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Letters Attention-deficit/hyperactivity disorder

Authors’ reply to Cortese

BMJ 2013; 347 doi: (Published 27 November 2013) Cite this as: BMJ 2013;347:f7080
  1. Laura Batstra, assistant professor1,
  2. Rae Thomas, senior research fellow2,
  3. Geoffrey Mitchell, professor of general practice and palliative care3
  1. 1University of Groningen, 9712 TJ, Groningen, Netherlands
  2. 2Centre for Research in Evidence-Based Practice, Bond University, 4229 Australia
  3. 3School of Medicine, University of Queensland, 4072 Australia
  1. l.batstra{at}

We recently expressed our concern that changing the age of onset criterion for attention-deficit/hyperactivity disorder (ADHD) from 7 to 12 years in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) might increase the risk of misdiagnosing pubertal restlessness and distractibility as ADHD.1 Cortese thinks that this is not supported by empirical evidence,2 and he refers to …

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