Abstract
Aktivitäts- und Aufmerksamkeitsstörungen (ADHS) im Vorschulalter sind der ADHS im Grundschulalter bezüglich Erscheinungsbild und Komorbiditäten teils ähnlich und teils unähnlich. Zudem ergeben sich besondere Herausforderungen hinsichtlich der Diagnostik und Behandlung u. a. aufgrund altersabhängiger Diagnosekriterien, einer schwierigen Unterscheidung von altersadäquatem und abweichendem Verhalten und erhöhten Nebenwirkungen bei der medikamentösen Behandlung. Daher werden in diesem Übersichtsartikel Subtypen und Komorbiditäten von ADHS, für den klinischen Gebrauch geeignete Diagnostikinstrumente sowie gezielte Behandlungsansätze, insbesondere Elterntrainings und Medikation, genauer betrachtet.
Attention deficit/hyperactivity disorder (ADHD) at preschool age has similar as well as dissimilar symptoms and comorbidities as ADHS at school age. There are special challenges regarding clinical diagnosis and treatment because of age related diagnostic criteria, problems in the differentiation of age appropriate and abnormal behaviour, and increased side effects of pharmaceutical treatment. This paper reviews subtypes and comorbidities of ADHD, assessment methods appropriate for clinical use, and targeted treatment approaches, especially parent trainings and psychotropic medication.
Literatur
2000). Manual for the ASEBA Preschool forms and Profiles. Burlington.
(2000). Diagnostic and statistical manual of mental disorders. DSM-IV-TR. Washington, DC: American Psychiatric Association.
(2002). The effects of the Triple P-Positive Parenting Program on preschool children with co-occurring disruptive behavior and attentional/hyperactive difficulties. Journal of Abnormal Child Psychology, 30, 571 – 587.
(2006). Aufmerksamkeitsdefizit-/Hyperaktivitätsstörungen bei Drei- bis Sechsjährigen in der ärztlichen Praxis–eine bundesweite Befragung. Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie, 34, 357 – 365.
(2008). Entwicklung eines Fragebogens zur Erfassung von Aufmerksamkeitsdefizit-/Hyperaktivitätsstörungen (ADHS) bei Vorschulkindern im Eltern- und im Erziehungsurteil. Zeitschrift für Entwicklungspsychologie und Pädagogische Psychologie, 40, 40 – 48.
(2012). Psychiatric disorders in preschoolers: Continuity from ages 3 to 6. American Journal of Psychiatry, 169, 1157 – 1164.
(2010). Very early predictors of adolescent depression and suicide attempts in children with Attention-Deficit/Hyperactivity Disorder, depression and suicide attempts in ADHD children. Archives of General Psychiatry, 67, 1044 – 1051.
(2012). Phenomenology, psychiatric comorbidity and family history in referred preschool children with obsessive-compulsive disorder. Child and Adolescent Psychiatry and Mental Health, 6, 36 – 45.
(2002). Preschoolers at risk for Attention-Deficit Hyperactivity Disorder and Oppositional Defiant Disorder: Family, parenting, and behavioral correlates. Journal of Abnormal Child Psychology, 30, 555 – 569.
(2005). Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung (ADHS): Wie valide sind die Subtypen? Kindheit und Entwicklung, 14, 244 – 254.
(2008). Internationale Klassifikation psychischer Störungen. ICD-10, Kapitel V (F); klinisch-diagnostische Leitlinien (6., vollst. überarb. Aufl. unter Berücksichtigung der Änderungen entsprechend ICD-10-GM 2004/2008). Bern: Huber.
(Hrsg.). (1993). VBV 3 – 6. Verhaltensbeurteilungsbogen für Vorschulkinder. Weinheim: Beltz Test.
(1998). DISYPS-KJ. Diagnostik-System für psychische Störungen im Kindes- und Jugendalter nach ICD-10 und DSM-IV. Klinische Diagnostik–Elternurteil–Erzieher- und Lehrerurteil–Selbsturteil (Manual). Bern: Huber.
(2001). Preschool children with Attention-Deficit/Hyperactivity Disorder: Impairments in behavioral, social, and school functioning. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 508 – 515.
