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RESEARCH PRODUCT

Empirically Determined, Psychopathological Subtypes in Children With ADHD

Christine M. FreitagChristina SchwenckSusann HänigHaukur PalmasonSonja BeuthChristiane SeitzEva WesterwaldCatharina SchmidtJobst MeyerYvonne Zenglein

subject

Conduct DisorderMalemedicine.medical_specialtyAdolescentPoison controlCBCLComorbiditybehavioral disciplines and activities03 medical and health sciences0302 clinical medicineRisk Factorsmental disordersInjury preventionDevelopmental and Educational PsychologymedicineCluster AnalysisHumans0501 psychology and cognitive sciencesRisk factorChildPsychiatryChild Behavior ChecklistPsychiatric Status Rating ScalesPsychopathology05 social sciencesmedicine.diseaseComorbidityDiagnostic and Statistical Manual of Mental DisordersClinical PsychologySocioeconomic FactorsAttention Deficit Disorder with HyperactivityAttention Deficit and Disruptive Behavior DisordersConduct disorderFemalePsychology030217 neurology & neurosurgery050104 developmental & child psychologyPsychopathologyClinical psychology

description

OBJECTIVE: The aim of this study was to empirically determine subgroups of ADHD defined by specific patterns of psychopathology. METHOD: A clinical sample of 223 children with ADHD, aged 5 to 14 years, was examined with the Child Behavior Checklist (CBCL). In addition, comorbid psychiatric disorders, psychosocial risk factors, and socioeconomic status were assessed. RESULTS: Cluster analysis of CBCL subscales yielded a solution with four distinct subgroups. While "externalizers" showed a high rate of comorbid oppositional defiant disorder (ODD) and conduct disorder (CD), "obsessive-compulsives" exhibited thought problems, low rates of comorbid CD, and high symptoms of inattention. "High psychiatric symptom carriers" had high rates of familial risk factors, acute life events, comorbid ODD, and CD. "Low psychiatric symptom carriers" also scored low in all other variables studied. CONCLUSION: Children with ADHD can be divided into four subgroups according to their CBCL-based psychopathology, and these subgroups differ in their risk factor profiles. (J. of Att. Dis. 2013; XX(X) XX-XX). Language: en

https://doi.org/10.1177/1087054713508312