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Comparative Study
. 1988 May;29(3):289-300.
doi: 10.1111/j.1469-7610.1988.tb00717.x.

The diagnosis of childhood hyperactivity. A U.S.-U.K. cross-national study of DSM-III and ICD-9

M Prendergast  1 , E Taylor, J L Rapoport, J Bartko, M Donnelly, A Zametkin, M B Ahearn, G Dunn, H M Wieselberg
Affiliations
Comparative Study

The diagnosis of childhood hyperactivity. A U.S.-U.K. cross-national study of DSM-III and ICD-9

M Prendergast et al. J Child Psychol Psychiatry. 1988 May.

Abstract

The unequal prevalence of hyperactivity in Britain and the U.S. was investigated with a cross-national diagnostic study. Case histories of 6-11-yr-old boys were evaluated by British and American research teams as well as British and American clinician panels using both ICD-9 and DSM-III. Interrater agreement was acceptably high only for the specially trained research teams. ICD-9 generated fewer diagnoses of Hyperkinetic Syndrome than did DSM-III of Attention Deficit Disorder with Hyperactivity. The difference was greatest for U.K. clinicians. Diagnostic scheme and clinician training both contribute to the difference in reported rates.

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