Correspondence between DSM-III-R and DSM-IV attention-deficit/hyperactivity disorder

Author(s): Faraone, S. V., Weber, W., Russell, R. L., Rater, M., Park, K. S.

Journal/Book: J Amer Acad Child Adolesc Psy. 1997; 36: 351 West Camden St, Baltimore, MD 21201-2436. Williams & Wilkins. 1682-1687.

Abstract: Objective: To evaluate the correspondence between DSM-III-R and DSM-IV of attention-deficit/hyperactivity disorder (ADHD) in clinically referred children. Results of the field trials led to the hypothesis that there would be a strong correspondence between DSM-III-R and DSM-IV subtypes. Method: The sample consisted of all children and adolescents consecutively referred to a pediatric psychopharmacology clinic (N = 405). Children were comprehensively evaluated with structured diagnostic interviews assessing both DSM-III-R and DSM-IV ADHD. DSM-III-R symptoms were used to approximate DSM-IV subtypes. Kappa statistics and conditional probabilities were used to examine the correspondence between DSM-III-R and DSM-IV ADHD. Results: Ninety-three percent of children who received a DSM-III-R diagnosis of ADHD also received a DSM-IV ADHD diagnosis. The kappa coefficient assessing the agreement between DSM-III-R and DSM-IV ADHD was .73 (z = 14.6, p <.0001). The kappa coefficient assessing the agreement between the DSM-III-R-approximated subtypes and the actual DSM-IV subtypes was .71 (z = 15, p <.0001). Conclusion: these results confirm previous findings and indicate that the change from DSM-III-R to DSM-IV results in minimal changes in case identification and provides support for diagnostic continuity between the two classification systems.

Note: Article Biederman J, Massachusetts Gen Hosp, Pediat Psychopharmacol Unit ACC 725, Boston,MA 02114 USA

Keyword(s): attention-deficit/hyperactivity disorder; DSM-III-R; DSM-IV; correspondence; DEFICIT HYPERACTIVITY DISORDER; DIAGNOSTIC-CRITERIA; CHILDREN; SAMPLE

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