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Discrimination between attention deficit hyperactivity disorder and reactive attachment disorder in school aged children

Follan, Michael and Anderson, Seonaid and Huline-Dickens, Sarah and Lidstone, Emma and Young, David and Brown, Gordon and Minnis, Helen (2011) Discrimination between attention deficit hyperactivity disorder and reactive attachment disorder in school aged children. Research in Developmental Disabilities, 32 (2). pp. 520-526. ISSN 0891-4222

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Abstract

We aimed to determine whether it is possible to discriminate between children with attention deficit hyperactivity disorder (ADHD) and children with reactive attachment disorder (RAD) using standardized assessment tools for RAD. The study involved 107 children: 38 with a diagnosis of RAD and 30 with ADHD were recruited through community child and adolescent mental health services (CAMHS) and specialist ADHD clinics. In addition, 39 typically developing children were recruited through family practice. Clinicians were trained to use a standardized assessment package for RAD using a DVD with brief follow-up support. Discriminant function analysis was used to identify the items in the standardized assessment package that best discriminated between children with ADHD and children with RAD. Clinicians' ratings of RAD symptoms were reliable, particularly when focusing on eight core DSM-IV symptoms of RAD. Certain parent-report symptoms were highly discriminatory between children with ADHD and children with RAD. These symptoms included "cuddliness with strangers" and "comfort-seeking with strangers". A semi-structured interview with parents, observation of the child in the waiting room and teacher report of RAD symptoms aided diagnostic discrimination between the groups. Clinical diagnosis of RAD can be made reliably by clinicians, especially when focusing on eight core RAD symptoms. Clear discrimination can be made between children with RAD and children with ADHD.

Item type: Article
ID code: 31468
Notes: Copyright © 2011 Elsevier Ltd. All rights reserved.
Keywords: reactive attachment disorder, attention deficit hyperactivity disorder, co-morbidity, diagnosis, ADHD, Probabilities. Mathematical statistics, Clinical Psychology, Developmental and Educational Psychology
Subjects: Science > Mathematics > Probabilities. Mathematical statistics
Department: Faculty of Science > Mathematics and Statistics
Related URLs:
Depositing user: Pure Administrator
Date Deposited: 13 Jun 2011 15:22
Last modified: 27 Mar 2014 09:23
URI: http://strathprints.strath.ac.uk/id/eprint/31468

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