DSM-5 diagnostic criteria for ADHD in children, hyperactive-impulsive subtype

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Hyperactivity and impulsivity

Often fidgets with or taps hands or feet, or squirms in seat

Often leaves seat in situations when remaining seated is expected

Often runs about or climbs in situations where it is not appropriate adolescents or adults may be limited to feeling restless)

Often unable to play or take part in leisure activities quietly

Is often “on the go” acting as if “driven by a motor”

Often talks excessively

Often blurts out an answer before a question has been completed

Often has trouble waiting their turn

Often interrupts or intrudes on others such as, butts into conversations or games)

Course of disease

Presence of symptoms for at least 6 months, to an extent that is disruptive and inappropriate for the person's developmental level

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The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) diagnostic criteria for Attention-Deficit/Hyperactivity Disorder (ADHD) in children, hyperactive-impulsive subtype, is a clinical tool designed to aid in the diagnosis of this specific subtype of ADHD. The target patient population includes children who exhibit symptoms of hyperactivity and impulsivity. The primary components of the DSM-5 diagnostic criteria for ADHD, hyperactive-impulsive subtype, include nine specific behaviors related to hyperactivity and impulsivity. These behaviors include fidgeting or squirming, leaving the seat when expected to remain seated, running or climbing inappropriately, inability to engage in quiet leisure activities, excessive talking, blurting out answers prematurely, difficulty waiting turns, and interrupting or intruding on others. Each of these behaviors contributes to the overall score, which is used to determine the presence of ADHD, hyperactive-impulsive subtype. In addition to these behaviors, the DSM-5 diagnostic criteria also consider the course of the disease. The presence of these symptoms for at least six months, to a degree that is disruptive and inappropriate for the child's developmental level, significantly contributes to the overall score. The DSM-5 diagnostic criteria for ADHD, hyperactive-impulsive subtype, is used to determine whether a child meets the diagnostic criteria for this subtype of ADHD. A score of 106 or higher indicates that the child meets the diagnostic criteria for ADHD, hyperactive-impulsive subtype. If the score is less than 106, the diagnostic criteria are not met.

Reference

David Coghill, Sarah Seth. Do the diagnostic criteria for ADHD need to change? Comments on the preliminary proposals of the DSM-5 ADHD and Disruptive Behavior Disorders Committee. Eur Child Adolesc Psychiatry. 2011 Feb;20(2):75-81.

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