Abstract
Despite the evidence that attention-deficit/hyperactivity disorder (ADHD) is not just a diagnosis of whites, it often goes undiagnosed and is underresearched in the African-American population. There are higher rates of delinquency, incarceration, teen pregnancy and sexually transmitted diseases associated with inadequate or delayed treatment of ADHD. Afrcan Americans generally respond well to treatments, but access to evaluation, medication and psychotherapy is limited or absent for many, The purpose of this research is to compare descriptive characteristics of African-American children with ADHD to age-matched Caucasian children with the same diagnosis. Age at diagnosis, treatment offered, perception of outcome, adherence, comorbid symptoms and frequency of follow-up were collected retrospectively from charts of children treated in the sections of child and adolescent psychiatry and pediatric neurology.
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Selected References
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- American Academy of Pediatrics. Subcommittee on Attention-Deficit/Hyperactivity Disorder and Committee on Quality Improvement. Clinical practice guideline: treatment of the school-aged child with attention-deficit/hyperactivity disorder. Pediatrics. 2001 Oct;108(4):1033–1044. doi: 10.1542/peds.108.4.1033. [DOI] [PubMed] [Google Scholar]
- Arnold L. Eugene, Elliot Michael, Sachs Larry, Bird Hector, Kraemer Helena C., Wells Karen C., Abikoff Howard B., Comarda Anne, Conners C. Keith, Elliott Glen R. Effects of ethnicity on treatment attendance, stimulant response/dose, and 14-month outcome in ADHD. J Consult Clin Psychol. 2003 Aug;71(4):713–727. doi: 10.1037/0022-006x.71.4.713. [DOI] [PubMed] [Google Scholar]
- Bussing R., Schoenberg N. E., Perwien A. R. Knowledge and information about ADHD: evidence of cultural differences among African-American and white parents. Soc Sci Med. 1998 Apr;46(7):919–928. doi: 10.1016/s0277-9536(97)00219-0. [DOI] [PubMed] [Google Scholar]
- Bussing R., Schoenberg N. E., Perwien A. R. Knowledge and information about ADHD: evidence of cultural differences among African-American and white parents. Soc Sci Med. 1998 Apr;46(7):919–928. doi: 10.1016/s0277-9536(97)00219-0. [DOI] [PubMed] [Google Scholar]
- Bussing Regina, Gary Faye A., Mills Terry L., Garvan Cynthia Wilson. Parental explanatory models of ADHD: gender and cultural variations. Soc Psychiatry Psychiatr Epidemiol. 2003 Oct;38(10):563–575. doi: 10.1007/s00127-003-0674-8. [DOI] [PubMed] [Google Scholar]
- Cuccaro M. L., Wright H. H., Rownd C. V., Abramson R. K., Waller J., Fender D. Professional perceptions of children with developmental difficulties: the influence of race and socioeconomic status. J Autism Dev Disord. 1996 Aug;26(4):461–469. doi: 10.1007/BF02172830. [DOI] [PubMed] [Google Scholar]
- Fantuzzo J., Grim S., Mordell M., McDermott P., Miller L., Coolahan K. A multivariate analysis of the revised Conners' Teacher Rating Scale with low-income, urban preschool children. J Abnorm Child Psychol. 2001 Apr;29(2):141–152. doi: 10.1023/a:1005236113655. [DOI] [PubMed] [Google Scholar]
- Faraone S. V., Biederman J. Do attention deficit hyperactivity disorder and major depression share familial risk factors? J Nerv Ment Dis. 1997 Sep;185(9):533–541. doi: 10.1097/00005053-199709000-00001. [DOI] [PubMed] [Google Scholar]
