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Undertreatment of Motor Problems in Children with ADHD

Authors
  • Fliers, Ellen A.1, 2
  • Franke, Barbara1, 3
  • Lambregts-Rommelse, Nanda N.J.1, 4
  • Altink, Marieke E.1, 5
  • Buschgens, Cathelijne J.M.1
  • Nijhuis-van der Sanden, Maria W.G.6
  • Sergeant, Joseph A.4
  • Faraone, Stephen V.7
  • Buitelaar, Jan K.1, 5
  • 1 Department of Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen Medical Centre, 6500 HB Nijmegen, The Netherlands
  • 2 BAVO-Europoort Youth Department, 3083 BD Rotterdam, The Netherlands
  • 3 Department of Human Genetics, Radboud University Nijmegen Medical Centre, The Netherlands
  • 4 Department of Clinical Neuropsychology, Vrije Universiteit Amsterdam, 1081 BT Amsterdam, The Netherlands
  • 5 Karakter Child and Adolescent Psychiatry University Center, 6500 HB Nijmegen, The Netherlands
  • 6 Department of Paediatric Physical Therapy, Radboud University Nijmegen Medical Centre, The Netherlands
  • 7 Departments of Psychiatry and Neuroscience and Physiology, SUNY Upstate Medical University, Syracuse, NY, USA
Type
Published Article
Journal
Child and adolescent mental health
Publication Date
Aug 21, 2009
Volume
15
Issue
2
Pages
85–90
Identifiers
DOI: 10.1111/j.1475-3588.2009.00538.x
PMID: 20376200
PMCID: PMC2850122
Source
PubMed Central
Keywords
License
Unknown

Abstract

Background Motor problems occur in 30% to 50% of children with ADHD, and have a severe impact on daily life. In clinical practice there seems to be little attention for this comorbidity with the possible consequence that these motor problems go undertreated. Method Clinical interview and questionnaire survey of treatment by physiotherapy and factors predicting treatment of motor problems in 235 children with ADHD and 108 controls. Results Half of motor-affected children had received physiotherapy. Treated children had more severe motor problems, and less frequently presented with comorbid anxiety and conduct disorder. Treated and untreated children were similar in age, and rated similarly on ADHD inattentive and hyperactive-impulsive scales and parental socio-economic status. Conclusion Currently, undertreatment of motor problems in ADHD occurs. Behavioural factors play a role in referral and intervention.

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