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- Title
DSM-5 and Other Symptom Thresholds for ADHD: Which Is the Best Predictor of Impairment in College Students?
- Authors
Hartung, Cynthia M.; Lefler, Elizabeth K.; Canu, Will H.; Stevens, Anne E.; Jaconis, Maryanne; LaCount, Patrick A.; Shelton, Christopher R.; Leopold, Daniel R.; Willcutt, Erik G.
- Abstract
<bold>Objective: </bold>Approximately 5% of adults have ADHD. Despite recommendations regarding the diagnosis of emerging adults, there is not a strong consensus regarding the ideal method for diagnosing ADHD in both emerging and mature adults. We were interested in determining whether a threshold of four, five, or six ADHD symptoms would be associated with significantly different levels of functional impairment and be more or less indicative of a potential ADHD diagnosis.<bold>Method: </bold>We examined the relation between functional impairment and these ADHD symptom thresholds in 2,577 college students.<bold>Results: </bold>Our findings suggest that none of these symptom thresholds are differentially better at predicting functional impairment.<bold>Conclusion: </bold>The Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) threshold of five symptoms for ages 17 years and older is not necessarily predictive of ADHD-related impairment in college students and may not be preferable to other thresholds. Options for resolving this diagnostic dilemma are discussed.
- Subjects
ATTENTION-deficit hyperactivity disorder; MENTAL health of college students; PSYCHIATRIC diagnosis; SYMPTOMS; DILEMMA
- Publication
Journal of Attention Disorders, 2019, Vol 23, Issue 13, p1637
- ISSN
1087-0547
- Publication type
journal article
- DOI
10.1177/1087054716629216