(1998). Parent-child interaction therapy: Procedures manual. Gainesville: University of Florida.
(2002). Differences between preschool children with ODD, ADHD, and ODD+ADHD symptoms. Journal of Child Psychology and Psychiatry, 43, 191 – 201.
(2001). DSM-IV symptoms in community and clinic preschool children. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 1383 – 1392.
(2007). Comorbidity moderates response to methylphenidate in the Preschoolers with Attention-Deficit/Hyperactivity Disorder Treatment Study (PATS). Journal of Child and Adolescent Psychopharmacology, 17, 563 – 579.
(1997). The Strengths and Difficulties Questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581 – 586.
(2006). Efficacy and safety of immediate-release methylphenidate treatment for preschoolers with ADHD. Journal of the American Academy of Child & Adolescent Psychiatry, 45, 1284 – 1293.
(2005). The impact of preschool inattention, hyperactivity, and impulsivity on social and academic development: a review. Journal of Child Psychology and Psychiatry, 46, 755 – 773.
(2011). Maternal positive parenting style is associated with better functioning in hyperactive/inattentive preschool children. Infant and Child Development, 20, 148 – 161.
(2010). Mother-child dyadic synchrony is associated with better functioning in hyperactive/inattentive preschool children. Journal of Child Psychology and Psychiatry, 51, 1058 – 1066.
(2008). How often are German children and adolescents diagnosed with ADHD? Prevalence based on the judgment of health care professionals: results of the German health and examination survey (KiGGS). European Child & Adolescent Psychiatry, 17, 52 – 58.
(2007). Anwendbarkeit der child Behavior Checklist 1 1/2 – 5 als orientierendes Untersuchungsinstrument bei Vorschulkindern mit Entwicklungsproblemen. Praxis der Kinderpsychologie und Kinderpsychiatrie, 56, 573 – 588.
(2007). Efficacy of the Incredible Years Basic parent training programme as an early intervention for children with conduct problems and ADHD. Child: Care, Health and Development, 33, 749 – 756.
(2003). Attention-Deficit-Hyperactivity Disorder with and without oppositional defiant disorder in 3- to 7-year-old children. Developmental Medicine & Child Neurology, 45, 693 – 699.
(2003). Die deutsche Fassung des Strengths and Difficulties Questionnaire (SDQ-Deu)–Übersicht und Bewertung erster Validierungs- und Normierungsbefunde. Praxis der Kinderpsychologie und Kinderpsychiatrie, 52, 491 – 502.
(2011). The development of kindergarten children as evaluated by their kindergarten teachers and mothers. Psychological Test and Assessment Modeling, 53, 241 – 257.
(2007). Deutsche Version des Strengths and Difficulties Questionnaire (SDQ-Deu). Psychometrische Qualität der Lehrer-/Erzieherversion für Kindergartenkinder. Diagnostica, 53, 175 – 183.
(2006). Prävalenz hyperkinetischer Symptome und Störungen im Vorschulalter–ein Vergleich zweier Diagnoseinstrumente. Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie, 34, 275 – 286.
(2005). Instability of the DSM-IV subtypes of ADHD from preschool through elementary school. Archives of General Psychiatry, 62, 896 – 902.
(2009). The prevalence of ADHD, ODD, depression, and anxiety in a community sample of 4-year-olds. Journal of Clinical Child & Adolescent Psychology, 38, 315 – 328.
(1999). Relations among emergent literacy skills, behavior problems, and social competence in preschool children from low- and middle-income backgrounds. Topics in Early Childhood Special Education, 19, 40 – 53.
(2012). Assessment of attention in preschoolers. Neuropsychology Review, 22, 361 – 383.
(2009). Profiles of service utilization and the resultant economic impact in preschoolers with Attention Deficit/Hyperactivity Disorder. Journal of Pediatric Psychology, 34, 681 – 689.
(2009). Parent-Child Interaction Therapy for Puerto Rican preschool children with ADHD and behavior problems: A pilot efficacy study. Family Process, 48, 232 – 252.
(2011). Prevalence of Attention-Deficit/Hyperactivity Disorder symptoms in preschool-aged Iranian children. Iranian Journal of Pediatrics, 21, 467 – 472.
