ADHD overdiagnosis and the role of patient gender among Iranian psychiatrists

BMC Psychiatry

Table 3 Diagnoses Given by Therapists in the Different Case Vignettes

Diagnosis	1		2		3		4		Sum 2–4
Diagnosis	N	%	N	%	N	%	N	%	N	%
Results for vignettes featuring a boy
ADHD	23	57,5	20	40	12	30,8	7	15,9	39	29,3
Other diagnosis	2	5	20	40	17	43,6	28	63,6	65	48,9
No diagnosis	0	0,0	3	6	4	10,3	1	2,3	8	6,0
Not enough information	12	30	5	10	4	10,3	5	11,4	14	10,5
Suspected ADHD	3	7,5	2	4	2	5,1	3	6,8	7	5,3
Sum	40	100	50	100	39	100	44	100	133	100
Results for vignettes featuring a girl
ADHD	34	73,9	16	33,3	7	17,5	3	8,1	26	20,8
Other diagnosis	3	6,5	22	45,8	21	52,5	25	67,6	68	54,4
No diagnosis	0	0,0	3	6,3	5	12,5	1	2,7	9	7,2
Not enough information	8	17,4	4	8,3	4	10,0	7	18,9	15	12,0
Suspected ADHD	1	2,2	3	6,3	3	7,5	1	2,7	7	5,6
Sum	46	100	48	100	40	100	37	100	125	100
Sum of the results for vignettes featuring a girl and vignettes featuring a boy
ADHD	57	66,3	36	36,7	19	24,1	10	12,3	65	25,2
Other diagnosis	5	5,8	42	42,9	38	48,1	53	65,4	133	51,6
No diagnosis	0	0,0	6	6,1	9	11,4	2	2,5	17	6,6
Not enough information	20	23,3	9	9,2	8	10,1	12	14,8	29	11,2
Suspected ADHD	4	4,7	5	5,1	5	6,3	4	4,9	14	5,4
Sum	86	100	98	100	79	100	81	100	258	100

Note. ADHD = attention-deficit/hyperactivity disorder; No diagnosis = answers of therapists in the category “no diagnosis for Sara/Ali”; Not enough information = answers of therapists in the category “I have not enough information for already making a diagnosis”

ISSN: 1471-244X