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Conduct problems, gender and adult psychiatric outcome of children with attention-deficit hyperactivity disorder

  • Søren Dalsgaard (a1), Preben Bo Mortensen (a2), Morten Frydenberg (a3) and Per Hove Thomsen (a1)
Abstract
Background

Attention-deficit hyperactivity disorder (ADHD) is a common childhood condition, and is more prevalent in boys. The adult outcome of girls with ADHD has never been studied.

Aims

To identify predictors for adult psychiatric outcome of children with ADHD, including gender and comorbidity.

Method

Children aged 4–15 years, referred for hyperactivity/inattention and treated with stimulants were included (n=208). The Psychiatric Case Register provided follow-up data on psychiatric admissions in adulthood until a mean age of 31 years.

Results

A total of 47 cases (22.6%) had a psychiatric admission in adulthood. Conduct problems in childhood were predictive (hazard ratio HR=2.3; 95% CI 1.22–4.33). Girls had a higher risk compared with boys (HR=2.4; 95% CI 1.1–5.6).

Conclusions

Girls with ADHD had a higher risk of adult psychiatric admission than boys. Conduct problems were also associated with a higher risk. Girls with ADHD with conduct problems had a very high risk of a psychiatric admission in adulthood.

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Copyright
Corresponding author
S⊘ren Dalsgaard, Psychiatric Hospital for Children and Adolescents, Harald Selmersvej 66, 8240 Risskov, Aarhus University Hospital, Denmark. e-mail: sda@buh.aaa.dk
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
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Conduct problems, gender and adult psychiatric outcome of children with attention-deficit hyperactivity disorder

  • Søren Dalsgaard (a1), Preben Bo Mortensen (a2), Morten Frydenberg (a3) and Per Hove Thomsen (a1)
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