ADHD or Just Immature?
Attention-deficit hyperactivity disorder (ADHD) is typically diagnosed in childhood and manifests as an inability to sustain attention and control activity levels and impulse control. Some reports have indicated a prevalence of up to 15% in Western countries. Although the causes of ADHD are still unknown, a new study scheduled for publication in The Journal of Pediatrics found that a child’s age at school entry may have an effect on the diagnosis of ADHD.
Dr. Mu-Hong Chen and colleagues from Taipei and Taoyuan, Taiwan, examined cohort data from 378,881 children ages 4-17 years from 1997 to 2011 and evaluated the prevalence of being given a diagnosis of ADHD and/or prescribed ADHD medication. Using the Taiwanese annual cut-off birthdate of August 31 for school enrollment, the researchers compared the youngest children in a grade (those born in August) with the oldest (those born in September) and assessed whether age was associated with being diagnosed with ADHD and/or being medicated.
When looking at the database as a whole, children born in August were more likely to be diagnosed with ADHD and/or receive ADHD medication than those born in September. When broken down and analyzed according to age, only preschool or elementary school-aged children born in August had an increased risk of being diagnosed with ADHD and receiving ADHD medication. However, adolescents born in August did not have an increased risk of ADHD diagnosis. This may imply that increasing age and maturity lessens the impact of birth month on ADHD diagnoses.
Worldwide, the number of children and adolescents being diagnosed with ADHD or receiving a prescription for ADHD has significantly increased. Evidence shows that relative age, which may be a proxy of neurocognitive ability, may increase the likelihood of ADHD diagnosis and medication. According to Dr. Chen, “Our findings emphasize the importance of considering the age of a child within a grade when diagnosing ADHD and prescribing medication to treat ADHD.”
Notes for editors
“Influence of Relative Age on Diagnosis and Treatment of ADHD in Taiwanese Children,” by Mu-Hong Chen, M.D., Wen-Hsuan Lan, M.D., Ya-Mei Bai, M.D., PH.D., Kai-Lin Huang, M.D., Tung-Ping Su, M.D., Shih-Jen Tsai, M.D., Cheng-Ta Li, M.D., Ph.D., Wei-Chen Lin, M.D., Wen-Han Chang, M.Sc., Tai-Long Pan, PhD., Tzeng-Ji Chen, M.D., PH.D., and Ju-Wei Hsu, M.D., appears in The Journal of Pediatrics, DOI (doi:10.1016/j.jpeds.2016.02.012), published by Elsevier.
About The Journal of Pediatrics
The Journal of Pediatrics is a primary reference for the science and practice of pediatrics and its subspecialties. This authoritative resource of original, peer-reviewed articles oriented toward clinical practice helps physicians stay abreast of the latest and ever-changing developments in pediatric medicine. The Journal of Pediatrics is ranked 6th out of 119 pediatric medical journals (2014 Journal Citation Reports®, published by Thomson Reuters).
Elsevier is a global information analytics business that helps institutions and professionals progress science, advance healthcare and improve performance for the benefit of humanity. Elsevier provides digital solutions and tools in the areas of strategic research management, R&D performance, clinical decision support, and professional education; including ScienceDirect, Scopus, ClinicalKey and Sherpath. Elsevier publishes over 2,500 digitized journals, including The Lancet and Cell, more than 35,000 e-book titles and many iconic reference works, including Gray's Anatomy. Elsevier is part of RELX Group, a global provider of information and analytics for professionals and business customers across industries. www.elsevier.com
Journal of Pediatrics
+1 513 636 7140