Disruptive behaviour disorder with and without attention deficit hyperactivity disorder is a risk of psychiatric hospitalization

2013 ◽  
pp. n/a-n/a ◽  
Author(s):  
T Nordström ◽  
T Hurtig ◽  
I Moilanen ◽  
A Taanila ◽  
H Ebeling
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Attention Deficit ◽  
Psychiatric Hospitalization ◽  
Disruptive Behaviour ◽  
Behaviour Disorder ◽  
Hyperactivity Disorder ◽  
Disruptive Behaviour Disorder

Attention-Deficit Hyperactivity Disorder Subtypes and Comorbid Disruptive Behaviour Disorders in a Child and Adolescent Mental Health Clinic

1998 ◽  
Vol 43 (6) ◽  
pp. 623-628 ◽  
Author(s):  
Justine Lalonde ◽  
Atilla Turgay ◽  
James I Hudson
Keyword(s):  
Mental Health ◽  
Attention Deficit Hyperactivity Disorder ◽  
Attention Deficit ◽  
Child And Adolescent ◽  
Health Clinic ◽  
Mental Health Clinic ◽  
Disruptive Behaviour ◽  
Adhd Subtypes ◽  
Hyperactivity Disorder ◽  
Disruptive Behaviour Disorders

Objective: To assess demographic characteristics and patterns of comorbid disruptive behaviour disorders (oppositional defiant disorder [ODD] or conduct disorder [CD]) in subtypes of attention-deficit hyperactivity disorder (ADHD). Method: One hundred youths consecutively referred to a community child and adolescent mental health clinic and subsequently diagnosed with ADHD by the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria were evaluated. The diagnosis was made by a child psychiatrist and was based on information from physicians, parents, teachers, and diagnostic interviews with the youths and their parents. Results: The major findings were: 1) ADHD combined (C) type was diagnosed in 78% of the subjects, while 15% had inattentive (I) type and 7% had hyperactive—impulsive (HI) type; and 2) patterns of comorbid disruptive behavioural disorders significantly differed among subtypes. Specifically, subjects with the I type showed lower rates of comorbid ODD than those with the C type (33% and 85%; P < 0.001) and HI type (33% and 100%; P = 0.005); subjects with the HI type displayed a higher prevalence of CD than those with the I type (57% and 0%; P = 0.005) and C type (57% and 8%; P = 0.003). These results should be considered tentative because the reliability of the diagnostic procedures was not formally assessed and the number of subjects in the I and HI groups was small. Conclusion: ADHD subtypes showed significant differences in the distribution of comorbid disruptive behaviour disorders. These results support the utility of ADHD subtypes but should be replicated with a larger sample of I and HI type subjects using more rigorous diagnostic methods.

Using the Achenbach Child Behaviour Checklist in the differential diagnosis of disruptive behaviour disorders

1997 ◽  
Vol 14 (4) ◽  
pp. 136-138 ◽  
Author(s):  
Thomas P Kelly ◽  
Paul McArdle
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Differential Diagnosis ◽  
Conduct Disorder ◽  
Attention Deficit ◽  
Child Behaviour ◽  
Disruptive Behaviour ◽  
Child Behaviour Checklist ◽  
Hyperactivity Disorder ◽  
Oppositional Defiant ◽  
Disruptive Behaviour Disorders

AbstractObjective: The report considers the utility of the Achenbach Child Behaviour Checklist in the differential diagnosis of the disruptive behaviour disorders.Method: Subscale scores on the parent completed Achenbach Child Behaviour Checklist were compared for three of 15 boys, the first diagnosed with attention deficit hyperactivity disorder, the second diagnosed with oppositional defiant disorder and a third non-clinical control.Result: The attention subscale of the Achenbach Child Behaviour Checklist was found to have a high level of sensitivity to children diagnosed with attention deficit hyperactivity disorder, but relatively poor specificity. The delinquent subscale was found to have limited sensitivity for oppositional defiant/conduct disorder group, but high levels of specificity. The aggressive subscale were found to have relatively high sensitivity for the oppositional defiant/conduct disorder group and relatively high specificity.Conclusion: The Achenbach Child Behaviour Checklist is useful in distinguishing between children with disruptive behaviour disorders and a non-clinical sample. The aggressive subscale appears to have potential clinical utility in the differential diagnosis of the disruptive behaviour disorders.

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