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Therapy for Attention-Deficit Hyperactivity Disorder-Reply
Daniel C. Vinson, MD, MSPH
University of Missouri Columbia
Arch Fam Med. 1994;3(10):857-858.
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In reply
Attention-deficit hyperactivity disorder continues into adulthood, but its prevalence, spectrum, and management are unclear. It is important to remember that, in the review of the long-term outcome of ADHD by Klein and Mannuzza,1 all the studies involved children who had been referred for evaluation and treatment by specialists. Children referred because of the severity of their symptoms are different from other children with the same diagnosis who are not referred. A review of the long-term outcomes of children with febrile seizures demonstrated that fact clearly.2 Nonfebrile seizures later developed in 1.5% to 4.6% of children with febrile seizures identified in prospective population-based studies. In contrast, among children with febrile seizures referred for specialist care and then followed up prospectively, between 2.6% and 76.9% later had nonfebrile seizures. As Ellenberg and Nelson2 stated, "The differences in levels of risk reported from the two study types are impressive, but
. . . [Full Text PDF of this Article]
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