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Does actigraphy differentiate ADHD subtypes?

Published online by Cambridge University Press:  16 April 2020

M.M. Dabkowska ,
D. Pracka  and
T. Pracki
M.M. Dabkowska
Affiliation:
Department of Psychiatry, Collegium Medicum, UMK, Torun, Bydgoszcz, Poland
D. Pracka
Affiliation:
Physiology Institute, Collegium Medicum, UMK, Torun, Bydgoszcz, Poland
T. Pracki
Affiliation:
Physiology Institute, Collegium Medicum, UMK, Torun, Bydgoszcz, Poland

Abstract

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Objective:

Attention deficit hyperactivity disorder (ADHD) is a developmental syndrome expressed along three domains: inattention, hyperactive-impulsive, and combined type. To compare subtypes of attention-deficit/hyperactivity disorder (ADHD) (predominantly inattentive and combined types) and a comparison group on an objective measure of activity level (actigraphy).

Method:

Actigraphs were worn by 21 children (19 boys, 2 girls) during 3 full-days clinical diagnostic assessment.10 subjects had a diagnosis of ADHD predominantly inattentive type, 11 had ADHD combined type. Children were diagnosed as having ADHD by Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Measurements: ADHD: ADHD Rating Scale DSM IV- Home Version to subdivide children into those with predominantly attention deficit, mainly hyperactivity, and those with both aspects equally. Mean actigraph scores were calculated for tree days.

Results:

There were no significant group differences in activity level between two groups; there were no differences between ADHD subtypes. There was poor correspondence between parent report and actigraphy.

Conclusions:

These data no support specifications in the DSM-IV regarding hyperactivity in ADHD. Furthermore, the findings contradict specifications in the DSM-IV that suggest that children with ADHD combined type should be more hyperactive than children with ADHD predominantly inattentive type.

Type
Poster Session 2: Diagnosis and Classification Issues
Information
European Psychiatry , Volume 22 , Issue S1: 15th AEP Congress - Abstract book - 15th AEP Congress , March 2007 , pp. S319
Copyright
Copyright © European Psychiatric Association 2007

References

Literature references

Dane, A.V., Schachar, R.J., Tannock, R.Does actigraphy differentiate ADHD subtypes in a clinical research setting? J.Am. Acad. Child Adolescen. Psychiatry 39(6): 2000; June752–76010.1097/00004583-200006000-00014CrossRefGoogle Scholar
Wiggs, L., Montgomery, P., Stores, G.Actigraphic and parent reports of sleep patterns and sleep disorders in children with subtypes of attention-deficit hyperactivity disorder. Sleep 28(11): 2005 Nov 1; 1437144510.1093/sleep/28.11.1437CrossRefGoogle Scholar
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