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Parent, Teacher, ChildA Trilateral Approach to Attention Deficit Disorder
Melvin L. Cohen, MD;
Patrick C. Kelly, DO;
A. W. Atkinson, MD, PhD
Am J Dis Child. 1989;143(10):1229-1233.
Abstract
• We compared the effectiveness of three instruments in initially diagnosing and monitoring children with attentiondeficit disorder with and without hyperactivity (ADD/H). Twenty-one children clinically assessed as having ADD/H and meeting criteria of the Diagnostic and statistical Manual of Mental Disorders, Third Edition, were examined initially and after treatment with methylphenidate hydrochloride and placebo. The following instruments were used: the ADD-H comprehensive Teacher Rating Scale, the Connors' Parent Rating Scale-Revised, and the Gordon Diagnostic System. The ADD-H Comprehensive Teacher Rating Scale initially classified 67% of the children as having ADD/H and 14% as borderline. The Connors' Parent Rating Scale—Revised identified 71% as having ADD/H, while the Gordon Diagnostic System assessed 52% as having ADD/H and 29% as borderline. With methylphenidate treatment, the mean scores on the ADD-H Comprehensive Teacher Rating Scale displayed an increase in attention span and a decrease in hyperactivity, the Connors' Parent Rating Scale—Revised showed a significant decrease in ADD/H behavior, and the Gordon Diagnostic System mean scores indicated no significant change.
(AJDC. 1989;143:1229-1233)
Author Affiliations
From Developmental Pediatrics, San Antonio, Tex (Dr Cohen); Department of Pediatrics, Madigan Army Medical Center, Tacoma, Wash (Dr Kelly); and Department of Pediatrics, William Beaumont Army Medical Center, El Paso, Tex (Dr Atkinson).
Footnotes
Accepted for publication April 27, 1989.
The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or Department of Defense.
Presented, in part, at the American Academy of Cerebral Palsy and Developmental Medicine annual meeting, New Orleans, La, October 15-18, 1986, and as a poster at the annual meeting of the Society for Behavioral Pediatrics, Washington, DC, May 12, 1988.
Reprint requests to Department of Pediatrics, Madigan Army Medical Center, Tacoma, WA 98431-5234 (Dr Kelly).
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