Four-year follow-up of children with low intelligence and ADHD: a replication

Aman, Michael G.; Armstrong, Sharon C.; Buican, Brett; Sillick, Traci

doi:10.1016/s0891-4222(02)00090-2

Cited by 31 publications

(13 citation statements)

References 20 publications

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“…However, the ABC was designed to measure behavioral deficits in this age group, and the hyperactivity subscale has been used in previous work as a measure of ADHD symptoms in ASD (Arnold et al 2006; Troost et al 2006; Charnsil 2011). Studies of ABC scores in children with ADHD (Aman et al 2002; Aman et al 2004; Hillard et al 2013) have also supported the validity of this subscale in capturing ADHD symptoms. We also used only mother-report ABC scores, and did not have other informant reports available, though studies reporting high inter-rater reliability for the ABC (Aman et al 1985; Miller et al 2004) suggest the use of maternal report alone may be sufficient to capture ADHD symptoms.…”

Section: Discussionmentioning

confidence: 87%

Inattention and hyperactivity in association with autism spectrum disorders in the CHARGE study

Lyall

Schweitzer

Schmidt

et al. 2017

Research in Autism Spectrum Disorders

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Background Attention deficits in young children with autism spectrum disorder (ASD) are not well understood. This study sought to determine: 1) the prevalence of ADHD symptoms in young children with ASD, typical development (TD), and developmental delay (DD) and 2) the association between ADHD symptoms and cognitive and behavioral functioning in children with ASD. Method ADHD symptoms, defined according to Aberrant Behavior Checklist (ABC) hyperactivity subscale scores, were compared across children aged 2–5 from a large case-control study with ASD (n=548), TD (n=423), and DD (n=180). Inattention and hyperactivity items within this subscale were also explored. Within the ASD group, linear and logistic regression were used to examine how ADHD symptoms were associated with cognition as assessed by the Mullen Scales of Early Learning and adaptive functioning as assessed by the Vineland Adaptive Behavior Scales. Results Mean hyperactivity subscale scores were lowest in children with TD (mean=3.19), higher in children with DD (12.3), and highest in children with ASD (18.2; between-group p<0.001). Among children with ASD, significant associations were observed with higher ADHD symptoms and poorer adaptive and cognitive functioning (adjusted beta for hyperactivity score in association with: Vineland composite = −5.63, p=0.0005; Mullen visual reception scale = −2.94, p=0.02; for the highest vs. lowest quartile of hyperactivity score, odds of lowest quintile of these scores was approximately doubled). Exploratory analyses highlighted associations with inattention-related items specifically. Conclusion These results suggest ADHD symptoms may play a key role in the functioning of young children with ASD.

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Section: Discussionmentioning

confidence: 87%

Inattention and hyperactivity in association with autism spectrum disorders in the CHARGE study

Lyall

Schweitzer

Schmidt

et al. 2017

Research in Autism Spectrum Disorders

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“…Among service studies the categories included therapeutic foster care, 269 day treatment, 270 and systems of care. 271 In the current update, additional diagnostic categories emerged: 1) comorbid conditions (n=12), 169,199 including mental health and substance abuse disorders 77 and mental health/intellectual functioning; 45,125 2) posttraumatic stress disorder and associated symptoms (n=11); 82,87,161 3)bipolar disorder (n=1); 177 4) personality disorder (n=1), 162 and 5) an “Other” category (n=5) that included Tourette’s Syndrome, tics, 264 and risk of self-harm. 123 Consistent with the prior review, service studies focused on systems of care 65–66 and residential treatment.…”

Section: Resultsmentioning

confidence: 99%

“…Of these, 200 original studies and 224 total articles met criteria and are included in this review. 24,45–267 See Figure 1 for a depiction of our search history, based upon the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). 268 The number of articles exceeds the number of studies because in some cases several articles were published from one study.…”

Section: Methodsmentioning

confidence: 99%

Outcome Domains in Child Mental Health Research Since 1996: Have They Changed and Why Does It Matter?

