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Psychiatric Comorbidity in ADHD Symptom Subtypes in Clinic and Community Adults
Joyce Sprafkin
State University of New York at Stony Brook, oyce.Sprafkin{at}stonybrook.edu
Kenneth D. Gadow
State University of New York at Stony Brook
Margaret D. Weiss
University of British Columbia, Vancouver, Canada
Jayne Schneider
State University of New York at Stony Brook
Edith E. Nolan
State University of New York at Stony Brook
Objective: To compare psychiatric comorbidity between the three symptom subtypes of Attention-Deficit/Hyperactivity Disorder (ADHD), Inattentive (I), Hyperactive-Impulsive (H), and Combined (C), in adults. Method: A clinic sample (N = 487) and a nonreferred community sample (N = 900) completed a DSM-IV-referenced rating scale and a questionnaire (social, educational, occupational, and treatment variables). Participants were assigned to one of four groups: ADHD:I, ADHD:H, ADHD:C, and NONE. Results: All three ADHD symptom groups reported more severe comorbid symptoms than the NONE group; the ADHD:C and NONE groups were the most and least severe, respectively; and there were clear differences between the ADHD:I and ADHD:H groups. The pattern of group differences was similar in both samples. Conclusion: ADHD symptom subtypes in adults are associated with distinct clinical correlates. The diversity of self-reported psychopathology in adults who meet symptom criteria for ADHD highlights the importance of conducting broad-based evaluations. (J. of Att. Dis. 2007; 11(2) 114-124)
Key Words: ADHD adults
References
- American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
- Beck, A.T., & Steer, R.A. (1993). Beck Depression Inventory manual. San Antonio, TX: Psychological Corporation.
- Biederman, J., Faraone, S.V., Mick, E., Wozniak, J., Chen, L., Ouellette, C., et al. (1996). Attention-deficit hyperactivity disorder and juvenile mania: An overlooked comorbidity? Journal of the American Academy of Child and Adolescent Psychiatry, 35, 997-1008.[CrossRef][Medline]
[Order article via Infotrieve]
- Biederman, J., Faraone, S.V., Monuteaux, M.C., Bober, M., & Cadogen, E. (2004). Gender effects on attention-deficit/hyperactivity disorder in adults, revisited. Biological Psychiatry, 55, 692-700.[CrossRef][Medline]
[Order article via Infotrieve]
- Biederman, J., Faraone, S.V., Spencer, T., Wilens, T., Norman, D., Lapey, K.A., et al. (1993). Patterns of psychiatric comorbidity, cognition, and psychosocial functioning in adults with attention deficit hyperactivity disorder. American Journal of Psychiatry, 150, 1792-1798.[Abstract/Free Full Text]
- Biederman, J., Mick, E., Faraone, S.V., Braaten, E., Doyle, A., Spencer, T., et al. (2002). Influence of gender on attention deficit hyperactivity disorder in children referred to a psychiatric clinic. American Journal of Psychiatry, 159, 36-42.[Abstract/Free Full Text]
- Biederman, J., Wilens, T.E., Mick, E., Faraone, S.V., & Spencer, T. (1998). Does attention-deficit hyperactivity disorder impact the developmental course of drug and alcohol abuse and dependence? Biological Psychiatry, 44, 269-273.[CrossRef][Medline]
[Order article via Infotrieve]
- Birnbaum, H.G., Kessler, R.C., Lowe, S.W., Secnik, K., Greenberg, P.E., Leong, S.A., et al. (2005). Costs of attention deficithyperactivity disorder (ADHD) in the US: Excess costs of persons with ADHD and their family members in 2000. Current Medical Research and Opinion, 21, 195-206.[CrossRef][Medline]
[Order article via Infotrieve]
- Blanchard, E.B., Jones-Alexander, J.J., Buckley, T.C., & Forneris, C.A. (1996). Psychometric properties of the PTSD Checklist (PCL). Behaviour Research and Therapy, 34, 669-673.[CrossRef][Medline]
[Order article via Infotrieve]
- Boyle, M.H., Offord, D.R., Racine, Y.A., Szatmari, P., Sanford, M., & Fleming, J.E. (1997). Adequacy of interviews vs. checklists for classifying childhood psychiatric disorder based on parent reports. Archives of General Psychiatry, 54, 793-799.[Abstract/Free Full Text]
- Carlson, G.A. (1998). Mania and ADHD: Comorbidity or confusion? Journal of Affective Disorders, 51, 177-187.[CrossRef][Medline]
[Order article via Infotrieve]
- Conners, C.K., Erhardt, D., & Sparrow, E.P. (1999). Conners' Adult ADHD Rating Scales, technical manual. North Tonowanda, NY: Multi-Health Systems.
