ANALYSIS OF PSYCHOLOGICAL METHODS OF DIFFERENTIAL DIAGNOSIS OF ADHD IN CHILDHOOD

Abstract

The article examines the peculiarities of psychological methods of differential diagnosis of attention deficit hyperactivity disorder in childhood. Attention deficit hyperactivity disorder is defined as a complex, chronic, and heterogeneous developmental disorder that typically begins in childhood and persists into adulthood. It has been determined that ADHD is a polymorphic clinical syndrome, the basis of which is a violation of the child’s ability to control and regulate their behavior, which is manifested in motor hyperactivity, attention deficit disorder and impulsivity. The study found that ADHD remains difficult to diagnose due to the lack of specific biomarkers and specificity of symptoms, which is caused by a wide range of differential diagnosis and quite frequent correlation with other diseases. It was revealed that analyzing the psychological methods of differential diagnosis of ADHD in childhood is an important task, since this disorder can have similar symptoms in some other mental and developmental disorders. It has been established that the differential diagnosis of ADHD includes an important aspect of distinguishing this disorder from other mental and neurological conditions. Thus, it is necessary to determine the difference between ADHD and such disorders as autism spectrum disorder, intellectual development disorder, motor coordination disorder, learning disorder that is associated with development, as well as depressive and anxiety disorders, oppositional defiant and antisocial behavior disorder, etc. As a result of the research, it has been found that a combination of various psychological approaches, such as clinical observation, the use of standardized instruments and interviews, can be most effectively used for the differential diagnosis of ADHD in childhood. It has been established that a systematic and comprehensive approach to the diagnosis of ADHD in childhood avoids incorrect clinical conclusions and contributes to a balanced selection of medical interventions.

