Which factors impact on clinician-rated impairment in children with ADHD?

David Coghill, Georg Spiel, Gisli Baldursson, Manfred Döpfner, Maria J. Lorenzo, Stephen J. Ralston, Aribert Rothenberger, P. Curatolo, S. Dalsgaard, B. Falissard, A. Hervas, M. F. Le Heuzey, T. S. Nøvik, R. R. Pereira, U. Preuss, P. Rasmussen, Anne W Riley, H. C. Steinhausen, L. Vlasveld

Research output: Contribution to journalArticle

Abstract

Objectives: To describe the associations between a range of demographic, family and clinical factors and clinician-rated measures of global impairment in children with ADHD symptoms obtained at the baseline assessment in the ADHD Observational Research in Europe (ADORE) study. Methods: Global impairment was measured by clinicians using the Clinical Global Impression-Severity (CGIS) scale and the Children's Global Assessment Scale (CGAS).Associations with independent variables were investigated using forward-stepwise regression models. Results: For the CGI-S and CGAS analyses, complete data sets were available for 1,265 and 985 children, respectively. The baseline mean CGI-S score in this population was 4.4 (SD 0.9) and the mean CGAS score was 55.0 (SD 10.6). Factors significantly associated with increased impairment on both outcome measures were: increased severity of ADHD symptoms, increased peer relationship problems and presence of oppositional defiant disorder and/or conduct disorder.Also, the presence of anxiety and/or depression and the presence of somatic symptoms were associated with increased impairment on CGI-S,while family health problems and premature birth were associated with increased impairment on CGAS. Conclusions: The severity of clinician-rated impairment in the ADORE sample is increased by the presence of disruptive behaviour problems and emotional problems, somatic symptoms, peer relationship difficulties, family health problems and premature birth.

Original languageEnglish (US)
JournalEuropean Child and Adolescent Psychiatry
Volume15
Issue numberSUPPL. 1
DOIs
StatePublished - Dec 2006
Externally publishedYes

Fingerprint

Family Health
Premature Birth
Attention Deficit and Disruptive Behavior Disorders
Conduct Disorder
Research
Anxiety
Demography
Outcome Assessment (Health Care)
Depression
Population
Medically Unexplained Symptoms
Datasets
Problem Behavior

Keywords

  • ADHD
  • Children
  • Europe
  • Impairment
  • Predictors

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Developmental and Educational Psychology

Cite this

Coghill, D., Spiel, G., Baldursson, G., Döpfner, M., Lorenzo, M. J., Ralston, S. J., ... Vlasveld, L. (2006). Which factors impact on clinician-rated impairment in children with ADHD? European Child and Adolescent Psychiatry, 15(SUPPL. 1). https://doi.org/10.1007/s00787-006-1005-x

Which factors impact on clinician-rated impairment in children with ADHD? / Coghill, David; Spiel, Georg; Baldursson, Gisli; Döpfner, Manfred; Lorenzo, Maria J.; Ralston, Stephen J.; Rothenberger, Aribert; Curatolo, P.; Dalsgaard, S.; Falissard, B.; Hervas, A.; Le Heuzey, M. F.; Nøvik, T. S.; Pereira, R. R.; Preuss, U.; Rasmussen, P.; Riley, Anne W; Steinhausen, H. C.; Vlasveld, L.

In: European Child and Adolescent Psychiatry, Vol. 15, No. SUPPL. 1, 12.2006.

Research output: Contribution to journalArticle

Coghill, D, Spiel, G, Baldursson, G, Döpfner, M, Lorenzo, MJ, Ralston, SJ, Rothenberger, A, Curatolo, P, Dalsgaard, S, Falissard, B, Hervas, A, Le Heuzey, MF, Nøvik, TS, Pereira, RR, Preuss, U, Rasmussen, P, Riley, AW, Steinhausen, HC & Vlasveld, L 2006, 'Which factors impact on clinician-rated impairment in children with ADHD?', European Child and Adolescent Psychiatry, vol. 15, no. SUPPL. 1. https://doi.org/10.1007/s00787-006-1005-x
Coghill, David ; Spiel, Georg ; Baldursson, Gisli ; Döpfner, Manfred ; Lorenzo, Maria J. ; Ralston, Stephen J. ; Rothenberger, Aribert ; Curatolo, P. ; Dalsgaard, S. ; Falissard, B. ; Hervas, A. ; Le Heuzey, M. F. ; Nøvik, T. S. ; Pereira, R. R. ; Preuss, U. ; Rasmussen, P. ; Riley, Anne W ; Steinhausen, H. C. ; Vlasveld, L. / Which factors impact on clinician-rated impairment in children with ADHD?. In: European Child and Adolescent Psychiatry. 2006 ; Vol. 15, No. SUPPL. 1.
@article{39bc2b6c97c948b1ba272fc64d350b8e,
title = "Which factors impact on clinician-rated impairment in children with ADHD?",
abstract = "Objectives: To describe the associations between a range of demographic, family and clinical factors and clinician-rated measures of global impairment in children with ADHD symptoms obtained at the baseline assessment in the ADHD Observational Research in Europe (ADORE) study. Methods: Global impairment was measured by clinicians using the Clinical Global Impression-Severity (CGIS) scale and the Children's Global Assessment Scale (CGAS).Associations with independent variables were investigated using forward-stepwise regression models. Results: For the CGI-S and CGAS analyses, complete data sets were available for 1,265 and 985 children, respectively. The baseline mean CGI-S score in this population was 4.4 (SD 0.9) and the mean CGAS score was 55.0 (SD 10.6). Factors significantly associated with increased impairment on both outcome measures were: increased severity of ADHD symptoms, increased peer relationship problems and presence of oppositional defiant disorder and/or conduct disorder.Also, the presence of anxiety and/or depression and the presence of somatic symptoms were associated with increased impairment on CGI-S,while family health problems and premature birth were associated with increased impairment on CGAS. Conclusions: The severity of clinician-rated impairment in the ADORE sample is increased by the presence of disruptive behaviour problems and emotional problems, somatic symptoms, peer relationship difficulties, family health problems and premature birth.",
keywords = "ADHD, Children, Europe, Impairment, Predictors",
author = "David Coghill and Georg Spiel and Gisli Baldursson and Manfred D{\"o}pfner and Lorenzo, {Maria J.} and Ralston, {Stephen J.} and Aribert Rothenberger and P. Curatolo and S. Dalsgaard and B. Falissard and A. Hervas and {Le Heuzey}, {M. F.} and N{\o}vik, {T. S.} and Pereira, {R. R.} and U. Preuss and P. Rasmussen and Riley, {Anne W} and Steinhausen, {H. C.} and L. Vlasveld",
year = "2006",
month = "12",
doi = "10.1007/s00787-006-1005-x",
language = "English (US)",
volume = "15",
journal = "European Child and Adolescent Psychiatry",
issn = "1018-8827",
publisher = "D. Steinkopff-Verlag",
number = "SUPPL. 1",

