Melis İpÇİ1, Sevim Berrin İncİ İzmİr2, Mehmet Hakan TÜrkÇapar3, Kadir Özdel4, Ülkü Akyol ArdiÇ5, Eyüp Sabri Ercan6. 1. Hasan Kalyoncu University, Institute of Social Sciences, Department of Clinical Psychology, Gaziantep, Turkey. 2. Ege University Substance Addiction Toxicology and Pharmaceutical Sciences Institute, İzmir, Turkey. 3. Social Sciences University of Ankara, Faculty of Humanities and Social Sciences Department of Psychology, Ankara, Turkey. 4. Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey. 5. Denizli State Hospital, Child and Adolescent Psychiatry, Denizli, Turkey. 6. Ege University, Child and Adolescent Psychiatry, İzmir, Turkey.
Abstract
INTRODUCTION: The prevalence rate of psychiatric comorbidity in children and adolescents with Attention Deficit Hyperactivity Disorder (ADHD) was 60-80%. The objective of this study was to examine comorbid disorders associated with ADHD and the subtypes of ADHD in children and adolescents with the diagnosis of ADHD. METHOD: The study included 326 children and adolescents aged between 8-15 years who were diagnosed with ADHD for the first time as a result of an interview by psychiatry, in a child adolescent psychiatry clinic in İzmir. Sociodemographic form, Turgay DSM-IV Disruptive Behavior Disorders Rating Scale and Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children Present and Lifetime version were used to assess psychiatric comorbidity. RESULTS: The comorbidities accompanied ADHD were disruptive behavior disorder (28.8%), depressive disorder (13.2%), obsessive-compulsive disorder (9.5%) and anxiety disorder (6.1%). When the subtypes of ADHD were assessed according to psychiatric comorbidity, oppositional defiant disorder and conduct disorder were frequently seen with ADHD combined type, whereas anxiety disorder was more frequent with ADHD inattentive type. DISCUSSION: Comorbidity in ADHD Combined type increases the severity of disease, delays treatment response and exacerbates prognosis. Therefore, it is very important to determine which psychiatric diagnosis accompany with ADHD. Copyright:
INTRODUCTION: The prevalence rate of psychiatric comorbidity in children and adolescents with Attention Deficit Hyperactivity Disorder (ADHD) was 60-80%. The objective of this study was to examine comorbid disorders associated with ADHD and the subtypes of ADHD in children and adolescents with the diagnosis of ADHD. METHOD: The study included 326 children and adolescents aged between 8-15 years who were diagnosed with ADHD for the first time as a result of an interview by psychiatry, in a child adolescent psychiatry clinic in İzmir. Sociodemographic form, Turgay DSM-IV Disruptive Behavior Disorders Rating Scale and Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children Present and Lifetime version were used to assess psychiatric comorbidity. RESULTS: The comorbidities accompanied ADHD were disruptive behavior disorder (28.8%), depressive disorder (13.2%), obsessive-compulsive disorder (9.5%) and anxiety disorder (6.1%). When the subtypes of ADHD were assessed according to psychiatric comorbidity, oppositional defiant disorder and conduct disorder were frequently seen with ADHD combined type, whereas anxiety disorder was more frequent with ADHD inattentive type. DISCUSSION: Comorbidity in ADHD Combined type increases the severity of disease, delays treatment response and exacerbates prognosis. Therefore, it is very important to determine which psychiatric diagnosis accompany with ADHD. Copyright:
Authors: Joseph Biederman; Michael C Monuteaux; Stephen V Faraone; Dina R Hirshfeld-Becker; Aude Henin; Jennifer Gilbert; Jerrold F Rosenbaum Journal: J Affect Disord Date: 2004-10-15 Impact factor: 4.839
Authors: Karen J Derefinko; Zachary W Adams; Richard Milich; Mark T Fillmore; Elizabeth P Lorch; Donald R Lynam Journal: J Abnorm Child Psychol Date: 2008-01-03
Authors: Isabella Souza; Maria Antônia Pinheiro; Daniel Denardin; Paulo Mattos; Luis Augusto Rohde Journal: Eur Child Adolesc Psychiatry Date: 2004-08 Impact factor: 4.785