- Faraone S. V., Doyle A. E. The nature and heritability of attention-deficit/hyperactivity disorder. Child Adolesc Psychiatr Clin N Am. 2001 Apr;10(2):299-316, viii-ix. [PubMed] [Google Scholar]
- Fischer Mariellen, Barkley Russell A., Smallish Lori, Fletcher Kenneth. Young adult follow-up of hyperactive children: self-reported psychiatric disorders, comorbidity, and the role of childhood conduct problems and teen CD. J Abnorm Child Psychol. 2002 Oct;30(5):463–475. doi: 10.1023/a:1019864813776. [DOI] [PubMed] [Google Scholar]
- Gazmararian J. A., Baker D. W., Williams M. V., Parker R. M., Scott T. L., Green D. C., Fehrenbach S. N., Ren J., Koplan J. P. Health literacy among Medicare enrollees in a managed care organization. JAMA. 1999 Feb 10;281(6):545–551. doi: 10.1001/jama.281.6.545. [DOI] [PubMed] [Google Scholar]
- Harpaz-Rotem Ilan, Rosenheck Robert A. Changes in outpatient psychiatric diagnosis in privately insured children and adolescents from 1995 to 2000. Child Psychiatry Hum Dev. 2004 Summer;34(4):329–340. doi: 10.1023/B:CHUD.0000020683.08514.2d. [DOI] [PubMed] [Google Scholar]
- Kendall Judy, Hatton Diane. Racism as a source of health disparity in families with children with attention deficit hyperactivity disorder. ANS Adv Nurs Sci. 2002 Dec;25(2):22–39. doi: 10.1097/00012272-200212000-00003. [DOI] [PubMed] [Google Scholar]
- Rieppi Ricardo, Greenhill Laurence L., Ford Rebecca E., Chuang Shirley, Wu Min, Davies Mark, Abikoff Howard B., Arnold L. Eugene, Conners C. Keith, Elliott Glen R. Socioeconomic status as a moderator of ADHD treatment outcomes. J Am Acad Child Adolesc Psychiatry. 2002 Mar;41(3):269–277. doi: 10.1097/00004583-200203000-00006. [DOI] [PubMed] [Google Scholar]
- Safer D. J., Malever M. Stimulant treatment in Maryland public schools. Pediatrics. 2000 Sep;106(3):533–539. doi: 10.1542/peds.106.3.533. [DOI] [PubMed] [Google Scholar]
- Samuel V. J., Biederman J., Faraone S. V., George P., Mick E., Thornell A., Curtis S., Taylor A., Brome D. Clinical characteristics of attention deficit hyperactivity disorder in African American children. Am J Psychiatry. 1998 May;155(5):696–698. doi: 10.1176/ajp.155.5.696. [DOI] [PubMed] [Google Scholar]
- Samuel V. J., George P., Thornell A., Curtis S., Taylor A., Brome D., Mick E., Faraone S. V., Biederman J. A pilot controlled family study of DSM-III-R and DSM-IV ADHD in African-American children. J Am Acad Child Adolesc Psychiatry. 1999 Jan;38(1):34–39. doi: 10.1097/00004583-199901000-00017. [DOI] [PubMed] [Google Scholar]
- Stevens Jack, Harman Jeffrey S., Kelleher Kelly J. Race/ethnicity and insurance status as factors associated with ADHD treatment patterns. J Child Adolesc Psychopharmacol. 2005 Feb;15(1):88–96. doi: 10.1089/cap.2005.15.88. [DOI] [PubMed] [Google Scholar]
- Zametkin A. J., Ernst M. Problems in the management of attention-deficit-hyperactivity disorder. N Engl J Med. 1999 Jan 7;340(1):40–46. doi: 10.1056/NEJM199901073400107. [DOI] [PubMed] [Google Scholar]
- dosReis Susan, Owens Pamela L., Puccia Karen B., Leaf Philip J. Multimodal treatment for ADHD among youths in three Medicaid subgroups: disabled, foster care, and low income. Psychiatr Serv. 2004 Sep;55(9):1041–1048. doi: 10.1176/appi.ps.55.9.1041. [DOI] [PubMed] [Google Scholar]