- Connor, K.M., Davidson, J.R.T., Churchill, L.E., Sherwood, A., Foa, E., & Weisler, R.H. (2000). Psychometric properties of the Social Phobia Inventory (SPIN). British Journal of Psychiatry, 176, 379-386.[Abstract/Free Full Text]
- Derogatis, L.R. (1993). BSI: Brief Symptom Inventory. Minneapolis, MN: National Computer Systems.
- Derogatis, L.R. (1994). SCL-90-R: Symptom Checklist-90-R: Administration, scoring, and procedures manual. Minneapolis, MN: National Computer Systems.
- Downey, K.K., Stelson, F.W., Pomerleau, O.F., & Giordani, B. (1997). Adult attention deficit hyperactivity disorder: Psychological test profiles in a clinical population. Journal of Nervous and Mental Disease, 185, 32-38.[Medline]
[Order article via Infotrieve]
- Drabick, D.A.G., Gadow, K.D., Carlson, G.A., & Bromet, E.J. (2004). ODD and ADHD symptoms in Ukrainian children: External validators and comorbidity. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 735-743.[CrossRef][Medline]
[Order article via Infotrieve]
- Faraone, S.V., & Biederman, J. (2005). What is the prevalence of adult ADHD? Results of a population screen of 966 adults. Journal of Attention Disorders, 9, 384-391.[Abstract]
- Faraone, S.V., Biederman, J., Weber, W., & Russell, R.L. (1998). Psychiatric, neuropsychological, and psychosocial features of DSM-IV subtypes of attention-deficit/hyperactivity disorder: Results from a clinically referred sample. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 185-193.[CrossRef][Medline]
[Order article via Infotrieve]
- Feighner, J.P., Robins, E., Guze, S.B., Woodruff, R.A., Winokur, G., & Munoz, R. (1972). Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 57-63.[Abstract/Free Full Text]
- Gadow, K.D., & Nolan, E.E. (2002). Differences between preschool children with ODD, ADHD, and ODD+ADHD symptoms. Journal of Child Psychology and Psychiatry, 43, 191-201.[CrossRef][Medline]
[Order article via Infotrieve]
- Gadow, K.D., Sprafkin, J., Carlson, G.A., Schneider, J., Nolan, E.E., Mattison, R.E., et al. (2002). A DSM-IV-referenced adolescent self-report rating scale. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 671-679.[CrossRef][Medline]
[Order article via Infotrieve]
- Gadow, K.D., Sprafkin, J., Schneider, J., Nolan, E.E., Weiss, M.D., & Schwartz, J. (in press). ODD, ADHD, versus ODD + ADHD in clinic and community adults. Journal of Attention Disorders.
- Gadow, K.D., Sprafkin, J., & Weiss, M. (2004). Adult Self-Report Inventory-4 manual. Stony Brook, NY: Checkmate Plus.
- Gaub, M., & Carlson, C.L. (1997a). Behavioral characteristics of DSM-IV ADHD subtypes in a school-based population. Journal of Abnormal Child Psychology, 25, 103-111.[CrossRef][Medline]
[Order article via Infotrieve]
- Gaub, M., & Carlson, C.L. (1997b). Gender differences in ADHD: A meta-analysis and critical review. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1036-1045.[CrossRef][Medline]
[Order article via Infotrieve]
- Graetz, B.W., Sawyer, M.G., Hazell, P.L., Arney, F., & Baghurst, P. (2001). Validity of DSM-IV ADHD subtypes in a nationally representative sample of Australian children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1410-1417.[CrossRef][Medline]
[Order article via Infotrieve]
- Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry, 23, 56-62.[Free Full Text]
- Heiligenstein, E., Conyers, L.M., Berns, A.R., & Miller, M.A. (1998). Preliminary normative data on DSM-IV attention deficit hyperactivity disorder in college students. Journal of American College Health, 46, 185-188.[Medline]
[Order article via Infotrieve]
- Hollingshead, A.B. (1975). Four factor index of social status. New Haven, CT: Yale University.
