Title |
Is ADHD Diagnosed in Accord With Diagnostic Criteria? Overdiagnosis and Influence of Client Gender on Diagnosis
|
---|---|
Published in |
Journal of Consulting and Clinical Psychology, January 2012
|
DOI | 10.1037/a0026582 |
Pubmed ID | |
Authors |
Katrin Bruchmüller, Jürgen Margraf, Silvia Schneider |
Abstract |
Unresolved questions exist concerning diagnosis of ADHD. First, some studies suggest a potential overdiagnosis. Second, compared with the male-female ratio in the general population (3:1), many more boys receive ADHD treatment compared with girls (6-9:1). We hypothesized that this occurs because therapists do not adhere to Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) and International Classification of Diseases (10th rev.; ICD-10) criteria. Instead, we hypothesized that, in accordance with the representativeness heuristic, therapists might diagnose attention-deficit/hyperactivity disorder (ADHD) if a patient resembles their concept of a prototypical ADHD child, leading therapists to overlook certain exclusion criteria. This may result in overdiagnosis. Furthermore, as ADHD is more frequent in males, a boy might be seen as a more prototypical ADHD child and might therefore receive an ADHD diagnosis more readily than a girl would. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Canada | 7 | 23% |
United States | 5 | 16% |
United Kingdom | 3 | 10% |
Spain | 2 | 6% |
Australia | 1 | 3% |
Germany | 1 | 3% |
Sri Lanka | 1 | 3% |
Netherlands | 1 | 3% |
Unknown | 10 | 32% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 25 | 81% |
Practitioners (doctors, other healthcare professionals) | 4 | 13% |
Science communicators (journalists, bloggers, editors) | 1 | 3% |
Scientists | 1 | 3% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 4 | <1% |
Spain | 4 | <1% |
Canada | 3 | <1% |
Israel | 2 | <1% |
Brazil | 1 | <1% |
Ireland | 1 | <1% |
Germany | 1 | <1% |
Chile | 1 | <1% |
United Kingdom | 1 | <1% |
Other | 1 | <1% |
Unknown | 581 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 174 | 29% |
Student > Master | 98 | 16% |
Student > Ph. D. Student | 68 | 11% |
Student > Doctoral Student | 43 | 7% |
Researcher | 36 | 6% |
Other | 89 | 15% |
Unknown | 92 | 15% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 286 | 48% |
Medicine and Dentistry | 61 | 10% |
Social Sciences | 31 | 5% |
Neuroscience | 23 | 4% |
Nursing and Health Professions | 20 | 3% |
Other | 71 | 12% |
Unknown | 108 | 18% |