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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/4021

Title: The use of health care services and psychotropic medication in a community sample of 9-year-old schoolchildren with ADHD
Authors: Tremmery, Sabine
Buitelaar, Jan K.
Steyaert, Jean
Molenberghs, Geert
Feron, Frans J. M.
Kalff, Ariane C.
Hurks, Petra P. M.
Hendriksen, Jos G. M.
Vles, Johan S. H.
Jolles, Jelle
Issue Date: 2007
Abstract: Objective To examine the prevalence of the use of health care services and psychotropic medication within a community sample (N = 283) of 9-year-old school children and, more specifically, to evaluate the use of prescribed stimulants. Methods Data from the second follow-up phase of the "Study of Attention Deficit Maastricht" (SAM) were analysed. Assessments at age 9 included a structured psychiatric interview with parents, behaviour and family situation questionnaire, IQ estimate and global assessment scale. Use of health care services and medication was obtained by the DICA-R and from the Youth Health Care records. Results About 190 children of the selected sample had at least one child psychiatric diagnosis, 26 (14%) of them were clinically referred and 12 (6%) received stimulants. Of the children with ADHD (N = 45), 10/45 (22%) received stimulants. Conversely, 2 out of 12 children who were treated with stimulants did not meet full DSM-IV diagnostic criteria, but were subthreshold ADHD cases. The treatment status was highly dependent on being clinically referred. Conclusion The major finding of our survey is a lack of referral to child mental health services, and associated underdiagnosis and undertreatment, particularly in children with ADHD. There is a critical need to translate and implement the diagnostic and treatment guidelines to clinical practice.
Notes: Univ Hosp, Dept Psychiat, B-9000 Ghent, Belgium. Radboud Univ Nijmegen Med Ctr, Dept Psychiat, Nijmegen, Netherlands. Karakter Child & Adolescent Psychiat Univ Ctr, Nijmegen, Netherlands. Univ Leuven, Dept Psychiat, Louvain, Belgium. Hasselt Univ, Dept Biostat, Hasselt, Belgium. Municipal Hlth Ctr, Youth Hlth Care Serv, Maastricht, Netherlands.Tremmery, S, Univ Hosp, Dept Psychiat, De Pintelaan 185, B-9000 Ghent, Belgium.
URI: http://hdl.handle.net/1942/4021
Link to publication: https://www.researchgate.net/publication/6202825_The_use_of_health_care_services_and_psychotropic_medication_in_a_community_sample_of_9-year-old_schoolchildren_with_ADHD
DOI: 10.1007/s00787-007-0604-5
ISI #: 000249288700007
ISSN: 1018-8827
Category: A1
Type: Journal Contribution
Validation: ecoom, 2008
Appears in Collections: Research publications

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