Hoagwood

Jensen

Acri

et al. 2012

Journal of the American Academy of Child & Adolescent Psych

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Objective Child mental health treatment and services research yield more immediate public health benefit when they focus on outcomes of relevance to a broader group of stakeholders. We reviewed all experimental studies of child and adolescent treatment and service effectiveness published in the last 15 years (1996–2011) and compared the distribution and types of outcome domains to a prior review that focused on studies from the prior 15 years (1980–1995). Method Studies were included if they focused on children from birth to 18 years of age with specific or general psychiatric conditions, employed randomized designs, and examined intervention effects with a six-month or longer post-treatment assessment in treatment studies or a six-month or longer post-baseline assessment for services studies. Two hundred (n=200) studies met criteria. Reported outcome measures were coded into conceptual categories drawn from the 1980–1995 review. Results There was a five-fold increase in the total number of studies (38 versus 200) across the two 15-year time periods, with the largest increase in the number of studies that focused on consumer-oriented outcomes (from 8 to 47 studies, an almost 6-fold increase); two new domains, parent symptoms and health-related outcomes were identified. The majority of studies (95+%) continued to focus on symptoms and diagnoses as an outcome. Impact ratings were higher among studies examining four or more outcomes versus one to two outcomes in all categories with the exception of Posttraumatic Stress Disorder. Conclusions Given major shifts in healthcare policy affecting mental health services, the emergence of health and parent-related outcomes as well as greater attention to consumer perspectives parallels emerging priorities in healthcare and can enhance the relevance of child outcome studies for implementation in the real world.

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“…The long-term impact of ADHD is significant in children with an ID, and can result in anxiety, aggression and social ostracism problems, especially in adolescents (20). Detailed reviews of the topic of ADHD and ID are available (19).…”

Section: Intellectual Disability and Adhdmentioning

confidence: 99%

Behaviour disorders in children with an intellectual disability

Ageranioti-Bélanger

Brunet

D’Anjou

et al. 2012

Paediatrics &Amp; Child Health

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T he diagnosis of an intellectual disability (ID) relates to a heterogeneous group of individuals, approximately 3% of the population, whose intelligence quotient is <70. Behaviour disorders are frequent in children with an ID, can create problems in everyday life and can mask, or reveal an organic or psychiatric illness. It is crucial to adopt a multidisciplinary approach in treating these behaviours.In the present review, we first describe some general concepts dealing with the management of behaviour disorders in children with an ID, and then provide an overview of, in our experience, the four most common of these disorders: sleep disturbances, agitation (as it relates to attention-deficit hyperactivity disorder [ADHD]), aggression and self-injury. The treatment of organic problems and psychiatric illnesses that may cause behaviour disorders is beyond the scope of the present article. The present article is based on a conventional and complete literature review, with many of the practical suggestions based on the experience of the authors (ie, group consensus). General concepts assessmentThe first step is to obtain an adequate medical history including onset of the behaviour disorder, evolution over time, extenuating or aggravating factors (eg, environmental stressors that could be impacting the child), functional impairment, a family history of psychiatric problems and the impact of the child's behavioural difficulties on other family members. It is also important to have information on the individual's level of functioning including cognitive, adaptive, social-functioning, levels of receptive understanding and expressive language (1). A thorough physical examination is required in all cases.In cases where parents or tutors 'no longer recognize the child' and there are, for example, autonomic symptoms such as loss of appetite combined with a loss of weight or marked changes in sleep habits, a specific questionnaire dealing with psychiatric symptoms must be completed. A family history of depression, loss of interest in favourite activities, evidence of sadness and recent irritability should suggest the possibility of a depression. In investigating a possible anxiety problem, it is important not only to consider the family history, but also the avoidance of specific situations, difficulties with transitions, difficulties encountered in distancing oneself from attachment figures or the presence of adrenergic symptoms (eg, tachycardia, tremor) during a crisis. A bipolar illness must be considered in the presence of a family history or severe agitation cycles alternating with periods of apathy.In most circumstances, a suspected psychiatric etiology would require evaluation and management by a child psychiatrist. The prevalence rate of psychiatric disturbances, in the population of children with an ID, is 20% to 35%, that is, three to five times higher than that for the general population. It is important to rule out the possibility of a psychiatric disturbance when the patient shows behavioural symptoms of recent...

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Four-year follow-up of children with low intelligence and ADHD: a replication

Cited by 31 publications

References 20 publications

Inattention and hyperactivity in association with autism spectrum disorders in the CHARGE study

Inattention and hyperactivity in association with autism spectrum disorders in the CHARGE study

Outcome Domains in Child Mental Health Research Since 1996: Have They Changed and Why Does It Matter?

Behaviour disorders in children with an intellectual disability

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