![]() ![]() ![]() Overdiagnosis of ADHD could happen because of diagnostic inflation 10, 19 by widening the definition to include ambiguous or mild symptoms, by explicitly changing the diagnostic definition, 10, 20 or by implicitly medicalizing behavioral patterns that previously would not have been considered abnormal 1, 21 (eg, those behaviors that are typical of children who are relatively young for their school year 22). 15, 16, 17 Methods to investigate overdiagnosis in noncancer conditions were published recently 18 but have not been applied to ADHD yet. 7, 8, 9, 10, 11, 12 The concept of overdiagnosis is well established in cancer, 13, 14 but it also occurs in noncancer conditions. 1, 2, 3, 4, 5, 6 Disagreement continues about how much of the increased diagnoses can be attributed to true increases in frequency, improved detection, or diagnostic inflation because of misdiagnosis and/or overdiagnosis. Public debate over the appropriateness of attention-deficit/hyperactivity disorder (ADHD) diagnosis has grown along with diagnosis rates. Dr Trevitt received financial compensation as a research assistant for this study. Benjamin Trevitt, MPH, MBBS, University of Sydney, assisted with the full text reviews of papers. Mr Clark received no financial compensation for his contribution. Role of the Funder/Sponsor: The funders had no role in the design and conduct of the study collection, management, analysis, and interpretation of the data preparation, review, or approval of the manuscript and decision to submit the manuscript for publication.Īdditional Contributions: Justin Clark, BA, Bond University, assisted with the search strategy development. No other disclosures were reported.įunding/Support: This study was supported by program grant 1113532 and Centre for Research Excellence grant 1104136 from Wiser Healthcare, funded by the NHMRC. Dr Barratt reported receiving grants from the NHMRC during the conduct of the study and serving as a member of the Scientific Committee of Preventing Overdiagnosis International Conferences. Ms Sims reported receiving other support from the Australian government Research Training Program Scholarship outside the submitted work. Dr McGeechan reported receiving grants from the NHMRC during the conduct of the study. Dr Thomas reported receiving support from the NHMRC outside the submitted work. ![]() Dr Bell reported receiving grants from the NHMRC during the conduct of the study and grants from the NHMRC outside the submitted work. Supervision: Kazda, Bell, Thomas, Barratt.Ĭonflict of Interest Disclosures: Ms Kazda reported receiving grants from the Australian government National Health and Medical Research Council (NHMRC) during the conduct of the study. Psychoactive medicines can help manage associated anxiety, depression and attention deficit and hyperactivity disorder (ADHD).Corresponding Author: Luise Kazda, MPH, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Edward Ford Building (A27), Room 124, Sydney, NSW 2006, Australia ( Contributions: Ms Kazda had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.Ĭoncept and design: Kazda, Bell, Thomas, Barratt.Īcquisition, analysis, or interpretation of data: All authors.ĭrafting of the manuscript: Kazda, Barratt.Ĭritical revision of the manuscript for important intellectual content: All authors.Īdministrative, technical, or material support: Kazda. Physical and occupational therapy can improve coordination. Speech therapy can help with voice control. Social skills training classes can help with conversational skills and understanding social cues. Ĭognitive behavioral therapy can help address anxiety and other personal challenges. Though the diagnosis of Asperger syndrome is no longer used, many previously diagnosed people still identify strongly and positively with being an “Aspie.” Asperger therapies and servicesįind the following services near you using the Autism Speaks Resource Guide. Many learn to overcome their challenges by building on strengths. The tendencies described above vary widely among people.
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