Skip to main content
Originalarbeiten/Original articles

DSM-5 – Aufmerksamkeitsdefizit-/Hyperaktivitätsstörungen

DSM-5 Kommentar

Published Online:https://doi.org/10.1024/1422-4917/a000299

Die Modifikationen, die im DSM-5 bei den Kriterien für die Diagnose einer Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung (ADHS) vorgenommen wurden, werden vorgestellt und kritisch diskutiert. Die wichtigsten Veränderungen beziehen sich auf den Beginn der Symptomatik, die Reduktion der Anzahl der notwendigen Kriterien ab dem Alter von 17 Jahren und die Streichung von Autismusspektrumstörungen als Ausschlussdiagnose. Diese Veränderungen sind überwiegend zu begrüßen, bei der Heraufsetzung des Alters für den Störungsbeginn müssen jedoch auch problematische Aspekte bedacht werden.


DSM-5 – Attention-deficit/hyperactivity disorder

Modifications to the DSM-5 criteria for the diagnosis of attention-deficit/hyperactivity disorders are described and discussed. The main modifications concern the onset of the disorder, the reduction on the number of criteria fulfilled for a diagnosis in patients aged 17 years or older, and the elimination of autism spectrum disorders as an exclusion criterion for this diagnosis. These changes are mainly welcomed. However, the demanded increase in the age for the latest onset of the disorder may prove to be problematic.

Literatur

  • Applegate, B. , Lahey, B. B. , Hart, E. L. , Biederman, J. , Hynd, G. W. , Barkley, R. A. ... Shaffer, D. (1997). Validity of the age-of-onset criterion for ADHD: a report from the DSM-IV field trials. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1211–1221. First citation in articleCrossref MedlineGoogle Scholar

  • Breuer, D. , Wolff Metternich, T. , Döpfner, M. (2009). Die Erfassung von Merkmalen von Aufmerksamkeitsdefizit-/Hyperaktivitätsstörungen (ADHS) anhand von Lehrerurteilen: Zur Validität und Reliabilität des FBB-HKS. Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie, 37, 431–440. First citation in articleLinkGoogle Scholar

  • Döpfner, M. , Breuer, D. , Wille, N. , Erhart, M. , Ravens-Sieberer, U. (2008). How often do children meet ICD-10/DSM-IV criteria of attention deficit-/hyperactivity disorder and hyperkinetic disorder? Parent-based prevalence rates in a national sample: Results of the BELLA study. European Child & Adolescent Psychiatry, 17(Suppl. 1), 59–70. First citation in articleCrossref MedlineGoogle Scholar

  • Erhart, M. , Döpfner, M. , Ravens-Sieberer, U. (2008). Psychometric properties of two ADHD questionnaires: comparing the Conners’ scale and the FBB-HKS in the general population of German children and adolescents: Results of the BELLA study. European Child & Adolescent Psychiatry, 17(Suppl. 1), 106–115. First citation in articleCrossref MedlineGoogle Scholar

  • Faraone, S. V. , Biederman, J. , Doyle, A. , Murray, K. , Petty, C. , Adamson, J. J. , Seidman, L. (2006). Neuropsychological studies of late onset and subthreshold diagnoses of adult attention-deficit/hyperactivity disorder. Biological Psychiatry, 60, 1081–1087. doi 10.1016/j.biopsych.2006.03.060 First citation in articleCrossref MedlineGoogle Scholar

  • Faraone, S. V. , Biederman, J. , Spencer, T. , Mick, E. , Murray, K. , Petty, C. ... Monuteaux, M. C. (2006). Diagnosing adult attention deficit hyperactivity disorder: Are late onset and subthreshold diagnoses valid? American Journal of Psychiatry, 163, 1720–1729. doi 10.1176/appi.ajp.163.10.1720 First citation in articleCrossref MedlineGoogle Scholar

