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Teacher reports of ADHD symptoms in Italian children at the end of first grade

Published online by Cambridge University Press:  16 April 2020

Daniele Mugnaini ,
Gabriele Masi ,
Paola Brovedani ,
Chiara Chelazzi ,
Marzenka Matas ,
Caterina Romagnoli  and
Alessandro Zuddas
Daniele Mugnaini
Affiliation:
A. Meyer Children's Hospital, Florence, Italy
Gabriele Masi*
Affiliation:
IRCCS Stella Maris, Scientific Institute of Child Neurology and Psychiatry, Via dei Giacinti 2, 56018 Calambrone, Pisa, Italy
Paola Brovedani
Affiliation:
IRCCS Stella Maris, Scientific Institute of Child Neurology and Psychiatry, Via dei Giacinti 2, 56018 Calambrone, Pisa, Italy
Chiara Chelazzi
Affiliation:
Child Neurology and Psychiatry Service, ASL 10, Firenze, Italy
Marzenka Matas
Affiliation:
Child Neurology and Psychiatry Service, ASL 10, Firenze, Italy
Caterina Romagnoli
Affiliation:
Child Neurology and Psychiatry Service, ASL 10, Firenze, Italy
Alessandro Zuddas
Affiliation:
Department of Neuroscience, University of Cagliari, Cagliari, Italy
*
*Corresponding author. E-mail address: [email protected] (G. Masi).
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Abstract

Objective:

To determine the prevalence of teacher-rated ADHD symptoms in Italian first-graders.

Method:

1891 first-graders aged 6.6–7.4 years were evaluated using a 34-item DSM-IV-referenced ADHD teacher rating questionnaire which included all the 18 DSM-IV ADHD diagnostic criteria, some Oppositional-Defiant Disorder (ODD), Conduct Disorder (CD), depression and anxiety symptoms, and questions about the child's social and scholastic impairment.

Results:

Criteria for ADHD were met in 7.1% (n = 135) of the subjects (10.4% males and 3.8% females), 3.5% with the Inattentive subtype, 2.3% with the Hyperactive/Impulsive subtype and 1.3% with a Combined subtype. Internalizing (depression and/or anxiety) symptoms were reported in 25.9% of the subjects with ADHD symptoms, 17% showed externalizing symptoms (ODD or CD), and 12.6% showed both. Comorbid symptoms were 10 times more frequent than in subjects without ADHD symptoms. Inattentive subtype and scholastic impairment were more frequent in females, Hyperactive/Impulsive subtype and social impairment were more frequent in males.

Conclusions:

Even though the real prevalence of ADHD in first graders is presumably lower than that found in the present study, this screening procedure might allow detecting those children who could benefit from referral for more comprehensive assessments.

Keywords

Attention deficit hyperactivity disorderAnxietyDepressionChildren
Type
Original article
Information
European Psychiatry , Volume 21 , Issue 6 , September 2006 , pp. 419 - 426
Copyright
Copyright © Elsevier SAS 2006

