Psychiatric status of hyperactives as adults: a controlled prospective 15-year follow-up of 63 hyperactive children.

Sixty-three hyperactive adults aged 21–33 and 41 matched normal controls were evaluated for their psychiatric status by means of (a) psychiatric interviews and histories using the DSM-II diagnosis; (b) psychiatric interviews carried out “blind” as to which group the subject belonged, using the SADS-L diagnosis; and (c) by means of self-rating scales. Each subject was assigned a number on the Global Assessment Scale of the SADS which measures general overall functioning. Results indicated that about half of the probands continued to have mild to severely disabling continuing symptoms of the syndrome. A significant percentage (23%) of the hyperactive adults had an Antisocial Personality Disorder on both the modified SADS-L and the DSM-I diagnostic criteria. Schizophrenia and alcoholism or alcohol abuse was not found more commonly in the hyperactive group. There was evidence that the hyperactives had more overall psychopathology and functioned generally less well than did normal controls.

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