ArticleEuropean child & adolescent psychiatry2014
Subthreshold attention-deficit/hyperactivity disorder is associated with functional impairments across domains: a comprehensive analysis in a large-scale community study.
Article in European child & adolescent psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
43 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Two meta-analyses of the association between atopic diseases and core symptoms of attention deficit hyperactivity disorder.Scientific reports · 2022Pooled it
- Are subsyndromal manifestations of attention deficit hyperactivity disorder morbid in children? A systematic qualitative review of the literature with meta-analysis.Psychiatry research · 2019Pooled it
- Trial
- Effectiveness of Specific Techniques in Behavioral Teacher Training for Childhood ADHD: A Randomized Controlled Microtrial.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53Trial
- Assessing the feasibility and acceptability of a school-based non-pharmacological intervention for ADHD: the Flex toolkit.Pilot and feasibility studies · 2026Article
- Dimensional association between ADHD traits and gray matter volume in young adults: A voxel-based morphometry study.PCN reports : psychiatry and clinical neurosciences · 2026Article
- Contrasting presentations of children with ADHD and subthreshold ADHD.Pediatric research · 2026Article
- Childhood white matter morphology and longitudinal change in symptoms of attention-deficit/hyperactivity disorder.Developmental medicine and child neurology · 2026Article
- Attention problems in children born very preterm: evidence from a performance-based measure.Pediatric research · 2025Article
- Health Risk Factors and ADHD: New Findings From the Community-Based Replication Project to Learn About Youth-Mental Health (Re-PLAY-MH).Journal of attention disorders · 2025Article
- Urinary Metabolic Biomarkers of Attentional Control in Children With Attention-Deficit/Hyperactivity Disorder: A Dimensional Approach ThroughNMR in biomedicine · 2025Article
- Regional educational environment and its association with attention-deficit/hyperactivity disorder diagnosis in South Korea (2013-2019).Social psychiatry and psychiatric epidemiology · 2025Article
- Behavioral and neurofunctional profiles of delay aversion in children with attention-deficit hyperactivity disorder.Translational psychiatry · 2025Article
- Subthreshold Autism and ADHD: A Brief Narrative Review for Frontline Clinicians.Pediatric reports · 2025Review
- Rhinorrhea and watery eyes in infancy and risk of attention-deficit hyperactivity disorder in school-age children.Developmental psychobiology · 2024Article
- ADHD-related sex differences in emotional symptoms across development.European child & adolescent psychiatry · 2024Article
- Data-driven profiles of attention-deficit/hyperactivity disorder using objective and ecological measures of attention, distractibility, and hyperactivity.European child & adolescent psychiatry · 2024Article
- Cognitive outcomes of the at-home brain balance program.Frontiers in child and adolescent psychiatry · 2024Article
- The Clinical Manifestation, Executive Dysfunction, and Caregiver Strain in Subthreshold Attention-Deficit/Hyperactivity Disorder.Psychiatry investigation · 2023Article
- Data-Driven Methods for Predicting ADHD Diagnosis and Related Impairment: The Potential of a Machine Learning Approach.Research on child and adolescent psychopathology · 2023Article
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12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study compared children who experience attention-deficit/hyperactivity disorder (ADHD) symptoms but do not meet criteria (i.e., subthreshold ADHD) with those with the full syndrome and healthy controls. Presence of ADHD symptoms was determined in a nationwide community sample of 921 children, aged 8-11 years. The main outcome measures comprised attentional symptoms, comorbidity profiles, academic performance, and neurocognitive ability (i.e., ADHD Rating Scale, Child Behavior Checklist, Learning Disability Evaluation Scale, and Stroop Color-Word Test, respectively). Subthreshold ADHD was equally prevalent in boys and girls, and more prevalent in low-income families. Throughout all the outcome measurements, subthreshold ADHD was both a significantly milder condition than full syndrome ADHD and a significantly more severe condition than non-ADHD status. The findings were consistent across the total as well as the subtest scores, and after correction for multiple comparisons (p < 0.0017). Children with subthreshold ADHD were found to experience significant symptoms and functional impairments. The results of this study support the clinical relevance of subthreshold ADHD in a childhood population. Subthreshold diagnostic criteria for ADHD may be more sensitive in detecting ADHD symptoms in girls than the full syndrome criteria, and subthreshold clinical, cognitive, and behavioral symptoms of ADHD may occur in a subset of children who are possibly more sensitive to their environment. Further consideration about the diagnostic threshold for ADHD may particularly benefit girls and children in low-income families.
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