}

TY - JOUR

T1 - Which factors impact on clinician-rated impairment in children with ADHD?

AU - Coghill, David

AU - Spiel, Georg

AU - Baldursson, Gisli

AU - Döpfner, Manfred

AU - Lorenzo, Maria J.

AU - Ralston, Stephen J.

AU - Rothenberger, Aribert

AU - Curatolo, P.

AU - Dalsgaard, S.

AU - Falissard, B.

AU - Hervas, A.

AU - Le Heuzey, M. F.

AU - Nøvik, T. S.

AU - Pereira, R. R.

AU - Preuss, U.

AU - Rasmussen, P.

AU - Riley, Anne W

AU - Steinhausen, H. C.

AU - Vlasveld, L.

PY - 2006/12

Y1 - 2006/12

N2 - Objectives: To describe the associations between a range of demographic, family and clinical factors and clinician-rated measures of global impairment in children with ADHD symptoms obtained at the baseline assessment in the ADHD Observational Research in Europe (ADORE) study. Methods: Global impairment was measured by clinicians using the Clinical Global Impression-Severity (CGIS) scale and the Children's Global Assessment Scale (CGAS).Associations with independent variables were investigated using forward-stepwise regression models. Results: For the CGI-S and CGAS analyses, complete data sets were available for 1,265 and 985 children, respectively. The baseline mean CGI-S score in this population was 4.4 (SD 0.9) and the mean CGAS score was 55.0 (SD 10.6). Factors significantly associated with increased impairment on both outcome measures were: increased severity of ADHD symptoms, increased peer relationship problems and presence of oppositional defiant disorder and/or conduct disorder.Also, the presence of anxiety and/or depression and the presence of somatic symptoms were associated with increased impairment on CGI-S,while family health problems and premature birth were associated with increased impairment on CGAS. Conclusions: The severity of clinician-rated impairment in the ADORE sample is increased by the presence of disruptive behaviour problems and emotional problems, somatic symptoms, peer relationship difficulties, family health problems and premature birth.

AB - Objectives: To describe the associations between a range of demographic, family and clinical factors and clinician-rated measures of global impairment in children with ADHD symptoms obtained at the baseline assessment in the ADHD Observational Research in Europe (ADORE) study. Methods: Global impairment was measured by clinicians using the Clinical Global Impression-Severity (CGIS) scale and the Children's Global Assessment Scale (CGAS).Associations with independent variables were investigated using forward-stepwise regression models. Results: For the CGI-S and CGAS analyses, complete data sets were available for 1,265 and 985 children, respectively. The baseline mean CGI-S score in this population was 4.4 (SD 0.9) and the mean CGAS score was 55.0 (SD 10.6). Factors significantly associated with increased impairment on both outcome measures were: increased severity of ADHD symptoms, increased peer relationship problems and presence of oppositional defiant disorder and/or conduct disorder.Also, the presence of anxiety and/or depression and the presence of somatic symptoms were associated with increased impairment on CGI-S,while family health problems and premature birth were associated with increased impairment on CGAS. Conclusions: The severity of clinician-rated impairment in the ADORE sample is increased by the presence of disruptive behaviour problems and emotional problems, somatic symptoms, peer relationship difficulties, family health problems and premature birth.

KW - ADHD

KW - Children

KW - Europe

KW - Impairment

KW - Predictors

UR - http://www.scopus.com/inward/record.url?scp=33845769867&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33845769867&partnerID=8YFLogxK

U2 - 10.1007/s00787-006-1005-x

DO - 10.1007/s00787-006-1005-x

M3 - Article

C2 - 17177013

AN - SCOPUS:33845769867

VL - 15

JO - European Child and Adolescent Psychiatry

JF - European Child and Adolescent Psychiatry

SN - 1018-8827

IS - SUPPL. 1

ER -