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Published in: European Child & Adolescent Psychiatry 7/2009

01-07-2009 | ORIGINAL CONTRIBUTION

Full syndrome and subthreshold attention-deficit/hyperactivity disorder in a Korean community sample: comorbidity and temperament findings

Authors: Soo-Churl Cho, MD, PhD, Boong-Nyun Kim, MD, PhD, Jae-Won Kim, MD, PhD, Luis Augusto Rohde, MD, PhD, Jun-Won Hwang, MD, PhD, Dong-Seon Chungh, MD, Min-Sup Shin, PhD, In Kyoon Lyoo, MD, PhD, Bock-Ja Go, MD, Sang-Eun Lee, MD, Hyo-Won Kim, MD

Published in: European Child & Adolescent Psychiatry | Issue 7/2009

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Abstract

Objective

The main objective of this study was to investigate the comorbid disorders and temperamental profiles of full syndrome and subthreshold attention-deficit/hyperactivity disorder (ADHD).

Method

A sample of 2,493 students was randomly selected from six representative elementary schools in Seoul, Korea. Among 245 children with full syndrome and subthreshold ADHD diagnosed by the diagnostic interview schedule for children-4th version, parents of 185 subjects (mean age 9.0 ± 1.7 years) and of a random sample of 185 age- and gender-matched non-ADHD children have completed the parent’s version of the children behavior checklist (CBCL) and the juvenile temperament and character inventory (JTCI).

Results

The prevalence rates of full syndrome and subthreshold ADHD were, respectively, 5.90% (95% confidence interval = 4.74–7.06) and 9.00% (95% confidence interval = 7.58–10.41). Subthreshold ADHD cases did not differ from full syndrome ADHD in any JTCI profile, showing high novelty seeking/low persistence/low self-directedness than controls. Subthreshold ADHD also showed increased risk for externalizing disorders and higher scores in eight CBCL scales (somatic complaints, anxious/depressed, social problems, attention problems, delinquent behaviors, aggressive behaviors, externalizing problems and total behavioral problems) compared to the controls.

Conclusions

These results support the clinical relevance of subthreshold ADHD in Asian culture. Increased clinical awareness for children with subthreshold ADHD is needed.
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Metadata
Title
Full syndrome and subthreshold attention-deficit/hyperactivity disorder in a Korean community sample: comorbidity and temperament findings
Authors
Soo-Churl Cho, MD, PhD
Boong-Nyun Kim, MD, PhD
Jae-Won Kim, MD, PhD
Luis Augusto Rohde, MD, PhD
Jun-Won Hwang, MD, PhD
Dong-Seon Chungh, MD
Min-Sup Shin, PhD
In Kyoon Lyoo, MD, PhD
Bock-Ja Go, MD
Sang-Eun Lee, MD
Hyo-Won Kim, MD
Publication date
01-07-2009
Publisher
Steinkopff-Verlag
Published in
European Child & Adolescent Psychiatry / Issue 7/2009
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI
https://doi.org/10.1007/s00787-009-0755-7

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