M.I.N.I. criteria. Among participants meeting norm-referenced diagnostic criteria, 41.8% and 69.1% were classified as adult ADHD using the MB and WURS, respectively. Conclusion: A non-norm-referenced approach resulted in a significant underestimate of the rate of adult ADHD. Reliance on either of two adult ADHD questionnaires would have further reduced this estimate.

Keywords

ADHD adults diagnosis structured interview questionnaires

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References

American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., Rev.). Washington, DC: Author.

American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

Barbaresi

W. J.

Colligan

R. C.

Weaver

A. L.

Voigt

R. G.

Killian

J. M.

Katusic

S. K.

(2013). Mortality, ADHD, and psychosocial adversity in adults with childhood ADHD: A prospective study. Pediatrics, 131, 637-644. doi:10.1542/peds.2012-2354

Barbaresi

W. J.

Katusic

S. K.

Colligan

R. C.

Pankratz

V. S.

Weaver

A. L.

Weber

K. J.

. . . Jacobsen

S. J.

(2002). How common is attention-deficit/hyperactivity disorder? Incidence in a population-based birth cohort in Rochester, Minn. Archives of Pediatrics & Adolescent Medicine, 156, 217-224. doi:10.1001/archpedi.156.3.217

Barkley

R. A.

Fischer

Smallish

Fletcher

(2002). The persistence of attention-deficit/hyperactivity disorder into young adulthood as a function of reporting source and definition of disorder. Journal of Abnormal Psychology, 111, 279-289.

Barkley

R. A.

Murphy

K. R.

Fischer

(2008). ADHD in adults: What the science says. New York, NY: Guilford Press.

Biederman

Mick

Faraone

S. V.

(2000). Age-dependent decline of symptoms of attention deficit hyperactivity disorder: Impact of remission definition and symptom type. The American Journal of Psychiatry, 157, 816-818.

10.

Biederman

Petty

C. R.

Clarke

Lomedico

Faraone

S. V.

(2011). Predictors of persistent ADHD: An 11-year follow-up study. Journal of Psychiatric Research, 45, 150-155. doi:10.1016/j.jpsychires.2010.06.009

11.

Biederman

Petty

C. R.

Evans

Small

Faraone

S. V.

(2010). How persistent is ADHD? A controlled 10-year follow-up study of boys with ADHD. Psychiatry Research, 177, 299-304. doi:10.1016/j.psychres.2009.12.010

12.

Biederman

Petty

C. R.

Monuteaux

M. C.

Fried

Byrne

Mirto

Faraone

S. V.

(2010). Adult psychiatric outcomes of girls with attention deficit hyperactivity disorder: 11-year follow-up in a longitudinal case-control study. The American Journal of Psychiatry, 167, 409-417. doi:10.1176/appi.ajp.2009.09050736

13.

Dias

Mattos

Coutinho

Segenreich

Saboya

Ayrao

(2008). Agreement rates between parent and self-report on past ADHD symptoms in an adult clinical sample. Journal of Attention Disorders, 12, 70-75. doi:10.1177/1087054707311221

14.

Epstein

J. N.

Kollins

S. H.

(2006). Psychometric properties of an adult ADHD diagnostic interview. Journal of Attention Disorders, 9, 504-514. doi:10.1177/1087054705283575

15.

Faraone

S. V.

Antshel

K. M.

(2008). Diagnosing and treating attention-deficit/hyperactivity disorder in adults. World Psychiatry, 7, 131-136.

16.

Froehlich

T. E.

Lanphear

B. P.

Epstein

J. N.

Barbaresi

W. J.

Katusic

S. K.

Kahn

R. S.

(2007). Prevalence, recognition, and treatment of attention-deficit/hyperactivity disorder in a national sample of US children. Archives of Pediatrics & Adolescent Medicine, 161, 857-864.

17.

Gittelman

Mannuzza

Shenker

Bonagura

(1985). Hyperactive boys almost grown up. I. Psychiatric status. Archives of General Psychiatry, 42, 937-947.

18.

Halperin

J. M.

Trampush

J. W.

Miller

C. J.

Marks

D. J.

Newcorn

J. H.

(2008). Neuropsychological outcome in adolescents/young adults with childhood ADHD: Profiles of persisters, remitters and controls. Journal of Child Psychology and Psychiatry, 49, 958-966. doi:10.1111/j.1469-7610.2008.01926.x

19.

Katusic

S. K.

Barbaresi

W. J.

Colligan

R. C.

Weaver

A. L.

Leibson

C. L.

Jacobsen

S. J.

(2005). Case definition in epidemiologic studies of AD/HD. Annals of Epidemiology, 15, 430-437. doi:10.1016/j.annepidem.2004.12.004

20.

Katusic

S. K.

Colligan

R. C.

Barbaresi

W. J.

Schaid

D. J.

Jacobsen

S. J.

(1998). Potential influence of migration bias in birth cohort studies. Mayo Clinic Proceedings, 73, 1053-1061.

21.

Kessler

R. C.

Adler

Barkley

Biederman

Conners

C. K.

Demler

. . . Zaslavsky

A. M.

(2006). The prevalence and correlates of adult ADHD in the United States: Results from the National Comorbidity Survey Replication. The American Journal of Psychiatry, 163, 716-723. doi:10.1176/appi.ajp.163.4.716

22.

Kessler

R. C.

Adler

L. A.

Barkley

Biederman

Conners

C. K.

Faraone

S. V.

. . . Zaslavsky

A. M.

(2005). Patterns and predictors of attention-deficit/hyperactivity disorder persistence into adulthood: Results from the national comorbidity survey replication. Biological Psychiatry, 57, 1442-1451. doi:10.1016/j.biopsych.2005.04.001

23.

