The importance of ADHD subtype classification for educational applications of DSM-V

J Atten Disord. 2010 May;13(6):573-83. doi: 10.1177/1087054708326433. Epub 2009 Apr 16.

Abstract

Objective: An examination of the academic achievement of children with ADHD by stimulant treatment status must consider this heterogeneity of the disorder. With the dissemination of the final wave of data, the Special Education Elementary Longitudinal Study presents an opportunity to examine the academic achievement of students with ADHD using a large, community-based, and nationally representative sample over 4 years.

Method: In Study 1, the association between stimulant treatment and academic achievement is examined over 4 years. In Study 2, the association between stimulant treatment and academic achievement is examined acknowledging the influence of subtype symptoms of ADHD using growth mixture modeling.

Results: Results indicate significant differences in academic achievement according to long-term stimulant treatment status within each subtype symptom class.

Conclusion: Research should acknowledge the influence of subtype symptoms when examining outcomes such as academic achievement. The upcoming DSM-V should consider the results as indicating the educational relevance of ADHD subtype classification.

MeSH terms

  • Achievement*
  • Attention Deficit Disorder with Hyperactivity / classification*
  • Attention Deficit Disorder with Hyperactivity / diagnosis*
  • Attention Deficit Disorder with Hyperactivity / epidemiology
  • Child
  • Diagnostic and Statistical Manual of Mental Disorders*
  • Educational Measurement
  • Ethnicity / statistics & numerical data
  • Female
  • Humans
  • Male
  • Prevalence
  • Rural Population / statistics & numerical data
  • Teaching*
  • Urban Population / statistics & numerical data