OBJECTIVE: The aim of this study was to explore whether comorbid attention-deficit/hyperactivity disorder (ADHD) affects the clinical expression and outcome of obsessive-compulsive disorder (OCD) in a clinical sample. METHOD: A consecutive series of 94 children and adolescents (mean age, 13.6 +/- 2.8 years) with current diagnosis of OCD were included in the study. Twenty-four (25.5%) patients were diagnosed as having a comorbid ADHD. Subjects with OCD plus ADHD were compared with subjects with OCD but without ADHD. RESULTS: Comorbid ADHD with OCD was significantly associated with a higher rate of males, an earlier onset of OCD, a greater psychosocial impairment, and a heavier comorbidity, namely, with bipolar disorder, tic disorder, and oppositional defiant disorder/conduct disorder. Phenomenology of obsessions and compulsions and outcome were not affected by ADHD comorbidity. CONCLUSIONS: A screening for ADHD should be performed in patients with OCD, as these patients and their parents are frequently not aware that the impairment may be partly due to a comorbid ADHD.
OBJECTIVE: The aim of this study was to explore whether comorbid attention-deficit/hyperactivity disorder (ADHD) affects the clinical expression and outcome of obsessive-compulsive disorder (OCD) in a clinical sample. METHOD: A consecutive series of 94 children and adolescents (mean age, 13.6 +/- 2.8 years) with current diagnosis of OCD were included in the study. Twenty-four (25.5%) patients were diagnosed as having a comorbid ADHD. Subjects with OCD plus ADHD were compared with subjects with OCD but without ADHD. RESULTS: Comorbid ADHD with OCD was significantly associated with a higher rate of males, an earlier onset of OCD, a greater psychosocial impairment, and a heavier comorbidity, namely, with bipolar disorder, tic disorder, and oppositional defiant disorder/conduct disorder. Phenomenology of obsessions and compulsions and outcome were not affected by ADHD comorbidity. CONCLUSIONS: A screening for ADHD should be performed in patients with OCD, as these patients and their parents are frequently not aware that the impairment may be partly due to a comorbid ADHD.
Authors: Brooke Sheppard; Denise Chavira; Amin Azzam; Marco A Grados; Paula Umaña; Helena Garrido; Carol A Mathews Journal: Depress Anxiety Date: 2010-07 Impact factor: 6.505
Authors: Abbe M Garcia; Jennifer B Freeman; Michael B Himle; Noah C Berman; Alexandra K Ogata; Janet Ng; Molly L Choate-Summers; Henrietta Leonard Journal: J Psychopathol Behav Assess Date: 2009-06
Authors: Mary Kathryn Cancilliere; Jennifer Freeman; Abbe Garcia; Kristen Benito; Jeffrey Sapyta; Martin Franklin Journal: Child Psychiatry Hum Dev Date: 2018-10
Authors: Kathleen A Hennessey; Michael D Stein; Cynthia Rosengard; Jennifer S Rose; Jennifer G Clarke Journal: J Atten Disord Date: 2009-09-22 Impact factor: 3.256