Yuki K, Bhagia J, Mrazek D, Jensen PS. How does a real-world child psychiatric clinic diagnose and treat attention deficit hyperactivity disorder? World J Psychiatr 2016; 6(1): 118-127 [PMID: 27014602 DOI: 10.5498/wjp.v6.i1.118]
Corresponding Author of This Article
Kumi Yuki, MD, Research Scientist, REACH Institute, 485 7th Ave #1510, New York, NY 10018, United States. kumiyuki1026@gmail.com
Research Domain of This Article
Psychiatry
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Table 3 Comparison of psychiatrists’ diagnoses of oppositional defiant disorder with parent or teacher Vanderbilt attention deficit hyperactivity disorder Diagnostic Rating Scale n (%)
Psychiatrist ODDdiagnosis
Total
Negative
Positive
Vanderbilt
Negative
27 (46)
3 (5)
30 (51)
ODD
screening
Positive
17 (29)
12 (20)
29 (49)
Total
44 (75)
15 (25)
59
Table 4 Total parent and teacher oppositional defiant disorder scale scores, grouped by positive/negative oppositional defiant disorder diagnostic criteria, child and adolescent psychiatrist vs vanderbilt attention deficit hyperactivity disorder diagnostic rating scale
Table 5 Psychiatric treatment recommendations for attention deficit hyperactivity disorder patients with vs without oppositional defiant disorder comorbidity (n = 59)
Diagnostic source
ODD
n
Medication therapy only
Behavior therapy only
Combined treatment
CAP
Negative
27
15 (25%)
1 (2%)
11 (19%)
VADRS
Negative
CAP
Negative
17
3 (5%)
0 (0%)
14 (24%)
VADRS
Positive
CAP
Positive
3
0 (0%)
1 (2%)
2 (3%)
VADRS
Negative
CAP
Positive
12
0 (0%)
3 (5%)
9 (15%)
VADRS
Positive
Total (%)
18 (30%)
5 (9%)
36 (61%)
Citation: Yuki K, Bhagia J, Mrazek D, Jensen PS. How does a real-world child psychiatric clinic diagnose and treat attention deficit hyperactivity disorder? World J Psychiatr 2016; 6(1): 118-127