References

1. Boiarshynova, K.I., Kravchenko, R.I., Klepets, Yu. M. ta in. (2019). Rozlad iz defitsytom uvahy ta hiperaktyvnistiu u ditei ta molodi : klinichna nastanova, zasnovana na dokazakh [Attention-deficit/hyperactivity disorder in children and youth: an evidence-based clinical guideline]. Kyiv : State Expert Center of the Ministry of Health of Ukraine. Retrieved from: https://www.dec.gov.ua/wpcontent/uploads/2019/11/2019_09_30_kn_rozladdu.pdf [in Ukrainian].
2. Hodlevska, V. (2021). Syndrom defitsytu uvahy z hiperaktyvnistiu u ditei molodshoho shkilnoho viku: sutnist, diahnostyka, korektsiia [Attention deficit hyperactivity disorder in children of primary school age: essence, diagnosis, correction]. Visnyk Lvivskoho universytetu. Seriia: Psykholohichni nauky – Bulletin of Lviv University. Series: Psychological Sciences, 9, 73–78. DOI: https://doi.org/10.30970/PS.2021.9.10 [in Ukrainian].
3. Vasylieva, N.V. (2020). Modeliuvannia inkliuzyvnoho navchannia ditei z osoblyvymy osvitnimy potrebamy: syndrom defitsytu uvahy z hiperaktyvnistiu : elektronnyi navchalno-metodychnyi keis [Modeling inclusive education of children with special educational needs: attention deficit hyperactivity disorder: electronic educational and methodological case study]. Poltava: POIPPO [in Ukrainian].
4. Romanchuk, O. (2015). Hiperaktyvnyi rozlad z defitsytom uvahy u ditei : praktychne kerivnytstvo [Attention deficit hyperactivity disorder in children: a practical guide]. Lviv : Svichado [in Ukrainian].
5. AAP Subcommittee on ADHD. (2011). Steering Committee on Quality Improvement and Management, Wolraich M, et al. ADHD: Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics, 128(5),1007–1022.
6. American Psychiatric Association, D. S. M. T. F., & American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5(Vol. 5, No. 5). Washington, DC : American psychiatric association.
7. Barkley, R.A. (2014). Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment. Guilford Publications.
8. Cabral, M.D.I., Liu, S., Soares, N. (2020). Attention-deficit/hyperactivity disorder: diagnostic criteria, epidemiology, risk factors and evaluation in youth. Transl Pediatr, 9(1), 104– DOI: https://doi.org/10.21037/tp.2019.09.08
9. Canadian ADHD Resource Alliance. (2020). Canadian ADHD Practice Guidelines, 4.1 Edition. Режим доступу: https://www.caddra.ca/download-guidelines/  
10. Clark, L.A., Cuthbert, B., Lewis-Fernández, R., Narrow, W.E., & Reed, G.M. (2017). Three approaches to understanding and classifying mental disorder: ICD-11, DSM-5, and the National Institute of Mental Health’s Research Domain Criteria (RDoC). Psychological Science in the Public Interest, 18(2), 72–145.
11. Coners, C., MSH Staff. (2000). Conners’ Continuous Performance Test II: Computer program for Windows technical guide and software manual. Multi-Health Systems.
12. Cornelius, C., Fedewa, A.L., Ahn, S. (2017). The Effect of Physical Activity on Children With ADHD: A Quantitative Review of the Literature. Journal of Applied School Psychology, 33(2), 136–170. Режим доступу: https://www.tandfonline.com/doi/abs/10.1080/15377903.2016.1265622
13. Doyle, A.E., Biederman, J., Seidman, L.J., Weber, W., & Faraone, S.V. (2000). Diagnostic efficiency of neuropsychological test scores for discriminating boys with and without attention deficit-hyperactivity disorder. J Consult Clin Psychol, 68(3), 477–488.
14. Dunn, D.W., & Kronenberger, W.G. (2003). Attention-deficit/hyperactivity disorder in children and adolescents. Neurologic clinics, 21(4), 933–940.
15. Efron, D., & Sciberras, E. (2010). The diagnostic outcomes of children with suspected attention deficit hyperactivity disorder following multidisciplinary assessment. Journal of paediatrics and child health, 46(7‐8), 392–397.
16. Efron, D., Bryson, H., Lycett, K., & Sciberras, E. (2016). Children referred for evaluation for ADHD: comorbidity profiles and characteristics associated with a positive diagnosis. Child: care, health and development, 42(5), 718–724.
17. Giuseppe, G., et al. (2016). Monoaminergic and Histaminergic Strategies and Treatments in Brain Diseases. Frontiers in Neuroscience, 541. Режим доступу: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5121249/
18. Khoury, B., Langer, E.J., & Pagnini, F. (2014). The DSM: mindful science or mindless power? A critical review. Frontiers in psychology, 5, 602.
19. Lee, T., Park, K. J., Lee, H.-J., Kim, H.-W. (2020). Clinical and Neuropsychological Characteristics of ADHD According to DSM-5 Age-of-Onset Criterion in Korean Children and Adolescents. Journal of Attention Disorders, 24(1), 20–28. DOI: https://doi.org/10.1177/1087054716684378
20. Liji, T. (2019). How does ADHD affect the brain. Режим доступу: https://www.news-medical.net/health/How-does-ADHD-Affect-the-Brain. aspx
21. Luo, Y., Weibman, D., Halperin, J. M., & Li, X. (2019). A review of heterogeneity in attention deficit/hyperactivity disorder (ADHD). Frontiers in human neuroscience, 42.
22. McConaughy, S. H., Harder, V.S., Antshel, K.M., Gordon, M., Eiraldi, R., & Dumenci, L. (2010). Incremental Validity of Test Session and Classroom Observations in a Multimethod Assessment of Attention Deficit/Hyperactivity Disorder. Journal of clinical child and adolescent psychology, 39(5), 650–666.  https://doi.org/10.1080/15374416.2010.501287
23. Parker, A., & Corkum, P. (2016). ADHD diagnosis: as simple as administering a questionnaire or a complex diagnostic process?. Journal of attention disorders, 20(6), 478–486.
24. Schecklmann, M., et al. (2009). Diminished prefrontal oxygenation with normal and above-average verbal fluency performance in adult ADHD. Journal of Psychiatric Research, 43(2), 98–106.
25. Sergeant, J.A. (2005). Modeling attention-deficit/hyperactivity disorder: a critical appraisal of the cognitive-energetic model. Psychiatry, 57, 1248–1255.
26. Stacey, A.B., Debbi, A., Clare, G., Daphne, K. (2018). ADHD in children and youth: Part 1—Etiology, diagnosis, and comorbidity. Canadian Paediatric Society. Mental Health and Developmental Disabilities Committee Paediatr Child Health, 23(7), 447–453.
27. Tan, B.W.Z., Pooley,A., et al. (2016). A Meta-Analytic Review of the Efficacy of Physical Exercise Interventions on Cognition in Individuals with Autism Spectrum Disorder and ADHD. Journal of Autism and Developmental Disorders, 46, 3126–3143. Режим доступу: https://link.springer.com/article/10.1007/s10803-016-2854-x
28. Wang, G.J., et al. (2013). Long-Term Stimulant Treatment Affects Brain Dopamine Transporter Level in Patients with Attention Deficit Hyperactive Disorder. Plos ONE, 8, e63023. Режим доступу: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0063023
29. World Health Organization. (2019). International Statistical Classification of Diseases and Related Health Problems 10th Revision. Режим доступу: https://icd.who.int/browse10/2019/en#/F90.
30. World Health Organization. (2022). 6A05 Attention deficit hyperactivity disorder. ICD-11 for Mortality and Morbidity Statistics. Режим доступу: https://www.findacode.com/icd-11/code-821852937.html.