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Aim To evaluate the relationships between problematic internet use (PIU) and psychiatric comorbid disorders and internet use habits in a clinical sample of adolescents with attention‐deficit/hyperactivity disorder (ADHD). Method This cross‐sectional study included 95 adolescents with ADHD. Problematic behaviors and symptoms related to internet use were evaluated via Young’s Internet Addiction Scale (YIAS), and subjects with a YIAS score of ≥50 were categorized as PIU while those with a score of <50 were defined as normal internet use (NIU). The two groups were compared with respect to demographics and psychometric tests. While psychiatric disorders were examined by a semistructured instrument, self‐report and parent‐report scales were used to assess other individual and clinical characteristics of participants. Results 33.7% (n = 32) of the participants were determined to have PIU. There was no gender (p = .058) or age (p = .426) difference between the PIU and NIU groups. Current presence of social phobia (p = .035) and history of major depressive disorder (p = .006) were more frequent in the PIU group than the NIU group. Multivariable regression analysis revealed that PIU was independently associated with online gaming (OR: 2.375, 95% CI: 1.532–3.681), e‐mail use (OR: 1.864, 95% CI: 1.170–2.971), social networking (OR: 1.834, 95% CI: 1.156–2.910), and Social Phobia Scale for Children and Adolescents (SPSCA) score (OR: 1.058, 95% CI: 1.020–1.098). Conclusion PIU may be common among adolescents with ADHD. The severity of social phobia and particular online activities (playing online games, e‐mailing, social networking) may be associated with a higher risk of PIU in adolescents with ADHD.

Bu çalışmada, DEHB tanılı çocuk ve ergenlerden oluşan klinik bir örneklemde psikiyatrik komorbidite, uyku problemleri ve bunların DEHB görünümü, yaş ve cinsiyetle olan ilişkilerinin incelenmesi amaçlanmış. Gereç ve Yöntem: Çalışmaya 6-17 yaş arası 154 katılımcı dahil edildi. Psikiyatrik bozuklukları değerlendirmek amacıyla yarı yapılandırılmış bir klinik görüşme gerçekleştirildi. İçselleştirme ve uyku sorunlarını değerlendirmek için Çocuklar için Anksiyete Bozuklukları Tarama Ölçeği (ÇATÖ), Çocuk Depresyon Envanteri (ÇDE) ve Çocuk Uyku Alışkanlıkları Anketi (ÇUAA) kullanıldı. Bulgular: Katılımcılar arasında komorbid hastalık (%78) ve uyku problemleri (%97) sıklıkları oldukça yüksekti. DEHB bileşik görünüm erkeklerde daha sık olarak tespit edildi (p<0,001) ve karşıt olma-karşı gelme bozukluğu, enürezi ve enkoprezi bileşik görünümdeki olgularda daha sıktı (p<0,05). Dikkatsizlik görünümündeki olgularda ise sosyal anksiyete bozukluğu ve yaygın anksiyete bozukluğu görülme sıklıkları bileşik görünümdeki olgulara göre daha fazlaydı (p<0,05). Erkeklerle karşılaştırıldığında, kızlarda sosyal anksiyete bozukluğu (p=0,03) ve depresyon (p=0,021) daha sık olarak görülmekteydi. Katılımcıların %96,7'si ÇUAA'nde kesme puanı olan 41'in üzerinde skora sahipti (50,51±5,86). Bileşik görünümdeki olguların ÇUAA skorları dikkatsizlik görünümündeki olgulardan anlamlı olarak daha yüksekti (p<0,05). ÇUAA skorları ile toplam yaşam boyu psikiyatrik hastalık sayısı ve ABSTRACT Objective: This study aimed to investigate psychiatric comorbidity and sleep problems and their relationships with ADHD presentation, age and gender in a clinical sample of children and adolescents with ADHD. Material and Method: One hundred fifty-four subjects aged 6-17 were included in the study. A semi-structured diagnostic interview was conducted to screen psychiatric disorders. The Child Depression Inventory (CDI), Screen for Child Anxiety Related Emotional Disorders (SCARED) and Children's Sleep Habits Questionnaire (CSHQ) were used to investigate internalizing difficulties and sleep problems. Results: Overall high rates of comorbid disorders (78%) and sleep problems (97%) were found. ADHD-C was significantly more frequent in males and ADHD-I was more frequent in females (p<0.001). While oppositional defiant disorder (ODD), enuresis and encopresis were more frequent in subjects with ADHD-C (p<0.05), generalized anxiety (GAD) and social anxiety (SAD) disorders were more frequent in subjects with ADHD-I (p<0.05). Females, compared to males, had more frequent diagnoses of depression (p=0.021) and SAD (p=0.03). The majority of subjects (96.7%) scored above the cut off score of 41 in CSHQ (50.51±5.86). The ADHD-C group had significantly higher CSHQ total scores than the ADHD-I group (p<0.05). There was a significant positive correlation between CSHQ total scores and the Comorbidity and sleep problems in ADHD İstanbul Tıp Fakültesi Dergisi • J Ist Faculty Med 2020;83(4):363-72 number of lifetime comorbid diagnoses (p=0.006), self-reported anxiety (p=0.009) and depressi...