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THE DIAGNOSIS OF CHILDHOOD HYPERACTIVITY A U.S.‐U. K. CROSS‐NATIONAL STUDY OF DSM—III and ICD‐9
Author(s) -
Prendergast M.,
Taylor E.,
Rapoport J. L.,
Bartko J.,
Donnelly M.,
Zametkin A.,
Ahearn M. B.,
Dunn G.,
Wieselberg H. M.
Publication year - 1988
Publication title -
journal of child psychology and psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.652
H-Index - 211
eISSN - 1469-7610
pISSN - 0021-9630
DOI - 10.1111/j.1469-7610.1988.tb00717.x
Subject(s) - psychology , inter rater reliability , attention deficit hyperactivity disorder , psychiatry , medical diagnosis , clinical psychology , pediatrics , developmental psychology , medicine , rating scale , pathology
The unequal prevalence of hyperactivity in Britain and the U.S. was investigated with a cross‐national diagnostic study. Case histories of 6–11‐yr‐old boys were evaluated by British and American research teams as well as British and American clinician panels using both ICD‐9 and DSM‐III. Interrater agreement was acceptably high only for the specially trained research teams. ICD‐9 generated fewer diagnoses of Hyperkinetic Syndrome than did DSM‐III of Attention Deficit Disorder with Hyperactivity. The difference was greatest for U.K. clinicians. Diagnostic scheme and clinician training both contribute to the difference in reported rates.