Individual child factors affecting the diagnosis of attention deficit hyperactivity disorder (ADHD) in children and adolescents: a systematic review.

Attention deficit hyperactivity disorder (ADHD) is a prevalent condition characterised by patterns of inattention, hyperactivity, and impulsivity. This systematic literature review aims to identify the child clinical and sociodemographic factors related to the detection and diagnosis of ADHD in chil...

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Publicado en:European Child & Adolescent Psychiatry Vol. 34; no. 5; pp. 1469 - 1497
Autores principales: Tam, Lok Yee Chloe, Taechameekietichai, Yanisa, Allen, Jennifer L.
Formato: research systematic review tables/charts Journal Article
Publicado: Springer Nature May2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2025
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        atl: Individual child factors affecting the diagnosis of attention deficit hyperactivity disorder (ADHD) in children and adolescents: a systematic review.
      aug:
        au:
          Tam, Lok Yee Chloe
          Taechameekietichai, Yanisa
          Allen, Jennifer L.
        affil: https://ror.org/002h8g185 Department of Psychology, University of Bath, 10 West, Claverton Down, BA2 7AY, Bath, UK
      sug:
        subj:
          Attention Deficit Hyperactivity Disorder Diagnosis
          Attention Deficit Hyperactivity Disorder Diagnosis
          Attention Deficit Hyperactivity Disorder Epidemiology
          Attention Deficit Hyperactivity Disorder Symptoms
          Severity of Illness
          Human
          Male
          Female
          Child
          Adolescence
          Systematic Review
          Sociodemographic Factors
          Comorbidity
          Behavioral and Mental Disorders
          Internalizing Behavior
          Social Participation
          Cognition
          Wellness
          Social Class
          Insurance Coverage
          Age Factors
          Sex Factors
          Race Factors
          Ethnic Groups
          Psycinfo
          Medline
          Embase
          ERIC Database
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Attention deficit hyperactivity disorder (ADHD) is a prevalent condition characterised by patterns of inattention, hyperactivity, and impulsivity. This systematic literature review aims to identify the child clinical and sociodemographic factors related to the detection and diagnosis of ADHD in children and adolescents, given concerns about delays or failures in identifying ADHD as well as over-diagnosis, hindering appropriate and timely support for children and families. Through electronic and manual searches of peer-reviewed and grey literature, 5852 articles were identified and subjected to two stages of screening by independent reviewers. Due to the heterogeneity in study methods, a narrative approach was used to summarise study findings. Forty-one studies meeting eligibility criteria revealed sixteen child-related factors influencing the ADHD diagnostic process. These factors include ADHD subtype, ADHD symptom severity, comorbid mental disorders, behavior problems, internalizing symptoms, functional impairment, social and cognitive functioning, physical health, gender, age, relative age, race/ethnicity, socio-economic status, insurance coverage, residence urbanicity, and family structure. While the impact of many of these factors on ADHD diagnosis was inconsistent due to the substantial diversity in study designs and context, certain patterns emerged. Meeting the criteria for the inattentive subtype, lower functional impairment, female gender, Black or Latinx ethnicity, and being relatively young for their grade were consistently found to be associated with a delayed or absent ADHD diagnosis. Further research is needed to explore the intricate relationships between these child-level variables and their implications for ADHD recognition, referral, and evaluation, especially outside the USA.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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