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References

Aaron, P.G.A neuropsychological approach to diagnosis and remediation of learning disabilities J. Clin. Psychol. 1979; 35:326–335.3.0.CO;2-5>CrossRefGoogle ScholarPubMed
Achenbach, T.M., Edelbrock, C.S.The classification of child psychopathology: a review and analysis of empirical effort Psychol. Bull. 1978; 85:1272–1301.CrossRefGoogle Scholar
Alexander, K.L., Entwisle, D.R., Dauber, S.L.First-grade classroom behavior: its short- and long-term consequences for school performance Child Dev. 1993; 64:801–814.CrossRefGoogle Scholar
Barkley, R.A.Attention deficit hyperactivity disorder: a handbook for diagnosis and treatment New York: Guilford Press; 1990.Google Scholar
Baumgartel, M.D., Wolraich, M.L., Dietrich, M.Comparison of diagnostic criteria for attention deficit disorders in a Germany elementary school sample J. Am. Acad. Child Adolesc. Psychiatry 1995; 34:629–638.CrossRefGoogle Scholar
Boyle, M.H., Offord, D.R., Racine, Y., Szatmari, P., Fleming, J.E., Sanford, M.Identifying thresholds for classifying childhood psychiatric disorder: issues and prospects J. Am. Acad. Child Adolesc. Psychiatry 1996; 35:1440–1448.CrossRefGoogle ScholarPubMed
Carlson, C.L., Tamm, L., Miranda, G.Gender differences in children with ADHD, ODD, and co-occurring ADHD/ODD, identified in a school population J. Am. Acad. Child Adolesc. Psychiatry 1997; 36:1706–1714.CrossRefGoogle Scholar
Conners, C.K., Sitarenios, G., Parker, J.D., Epstein, J.N.Revision and restandardization of the Conners Teacher Rating Scale (CTRS-R): factor structure, reliability, and criterion validity J. Abnorm. Child Psychol. 1998; 26:279–291.CrossRefGoogle ScholarPubMed
Dulcan, M.Practice parameters for the assessment and treatment of children, adolescents, and adults with attention-deficit/hyperactivity disorder J. Am. Acad. Child Adolesc. Psychiatry 36(10 Suppl)1997 85S–121S.CrossRefGoogle ScholarPubMed
DuPaul, G.J., Power, T.J., Anastopulos, A.D., Reid, R., McGoey, K.E., Ikeda, M.J.Teacher ratings of attention deficit hyperactivity disorder symptoms: factor structure and normative data Psychol. Assess. 1997; 9:436–444.CrossRefGoogle Scholar
Faraone, S.V., Sargeant, J., Gillberg, C., Biederman, J.The worldwide prevalence of ADHD: it is an American condition? World Psychiatry 2003; 2:104–113.Google ScholarPubMed
Ford, T., Goodman, R., Meltzer, H.The British Child and Adolescent Mental Health Survey 1999: the prevalence of DSM-IV disorders J. Am. Acad. Child Adolesc. Psychiatry 2003; 42:1203–1211.CrossRefGoogle ScholarPubMed
Gallucci, F., Bird, H.R., Berardi, C., Gallai, V., Pfanner, P., Weinberg, A.Symptoms of attention-deficit hyperactivity disorder in an Italian school sample: findings of a pilot study J. Am. Acad. Child Adolesc. Psychiatry 1993; 32:1051–1058.CrossRefGoogle Scholar
Gaub, M., Carlson, C.L.Behavioral characteristics of DSM-IV ADHD in a school-based population J. Abnorm. Child Psychol. 1997; 25:103–111.CrossRefGoogle Scholar
Gomez, R., Harvey, J., Quick, C., Scharer, I., Harris, G.DSM-IV AD/HD: confirmatory factor models, prevalence, and gender and age differences based on parent and teacher ratings of Australian primary school children J. Child Psychol. Psychiatry 1999; 40:265–274.CrossRefGoogle ScholarPubMed
Graetz, B.W., Sawyer, M.G., Hazell, P.L., Harney, F., Baghurst, P.Validity of DSM-IV subtypes in a nationally representative sample of Australian children and adolescents J. Am. Acad. Child Adolesc. Psychiatry 2001; 40:1410–1417.CrossRefGoogle Scholar
Guardiola, A., Fuchs, F.D., Rotta, N.T.Prevalence of attention-deficit hyperactivity disorder in students. Comparison between DSM-IV and neuropsychological criteria Arq. Neuropsiquiatr. 2000; 58:401–407.CrossRefGoogle ScholarPubMed