Knouse

L. E.

Bagwell

C. L.

Barkley

R. A.

Murphy

K. R.

(2005). Accuracy of self-evaluation in adults with ADHD: Evidence from a driving study. Journal of Attention Disorders, 8, 221-234. doi:10.1177/1087054705280159

24.

Lahey

B. B.

Applegate

McBurnett

Biederman

Greenhill

Hynd

G. W.

. . . Shaffer

(1994). DSM-IV field trials for attention deficit hyperactivity disorder in children and adolescents. The American Journal of Psychiatry, 151, 1673-1685.

25.

Lara

Fayyad

de Graaf

Kessler

R. C.

Aguilar-Gaxiola

Angermeyer

. . . Sampson

(2009). Childhood predictors of adult attention-deficit/hyperactivity disorder: Results from the World Health Organization World Mental Health Survey Initiative. Biological Psychiatry, 65, 46-54. doi:10.1016/j.biopsych.2008.10.005

26.

Loney

Ledolter

Kramer

J. R.

Volpe

R. J.

(2007). Retrospective ratings of ADHD symptoms made at young adulthood by clinic-referred boys with ADHD-related problems, their brothers without ADHD, and control participants. Psychological Assessment, 19, 269-280. doi:10.1037/1040-3590.19.3.269

27.

Magnusson

Smari

Sigurdardottir

Baldursson

Sigmundsson

Kristjansson

. . . Gudmundsson

O. O.

(2006). Validity of self-report and informant rating scales of adult ADHD symptoms in comparison with a semistructured diagnostic interview. Journal of Attention Disorders, 9, 494-503. doi:10.1177/1087054705283650

28.

Mannuzza

Klein

R. G.

Klein

D. F.

Bessler

Shrout

(2002). Accuracy of adult recall of childhood attention deficit hyperactivity disorder. The American Journal of Psychiatry, 159, 1882-1888.

29.

Mannuzza

Klein

R. G.

Moulton

J. L.

3rd. (2003). Persistence of Attention-Deficit/Hyperactivity Disorder into adulthood: What have we learned from the prospective follow-up studies? Journal of Attention Disorders, 7, 93-100.

30.

McCann

B. S.

Scheele

Ward

Roy-Byrne

(2000). Discriminant validity of the Wender Utah Rating Scale for attention-deficit/hyperactivity disorder in adults. The Journal of Neuropsychiatry & Clinical Neurosciences, 12, 240-245.

31.

Melton

L. J.

III . (1996). History of the Rochester Epidemiology Project. Mayo Clinic Proceedings, 71, 266-274.

32.

Murphy

Barkley

R. A.

(1996). Prevalence of DSM-IV symptoms of ADHD in adult licensed drivers: Implications for clinical diagnosis. Journal of Attention Disorders, 1, 147-161.

33.

Murphy

Schachar

(2000). Use of self-ratings in the assessment of symptoms of attention deficit hyperactivity disorder in adults. The American Journal of Psychiatry, 157, 1156-1159.

34.

O’Donnell

J. P.

McCann

K. K.

Pluth

(2001). Assessing adult ADHD using a self-report symptom checklist. Psychological Reports, 88(3, Pt. 1), 871-881. doi:10.2466/pr0.2001.88.3.871

35.

Okie

(2006). ADHD in adults. The New England Journal of Medicine, 354, 2637-2641. doi:10.1056/NEJMp068113

36.

Rasmussen

Gillberg

(2000). Natural outcome of ADHD with developmental coordination disorder at age 22 years: A controlled, longitudinal, community-based study. Journal of the American Academy of Child & Adolescent Psychiatry, 39, 1424-1431. doi:10.1097/00004583-200011000-00017

37.

Rossini

E. D.

O’Connor

M. A.

(1995). Retrospective self-reported symptoms of attention-deficit hyperactivity disorder: Reliability of the Wender Utah Rating Scale. Psychological Reports, 77, 751-754.

38.

Sheehan

D. V.

Lecrubier

Sheehan

K. H.

Amorim

Janavs

Weiller

. . . Dunbar

G. C.

(1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59(Suppl. 20), 22-33; quiz 34-57.

39.

Sheehan

D. V.

Lecrubier

Sheehan

K. H.

Janavs

Weiller

Keskinar

. . . Dunbar

G. C.

(1997). The validity of the Mini International Neuropsychiatric Interview (MINI) according to the SCID-P and its reliability. European Psychiatry, 12, 232-241.

40.

Stein

M. A.

Sandoval

Szumowski

Roizen

Reinecke

M. A.

Blondis

T. A.

Klein

(1995). Psychometric characteristics of the Wender Utah Rating Scale (WURS): Reliability and factor structure for men and women. Psychopharmacology Bulletin, 31, 425-433.

41.

Subcommittee on Attention-Deficit/Hyperactivity Disorder, Steering Committee on Quality Improvement and Management, Wolraich

Brown

R. T.

DuPaul

. . . Visser

(2011). ADHD: Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics, 128, 1007-1022. doi:10.1542/peds.2011-2654

42.

Suhr

Zimak

Buelow

Fox

(2009). Self-reported childhood attention-deficit/hyperactivity disorder symptoms are not specific to the disorder. Comprehensive Psychiatry, 50, 269-275. doi:10.1016/j.comppsych.2008.08.008

43.

Ward

M. F.

Wender

P. H.

Reimherr

F. W.

(1993). The Wender Utah Rating Scale: An aid in the retrospective diagnosis of childhood attention deficit hyperactivity disorder. The American Journal of Psychiatry, 150, 885-890.

44.

Zucker

Morris

M. K.

Ingram

S. M.

Morris

R. D.

Bakeman

(2002). Concordance of self- and informant ratings of adults’ current and childhood attention-deficit/hyperactivity disorder symptoms. Psychological Assessment, 14, 379-389.