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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
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: Aug-2007
Publisher: Dr dietrich steinkopff verlag
Series Title: European child & adolescent psychiatry vol:16 issue:5 pages: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.
ISSN: 1018-8827
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Research Group Psychiatry
× corresponding author
# (joint) last author

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