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- Title
Which factors impact on clinician-rated impairment in children with ADHD? [corrected] [published erratum appears in EUR CHILD ADOLESC PSYCHIATRY 2009 Mar;18(3):194-6].
- Authors
Coghill D; Spiel G; Baldursson G; Döpfmer M; Lorenzo MJ; Ralston SJ; Rothernberger A; ADORE Study Group
- Abstract
OBJECTIVES : To describe the associations between a range of demographic, family and clinical factors and clinician-rated measures of global impairment in children with ADHD symptoms obtained at the baseline assessment in the ADHD Observational Research in Europe (ADORE) study. METHODS : Global impairment was measured by clinicians using the Clinical Global Impression-Severity (CGIS) scale and the Children's Global Assessment Scale (CGAS).Associations with independent variables were investigated using forward-stepwise regression models. RESULTS : For the CGI-S and CGAS analyses, complete data sets were available for 1,265 and 985 children, respectively. The baseline mean CGI-S score in this population was 4.4 (SD 0.9) and the mean CGAS score was 55.0 (SD 10.6). Factors significantly associated with increased impairment on both outcome measures were: increased severity of ADHD symptoms, increased peer relationship problems and presence of oppositional defiant disorder and/or conduct disorder.Also, the presence of anxiety and/or depression and the presence of somatic symptoms were associated with increased impairment on CGI-S,while family health problems and premature birth were associated with increased impairment on CGAS. CONCLUSIONS : The severity of clinician-rated impairment in the ADORE sample is increased by the presence of disruptive behaviour problems and emotional problems, somatic symptoms, peer relationship difficulties, family health problems and premature birth.
- Publication
European Child & Adolescent Psychiatry, 2006, Vol 15, pI/30
- ISSN
1018-8827
- Publication type
Journal Article