Abstract
This study assesses the impairment and treatment outcome of children with attention deficit hyperactivity disorder (ADHD) in an outpatient child psychiatry clinic, using multiple sources, including the Children Global Assessment Scale (C-GAS). A total of 20 children, aged 4 to 16 years, were recruited serially in 2010 from the Child Psychiatric Unit of the Psychiatric Hospital, Manama, Bahrain. The children received a diagnosis of ADHD using the Diagnostic and Statistical Manual of Mental Disorders Text Revision (DSM-IV-TR). The children were assessed with the C-GAS by a blinded investigator, initially at the beginning of the treatment and then one year later. The parents of the patients reported improvement in all cases; the improvement in impairment after one year, assessed using the C-GAS, was significant for all of the cases (P = 0.001) and low for those with comorbidity (P = 0.07). Measurement of improvement using the C-GAS was a suitable method of collecting data, and hence should be included in routine clinical practice for both ADHD diagnosis and outcome measurement.
Highlights
This study assesses the impairment and treatment outcome of children with attention deficit hyperactivity disorder (ADHD) in an outpatient child psychiatry clinic, using multiple sources, including the Children Global Assessment Scale (C-GAS)
Global rating scales, such as the Child and Adolescent Psychiatric Assessment (CAPA), Children’s Global Assessment Scale (C-GAS), Global Assessment of Function (GAF) and Children’s Problems Checklist (CPC), were used in several studies to assess the severity of functional impairment in preschool and schoolaged children.[9,10,11,12]
This study aimed to examine the use of C-GAS in measuring initial functionality and treatment outcomes
Summary
Abstract: This study assesses the impairment and treatment outcome of children with attention deficit hyperactivity disorder (ADHD) in an outpatient child psychiatry clinic, using multiple sources, including the Children Global Assessment Scale (C-GAS). The factors significantly associated with impairment, as measured by clinicians, were the severity of ADHD symptoms, peer relationship problems and comorbidity with conduct disorders.[3] Symptomatology and impairment are moderately related but not identical; they are likely to have distinct correlations and importance in the diagnosis and assessment of ADHD.[4,5,6] In addition, impairment may be more of a universal notion, as opposed to the potentially culturally biased measurement of symptomatology.[7] The measurement of functional impairment, in addition to symptomatology, is the focus of recent child psychiatric epidemiological studies The findings of these studies add emphasis to impairment, measured using a multidimensional approach, in the daily activities essential to success in school and interpersonal relationships.[8] Such interest has contributed to the identification of a true prevalence rate by reducing the number of false positive cases and determining community needs. This study aimed to examine the use of C-GAS in measuring initial functionality and treatment outcomes
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