Preschool onset attention-deficit/hyperactivity disorder: course and predictors of stability over 24 months.

Abstract:

OBJECTIVE:The present study examined the course of ADHD over 24 months in a preschool population. METHOD:n=48 preschoolers with ADHD, aged 3.0-5.11 years, subjects included in a larger sample of preschoolers with depression and other disorders (n=306) were comprehensively assessed at 3 annual time points over 24 months in a prospective longitudinal follow-up study. RESULTS:Baseline diagnoses of preschool MDD, ODD, and CD were risk factors for ADHD diagnosis over 24 months in this preschool population. Among older preschoolers and after controlling for key demographic variables, ADHD predicted later ADHD diagnosis, along with other significant risk factors - baseline diagnosis of ODD, and/or family history of disruptive disorders, and stressful life events. CONCLUSIONS:ADHD showed greater homotypic continuity at later rather than earlier preschool ages. Other disruptive comorbidities also emerged as key predictors of stable ADHD course. Study findings may help to inform which preschool ADHD populations to target for early intervention. Larger sample sizes are needed to confirm these findings and to further explore the stability, course, and predictors of outcome of preschool onset ADHD.

authors

Tandon M,Si X,Luby J

doi

10.1089/cap.2010.0045

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

321-30

issue

4

eissn

1044-5463

issn

1557-8992

journal_volume

21

pub_type

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