Evidence map›Paper›PMID 28105068›Full record

ReviewChild and adolescent psychiatry and mental health2017

Overdiagnosis of mental disorders in children and adolescents (in developed countries).

Eva Charlotte Merten, Jan Christopher Cwik, Jürgen Margraf, Silvia Schneider

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Child and adolescent psychiatry and mental health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04766580 (Placebo Effect in Children With Attention Deficit Disorder and/or Hyperactivity Disorder), which is not on this map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
19.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

NCT04766580 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Placebo Effect in Children With Attention Deficit Disorder and/or Hyperactivity Disorder

TypeinterventionalSponsorUniversité de SherbrookeRan2021 to 2023Enrolled44ConditionsAttention Deficit Disorder With Hyperactivity, Placebo Effect, Nocebo Effect, PainArmsPlacebo and nocebo effect
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 147 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  6. Review
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  11. Pathways to autism diagnosis in adulthood.Journal of neurodevelopmental disorders · 2025
    Article
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  14. From theDepression and anxiety · 2025
    Article
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  17. Review
  18. Review
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  20. A Longitudinal Analysis of Concerning Psychotropic Medication Regimens Among Adolescents in Foster Care.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Eva Charlotte MertenDepartment of Clinical Child and Adolescent Psychology of the Faculty of Psychology, Ruhr-Universität Bochum, Massenbergstraße 9-13, 44787 Bochum, Germany.
Jan Christopher CwikDepartment of Clinical Psychology and Psychotherapy of the Faculty of Psychology, Ruhr-Universität Bochum, Massenbergstraße 9-13, 44787 Bochum, Germany.
Jürgen MargrafDepartment of Clinical Psychology and Psychotherapy of the Faculty of Psychology, Ruhr-Universität Bochum, Massenbergstraße 9-13, 44787 Bochum, Germany.
Silvia SchneiderDepartment of Clinical Child and Adolescent Psychology of the Faculty of Psychology, Ruhr-Universität Bochum, Massenbergstraße 9-13, 44787 Bochum, Germany.
Ruhr University Bochum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During the past 50 years, health insurance providers and national registers of mental health regularly report significant increases in the number of mental disorder diagnoses in children and adolescents. However, epidemiological studies show mixed effects of time trends of prevalence of mental disorders. Overdiagnosis in clinical practice rather than an actual increase is assumed to be the cause for this situation. We conducted a systematic literature search on the topic of overdiagnosis of mental disorders in children and adolescents. Most reviewed studies suggest that misdiagnosis does occur; however, only one study was able to examine overdiagnosis in child and adolescent mental disorders from a methodological point-of-view. This study found significant evidence of overdiagnosis of attention-deficit/hyperactivity disorder. In the second part of this paper, we summarize findings concerning diagnostician, informant and child/adolescent characteristics, as well as factors concerning diagnostic criteria and the health care system that can lead to mistakes in the routine diagnostic process resulting in misdiagnoses. These include the use of heuristics instead of data-based decisions by diagnosticians, misleading information by caregivers, ambiguity in symptom description relating to classification systems, as well as constraints in most health systems to assign a diagnosis in order to approve and reimburse treatment. To avoid misdiagnosis, standardized procedures as well as continued education of diagnosticians working with children and adolescents suffering from a mental disorder are needed.

Indexed as

ADHDChild and adolescent psychiatryHeuristicsMental disordersOverdiagnosis

Identifiers

PMID28105068
PMCPMC5240230
OpenAlexW2575091550

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.