Jensen, P.S., Watanabe, H.K., Richters, J.E., Cortes, R., Roper, M., Liu, S.Prevalence of mental disorders in military children and adolescents: findings from a two-stage community survey J. Am. Acad. Child Adolesc. Psychiatry 1995; 34:1514–1524.CrossRefGoogle ScholarPubMed
Kadesjo, B., Gillberg, C.The comorbidity of ADHD in the general population of Swedish school-age children J. Child Psychol. Psychiatry 2001; 42:487–492.CrossRefGoogle ScholarPubMed
Kroes, M., Kalff, A.C., Kessels, A.G.H.et al.Child psychiatric diagnoses in a population of Dutch school children aged 6 to 8 years J. Am. Acad. Child Adolesc. Psychiatry 2001; 40:1401–1409.CrossRefGoogle Scholar
Kumpulainen, K., Räsänen, E., Henttonen, I., Hämäläinen, M., Roine, S.The persistence of psychiatric deviance from the age of 8 to the age of 15 years Soc. Psychiatry Psychiatr. Epidemiol. 2000; 35:5–11.CrossRefGoogle ScholarPubMed
Levy, F., Hay, D.A., McStephen, M., Wood, C., Waldman, I.Attention-deficit hyperactivity disorder: a category or a continuum? Genetic analysis of a large-scale twin study J. Am. Acad. Child Adolesc. Psychiatry 1997; 36:737–744.CrossRefGoogle ScholarPubMed
Magnusson, P., Smari, J., Gretarsdottir, H.et al.Attention-deficit hyperactivity disorder: symptoms in Icelandic schoolchildren: assessment with the attention-deficit hyperactivity Rating Scale-IV Scand. J. Psychol. 1999; 40:301–306.CrossRefGoogle ScholarPubMed
Mannuzza, S., Klein, R.G., Moulton, J.L. 3rd Young adult outcome of children with “situational” hyperactivity: a prospective, controlled follow-up study J. Abnorm. Child Psychol. 2002; 30:191–198.CrossRefGoogle ScholarPubMed
Mesman, J., Koot, H.M.Child-Reported Depression and Anxiety in Preadolescence: I. Associations with Parent- and Teacher-Reported Problems J. Am. Acad. Child Adolesc. Psychiatry 2000; 39:1371–1378.CrossRefGoogle ScholarPubMed
Mitsis, E.M., McKay, K.E., Schulz, K.P., Newcorn, J.H., Halperin, J.M.Parent–teacher concordance for DSM-IV attention-deficit/hyperactivity disorder in a clinic-referred sample J. Am. Acad. Child Adolesc. Psychiatry 2000; 39:308–313.CrossRefGoogle Scholar
Nolan, E.E., Gadow, K.D., Spafkin, J.Teacher reports of DSM-IV ADHD, ODD, and CD symptoms in school children J. Am. Acad. Child Adolesc. Psychiatry 2001; 40:241–249.CrossRefGoogle Scholar
Pineda, D., Lopera, D.A., Henao, G.C.et al.Confirmation of the high prevalence of attention deficit disorder in a Colombian community Rev. Neurol. 2001; 32:217–222.Google Scholar
Taylor, E., Sandberg, S., Thorley, G.et al.The epidemiology of childhood hyperactivity London: Oxford University Press; 1991.Google Scholar
Verhulst, F.C., Koot, H.M., Van der Ende, J.Differential predictive value of parents' and teachers' reports of children's problem behaviors: a longitudinal study J. Abnorm. Child Psychol. 1994; 22:531–546.CrossRefGoogle ScholarPubMed
Wolraich, M.L., Feurer, I., Hannah, J.N., Pinnock, T.Y., Baumgaertel, A.Obtaining systematic teacher report of disruptive behavior disorder utilizing DSM-IV J. Abnorm. Child Psychol. 1998; 26:141–152.CrossRefGoogle Scholar
Wolraich, M.L., Hannah, J.N., Baumgaertel, A., Feurer, I.D.Examination of DSM IV criteria for attention-deficit hyperactivity disorder in a country-wide sample J. Dev. Behav. Pediatr. 1998; 19:162–168.CrossRefGoogle Scholar
Wolraich, M.L., Hannah, J.N., Pinnock, T.Y., Baumgaertel, A.Comparison of diagnostic criteria for attention-deficit/hyperactivity disorder in a county-wide sample J. Am. Acad. Child Adolesc. Psychiatry 1996; 35:319–324.CrossRefGoogle Scholar
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