Perinatal and familial risk factors are associated with full syndrome and subthreshold attention-deficit hyperactivity disorder in a Korean community sample

Hyo Won Kim, Soo Churl Cho, Boong Nyun Kim, Jae Won Kim, Min Sup Shin, Yeni Kim

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

Abstract

Objective: The objective of this study was to examine the effect of perinatal and familial risk factors on full syndrome and subthreshold attention-deficit/hyperactivity disorder (ADHD) among Korean children and adolescents. Methods: A sample of 2,673 students was randomly selected from 19 representative schools in Seoul, Korea. The parents of the students completed the Diagnostic Interview Schedule for Children-version IV (DISC-IV), as well as questionnaires on perinatal and familial risk factors. Results: Maternal stress and alcohol use during pregnancy, parental marital discord, parental separation or divorce, changes in primary caregivers, and notbreastfeeding were significantly associated with full syndrome ADHD; however, maternal stress during pregnancy was the only variable that differentiated subthreshold ADHD from non-ADHD. Conclusion: Our results provide evidence the perinatal and familial risk factors contribute to the development of ADHD in Korea children and adolescents, and suggest that these perinatal and familial risk factors are more closely related to full syndrome than to subthreshold ADHD.

Original languageEnglish
Pages (from-to)278-285
Number of pages8
JournalPsychiatry Investigation
Volume6
Issue number4
DOIs
StatePublished - Dec 2009

Keywords

  • Attention-deficit/hyperactivity disorder
  • Family characteristics
  • Perinatal risk factors
  • Prevalence
  • Subthreshold

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