(2012). Co-occurrence of ADHD and anxiety in preschool children. Journal of Attention Disorders, e-pub ahead of print, doi: 10.1177/1087054712463063.
(2010). The German Strengths and Difficulties Questionnaire (SDQ). European Journal of Psychological Assessment, 26, 256 – 262.
(2006). Präventionsprogramm für Expansives Problemverhalten (PEP). Göttingen: Hogrefe.
(2007). Clinical presentation of Attention-Deficit/Hyperactivity Disorder in preschool children: The Preschoolers with Attention-Deficit/Hyperactivity Treatment Study (PATS). Journal of Child and Adolescent Psychopharmacology, 17, 547 – 562.
(2009). Diagnostik bei Aufmerksamkeitsstörungen. In , Diagnostik in der Klinischen Kinderpsychologie. Die ersten sieben Lebensjahre (S. 245 – 258). Göttingen: Hogrefe.
(2010). Exploring the relationship between autistic-like traits and ADHD behaviors in early childhood: Findings from a community twin study of 2-year-olds. Journal of Abnormal Child Psychology, 38, 185 – 196.
(1999). Triple P-Positive Parenting Program: Towards an empirically validated multilevel parenting and family support strategy for the prevention of behavior and emotional problems in children. Clinical Child and Family Psychology Review, 2, 71 – 90.
(2000). The Triple P-Positive Parenting Program: A comparison of enhanced, standard, and self-directed behavioral family intervention for parents of children with early onset conduct problems. Journal of Consulting and Clinical Psychology, 68, 624 – 640.
(2007). Developmental and subtype differences in behavioral assets and problems in children diagnosed with ADHD. Journal of Attention Disorders, 11, 28 – 36.
(2007). How common are symptoms of ADHD in typically developing preschoolers? A study on prevalence rates and prenatal/demographic risk factors. Cortex, 43, 710 – 717.
(2006). Nonpharmacological interventions for preschoolers with ADHD. Infants and Young Children, 19, 142 – 153.
(2007). Diagnostic specificity and nonspecificity in the dimensions of preschool psychopathology. Journal of Child Psychology and Psychiatry, 48, 1005 – 1013.
(2011). The structure of psychopathology in a community sample of preschoolers. Journal of Abnormal Child Psychology, 39, 601 – 610.
(2011). Preschool onset Attention-Deficit/Hyperactivity Disorder: Course and predictors of stability over 24 months. Journal of Child and Adolescent Psychopharmacology, 21, 321 – 330.
(2009). A small-scale randomized controlled trial of the revised new forest parenting programme for preschoolers with attention deficit hyperactivity disorder. European Child and Adolescent Psychiatry, 18, 605 – 616.
(2011). Prognostische Validität des Dortmunder Entwicklungsscreening für den Kindergarten (DESK 3 – 6). Diagnostica, 57, 201 – 211.
(2011). Combining parent and child training for young children with ADHD. Journal of Clinical Child & Adolescent Psychology, 40, 191 – 203.
(1998). Parent training for young children with conduct problems. Content, methods and therapeutic process. In C. E. Schaefer (Eds.), Handbook of parent training (pp. 98 – 152). New York: Wiley.
(2012). Prevalence of psychiatric disorders in preschoolers. Journal of Child Psychology and Psychiatry, 53, 695 – 705.
(2006). Safety and tolerability of methylphenidate in preschool children with ADHD. Journal of the American Academy of Child & Adolescent Psychiatry, 45, 1294 – 1303.
(2002). Psychiatric comorbidity and functioning in clinically referred preschool children and school-age youths with ADHD. Journal of the American Academy of Child & Adolescent Psychiatry, 41, 262 – 268.
(2006). Preschool twin study of the relation between Attention-Deficit/Hyperactivity Disorder and prereading skills. Reading and Writing, 20, 103 – 125.
(2010). Zur Komorbidität von aggressivem Verhalten und ADHS. Kindheit und Entwicklung, 19, 218 – 227.
(2006). Co-occurrence of developmental delays among preschool children with attention-deficit–hyperactivity disorder. Developmental Medicine & Child Neurology, 48, 483 – 488.
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