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Diagnosis of Attention-Deficit Disorder—Residual Type

Arthur MacNeill Horton Jr, EdD; Robert A. Fiscella, MD
Arch Gen Psychiatry. 1986;43(2):192. doi:10.1001/archpsyc.1986.01800020102020.
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To the Editor.—  We read with great interest the exchange between Wender et al1 and Mattes2 regarding the value of stimulant medication for relieving the symptoms of attention-deficit disorder—residual type (ADDRT).While it is clear that much additional work will be necessary before a stimulant-responsive subgroup of adults with ADD can be identified, we would like to share some of our experiences in identifying patients with ADDRT. In preparation for submitting a research proposal on alcoholic patients with ADDRT, we screened 32 subjects both with a childhood symptom checklist validated by DeObaldia and Parsons3 and with DSM-III criteria. We found no relationship between the childhood symptom checklist and DSM-III, when strictly applied. By contrast, a significant relationship (X2 =15.18; df=1; P<.001) was found when DSMIII criteria were loosely applied. The meaning we gather from these findings is that careful attention should be devoted to


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