Disparities in identification of comorbid diagnoses in children with ADHD

Tanjala T. Gipson, Eboni I. Lance, Rebecca A. Albury, Maura B. Gentner, Mary L. Leppert

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Aims. This study explores disparities in identification of educationally relevant comorbidities and medication prescribing practices for children with attention-deficit hyperactivity disorder (ADHD) and either comprehensive neurodevelopmental evaluations or evaluations limited by insurance to behavior management with medication. Methods. This study was a retrospective chart review of 5- to 10-year-old children with ADHD diagnosed at the initial evaluation. Data collected included demographics, rates of comorbid conditions, medication management, and educational interventions. Results. The 2 groups were similar in age, educational supports, and medication management. The group with insurance permitting comprehensive evaluations was more likely to be Caucasian, have higher parental education levels, and have more comorbid conditions identified with academic impact. Conclusions. School-aged children with ADHD are likely to receive similar educational and medication management despite differences in evaluations. However, our data suggest that children who received comprehensive evaluations had greater identification of comorbid conditions that may influence academic, behavioral, and social outcomes.

Original languageEnglish (US)
Pages (from-to)376-381
Number of pages6
JournalClinical pediatrics
Issue number4
StatePublished - Apr 25 2015


  • attention-deficit hyperactive disorder
  • comorbidity
  • polypharmacy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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