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Assessment of age-at-onset criterion for adult attention-deficit hyperactivity disorder

Riglin, Lucy, Blakey, Rachel, Langley, Kate, Thapar, Ajay, Agha, Sharifah Shameem, Davey-Smith, George, Stergiakouli, Evie and Thapar, Anita 2021. Assessment of age-at-onset criterion for adult attention-deficit hyperactivity disorder. British Journal of Psychiatry 10.1192/bjp.2021.122
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To investigate the accuracy of the age-at-onset criterion in those who meet other DSM-5 ADHD criteria (N=138), using a prospective population cohort, we compared four different approaches to asking those at age 25 years when their symptoms started. Receiver Operating Characteristic curves showed variation between the approaches (χ(3)=8.99, p=0.03); all four showed low discrimination against symptoms that had been assessed when they were children (area under the curve 0.57-0.68). Asking adults to recall specific symptoms may be preferable to recalling at what age symptoms started. However limitations to retrospective recall add to debate on the validity of ADHD age-at-onset assessment.

Item Type: Article
Date Type: Published Online
Status: In Press
Schools: Medicine
MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG)
Publisher: Royal College of Psychiatrists
ISSN: 0007-1250
Date of First Compliant Deposit: 4 August 2021
Date of Acceptance: 22 July 2021
Last Modified: 20 Oct 2021 14:42

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