  • Kieling, C. , Kieling, R. R. , Rohde, L. A. , Frick, P. J. , Moffitt, T. , Nigg, J. T. ... Castellanos, F. X. (2010). The age at onset of attention deficit hyperactivity disorder. American Journal of Psychiatry, 167, 14–16. doi 10.1176/appi.ajp.2009.09060796 First citation in articleCrossref MedlineGoogle Scholar

  • Miller, C. J. , Newcorn, J. H. , Halperin, J. M. (2010). Fading memories: Retrospective recall inaccuracies in ADHD. Journal of Attention Disorders, 14, 7–14. First citation in articleCrossref MedlineGoogle Scholar

  • Murphy, K. , Barkley, R. A. (1996). Attention deficit hyperactivity disorder adults: Comorbidities and adaptive impairments. Comprehensive Psychiatry, 37, 393–401. First citation in articleCrossref MedlineGoogle Scholar

  • Polanczyk, G. , Moffitt, T. E. , Arseneault, L. , Cannon, M. , Ambler, A. , Keefe, R. S. ... Caspi, A. (2010). Etiological and clinical features of childhood psychotic symptoms: Results from a birth cohort. Archives of General Psychiatry, 67, 328–338. doi 10.1001/archgenpsychiatry.2010.14 First citation in articleCrossref MedlineGoogle Scholar

  • Poustka, L. , Banaschewski, T. , Poustka, F. (2011). Psychopharmakologie autistischer Störungen. Der Nervenarzt, 82, 582–589. First citation in articleCrossref MedlineGoogle Scholar

  • Sayal, K. , Goodman, R. (2009). Do parental reports of child hyperkinetic disorder symptoms at school predict teacher ratings? European Child & Adolescent Psychiatry, 18, 336–344. First citation in articleCrossref MedlineGoogle Scholar

  • Sobanski, E. , Banaschewski, T. , Asherson, P. , Buitelaar, J. , Chen, W. , Franke, B. ... Faraone, S. V. (2010). Emotional lability in children and adolescents with attention deficit/hyperactivity disorder (ADHD): Clinical correlates and familial prevalence. Journal of Child Psychology and Psychiatry, 51, 915–923. doi 10.1111/j.1469–7610.2010.02217.x First citation in articleCrossref MedlineGoogle Scholar

  • Solanto, M. V. , Wasserstein, J. , Marks, D. J. , Mitchell, K. J. (2012). Diagnosis of ADHD in adults: What is the appropriate DSM-5 symptom threshold for hyperactivity-impulsivity? Journal of Attention Disorders, 16, 631–634. First citation in articleCrossref MedlineGoogle Scholar

  • Surman, C. , Biederman, J. , Spencer, T. , Miller, C. A. , McDermott, K. M. , Faraone, S. V. (2013). Understanding deficient emotional self-regulation in adults with attention deficit hyperactivity disorder: A controlled study. Attention Deficit and Hyperactivity Disorders, 5, 273–281. First citation in articleCrossrefGoogle Scholar

  • Todd, R. D. , Huang, H. , Henderson, C. A. (2008). Poor utility of the age of onset criterion for DSM-IV attention deficit/hyperactivity disorder: Recommendations for DSM-V and ICD-11. Journal of Child Psychology and Psychiatry, 49, 942–949. First citation in articleCrossref MedlineGoogle Scholar

  • Valo, S. , Tannock, R. (2010). Diagnostic instability of DSM-IV ADHD subtypes: Effects of informant source, instrumentation, and methods for combining symptom reports. Journal of Clinical Child and Adolescent Psychology, 39, 749–760. First citation in articleCrossref MedlineGoogle Scholar

  • Willcutt, E. G. , Nigg, J. T. , Pennington, B. F. , Solanto, M. V. , Rohde, L. A. , Tannock, R. ... Lahey, B. B. (2012). Validity of DSM-IV attention deficit/hyperactivity disorder symptom dimensions and subtypes. Journal of Abnormal Psychology, 121, 991–1010. doi 10.1037/a0027347 First citation in articleCrossref MedlineGoogle Scholar