Paper
Dimensions and types of attention deficit disorder.
Published May 1, 1988 · B. Lahey, W. Pelham, E. Schaughency
Journal of the American Academy of Child and Adolescent Psychiatry
321
Citations
15
Influential Citations
Abstract
Abstract DSM-III-R provides a unidimensional definition of attention deficit-hyperactivity disorder (ADHD), based on the assumption that inattention, impulsivity, and motor hyperactivity are unitary aspects of the same dimension. The definition of undifferentiated attention deficit disorder (UADD), however, contradicts this assumption by treating inattention as a separate dimension. The present study evaluated these assumptions empirically. A cluster analysis of three factors derived from factor analyses of teacher ratings of ADD symptoms and a broader list of ADD symptoms produced three distinct clusters: patients without ADD, those with both inattention and hyperactivity, and a group that exhibited inattention and sluggish tempo but not hyperactivity. The association was very strong between the empirically derived clusters and clinical DSM-III diagnoses of ADD with and without hyperactivity. These findings do not support the DSM-III-R unidimensional definition of ADHD.
The DSM-III-R unidimensional definition of ADHD is not supported by empirical findings, as three distinct clusters were identified: those without ADD, those with both inattention and hyperactivity, and those with inattention and sluggish tempo but no hyperactivity.
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