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|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.
Feron, Frans J. M.
Kalff, Ariane C.
Hurks, Petra P. M.
Hendriksen, Jos G. M.
Vles, Johan S. H.
|Issue Date: ||2007|
|Publisher: ||DR DIETRICH STEINKOPFF VERLAG|
|Citation: ||EUROPEAN CHILD & ADOLESCENT PSYCHIATRY, 16(5). p. 327-336|
|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.|
|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|
|ISI #: ||000249288700007|
|Type: ||Journal Contribution|
|Validation: ||ecoom, 2008|
|Appears in Collections: ||Research publications|
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|Published version||259.7 kB||Adobe PDF|
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