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Birth month as predictor of ADHD medication use in Dutch school classes

Artikel i vetenskaplig tidskrift
Författare Elsbeth Krabbe
Ernst D. Thoutenhoofd
Marc Conradi
Sip Jan Pijl
Laura Batstra
Publicerad i European Journal of Special Needs Education
Volym 29
Nummer/häfte 4
Sidor 571-578
ISSN 0885-6257
Publiceringsår 2014
Publicerad vid Institutionen för pedagogik och specialpedagogik
Sidor 571-578
Språk en
Länkar dx.doi.org/10.1080/08856257.2014.94...
Ämnesord ADHD, methylphenidate, medication, diagnosis, relative age
Ämneskategorier Barn- och ungdomspsykiatri, Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi, Utbildningsvetenskap

Sammanfattning

Several international studies have shown that pupils who are comparatively young within their year group have a greater likelihood of being diagnosed with ADHD and receiving ADHD medication. The findings suggest that compara- tively young but age-appropriate behaviour some pupils show in school may be confused with ADHD. This study investigates whether this noted association between birth month and ADHD medication is also found in the Netherlands; and if so, whether GPs (general practitioners) and teachers are aware of this association. Over 2000 birth dates of children between the ages of 5 and 12 were collected from GP client files. The data included whether children are prescribed methylphenidate, the most commonly used medication for ADHD. These data were analysed by descriptive statistics (graphs) and evaluative statistics (logistic regression analysis and relative risk). GPs and teachers were invited by question- naire to report whether they knew of the association between birth month and ADHD. A significant correlation between birth month and methylphenidate pre- scription are found. Relatively young pupils are 2.43 times more likely to be pre- scribed methylphenidate than their older classmates. A majority of GPs and teachers report not being aware of an association between birth month and ADHD medication.

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