- Kessler, R.C., Adler, L., Barkley, R., Biederman, J., Conners, C.K., Demler, O., et al. (2006). The prevalence and correlates of adult ADHD in the United States: Results from the National Comorbidity Survey Replication. American Journal of Psychiatry, 163, 716-723.[Abstract/Free Full Text]
- Lahey, B.B., Applegate, B., McBurnett, K., Biederman, J., Greenhill, L., Hynd, G.W., et al. (1994). DSM-IV field trials for attention deficit hyperactivity disorder in children and adolescents. American Journal of Psychiatry, 151, 1673-1685.[Abstract/Free Full Text]
- Larsson, H., Lichtenstein, P., & Larsson, J.O. (2006). Genetic contributions to the development of ADHD subtypes from childhood to adolescence. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 973-981.[CrossRef][Medline]
[Order article via Infotrieve]
- Larsson, J.O., Larsson, H., & Lichtenstein, P. (2004). Genetic and environmental contributions to stability and change of ADHD symptoms between 8 and 13 years of age: A longitudinal twin study. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 1267-1275.[CrossRef][Medline]
[Order article via Infotrieve]
- Levy, F., Hay, D.A., McStephen, M., Wood, C., & Waldman, I. (1997). Attention-deficit hyperactivity disorder: A category or a continuum? Genetic analysis of a large-scale twin study. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 737-744.[CrossRef][Medline]
[Order article via Infotrieve]
- Magnusson, P., Smari, J., Siguroardottir, D., Baldursson, G., Sigmundsson, J., Kristjansson, K., et al. (2006). Validity of self-report and informant rating scales of adult ADHD symptoms in comparison with a semistructured diagnostic interview. Journal of Attention Disorders, 9, 494-503.[Abstract/Free Full Text]
- Mannuzza, S., Klein, R.G., Bessler, A., Malloy, P., & LaPadula, M. (1993). Adult outcome of hyperactive boys: Educational achievement, occupational rank, and psychiatric status. Archives of General Psychiatry, 50, 565-576.[Abstract/Free Full Text]
- Martin, N., Scourfield, J., & McGuffin, P. (2002). Observer effects and heritability of childhood attention-deficit hyperactivity disorder symptoms. British Journal of Psychiatry, 180, 260-265.[Abstract/Free Full Text]
- McGough, J.J., Smalley, S.L., McCracken, J.T., Yang, M., Del'Homme, M., Lynn, D.E., et al. (2005). Psychiatric comorbidity in adult attention deficit hyperactivity disorder: Findings from multiplex families. American Journal of Psychiatry, 162, 1621-1627.[Abstract/Free Full Text]
- Millstein, R.B., Wilens, T.E., Biederman, J., & Spencer, T.J. (1997). Presenting ADHD symptoms and subtypes in clinically referred adults with ADHD. Journal of Attention Disorders, 2, 159-166.[Abstract]
- Murphy, K.R., & Adler, L.A. (2004). Assessing attention-deficit/hyperactivity disorder in adults: Focus on rating scales. Journal of Clinical Psychiatry, 65(Suppl. 3), 12-17.
- Murphy, K.R., & Barkley, R.A. (1996a). Attention deficit hyperactivity disorder adults: Comorbidities and adaptive impairments. Comprehensive Psychiatry, 37, 393-401.[CrossRef][Medline]
[Order article via Infotrieve]
- Murphy, K.R., & Barkley, R.A. (1996b). Prevalence of DSM-IV symptoms of ADHD in adult licensed drivers: Implications for clinical diagnosis. Journal of Attention Disorders, 1, 147-161.[Abstract]
- Murphy, K.R., Barkley, R.A., & Bush, T. (2002). Young adults with attention deficit hyperactivity disorder: Subtype differences in comorbidity, educational, and clinical history. Journal of Nervous and Mental Disease, 190, 147-157.[CrossRef][Medline]
[Order article via Infotrieve]
- Nolan, E.E., Gadow, K.D., & Sprafkin, J. (2001). Teacher reports of DSM-IV ADHD, ODD, and CD symptoms in schoolchildren. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 241-249.[CrossRef][Medline]
[Order article via Infotrieve]
- Pedhazur, E.J. (1982). Multiple regression in behavioral research: Explanation and prediction. New York: Holt, Rinehart & Winston.
- Pelham, W.E., Fabiano, G.A., & Massetti, G.M. (2005). Evidence-based assessment of attention deficit hyperactivity disorder in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 449-476.
- Robins, E., & Guze, S.B. (1970). Establishment of diagnostic validity in psychiatric illness: Its application to schizophrenia. American Journal of Psychiatry, 126, 107-111.
- Weiss, M., & Weiss, J. (2004). A guide to the treatment of adults with ADHD. Journal of Clinical Psychiatry, 65(Suppl3.),27-37.
- Willcutt, E.G., & Carlson, C.L. (2005). The diagnostic validity of attention-deficit/hyperactivity disorder. Clinical Neuroscience Research, 5, 219-232.[CrossRef]
- Willcutt, E.G., Pennington, B.F., Chhabildas, N.A., Friedman, M.C., & Alexander, J. (1999). Psychiatric comorbidity associated with DSM-IV ADHD in a nonreferred sample of twins. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1355-1362.[CrossRef][Medline]
[Order article via Infotrieve]
- Wolraich, M.L., Hannah, J.N., Pinnock, T.Y., Baumgaertel, A., & Brown, J. (1996). Comparison of diagnostic criteria for attention-deficit hyperactivity disorder in a county-wide sample. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 319-324.[CrossRef][Medline]
[Order article via Infotrieve]
This version was published on September
1, 2007
Journal of Attention Disorders, Vol. 11, No. 2,
114-124 (2007)
DOI: 10.1177/1087054707299402

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