Psychiatric Comorbidity and Demographic Characteristics of 1,000 Children and Adolescents With ADHD in Turkey

İnci̇, Sevim Berrin; İpçi̇, Melis; Ardıç, Ülkü Akyol; Ercan, Eyüp Sabri

doi:10.1177/1087054716666954

Cited by 28 publications

(35 citation statements)

References 83 publications

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“…Therefore, ADHD should be considered especially for girls with poorer school performance. In our study, similar to previous studies, the combined type of ADHD was identified as the most common ADHD subtype (10,19).…”

Section: Discussionsupporting

confidence: 90%

“…In these previous studies, the number of cases with ADHD was low which may have affected the results. In another study with a higher number of cases compared to these studies, the comorbidity rate was found to be 56.3% (19). In our study which shows the current trend with a high number of cases, the rate of psychiatric disorder accompanying ADHD in our country is 60.9% and it is similar to the world literature.…”

Section: Discussionsupporting

confidence: 84%

“…In previous studies in our country, destructive conduct disorder and ODD and anxiety disorders were found to be the most common comorbid disorders. In some of these studies, destructive conduct disorders were found to be predominant in boys, while in others, the frequency of psychiatric diagnoses did not differ between genders (10,19,23,24). Although ODD and conduct disorder are the most frequent diagnoses in our study, the most prominent result in our study is that SLD is also the most frequent comorbidity different from other studies.…”

Section: Discussioncontrasting

confidence: 76%

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Attention Deficit Hyperactivity Disorder and Psychiatric Comorbidities

et al. 2020

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Aim: This study aims to obtain current information on the clinical features of attention deficit hyperactivity disorder cases, comorbid psychiatric disorders and psychiatric drug use. Methods: All patients between the ages of 6 and 18 years who were admitted to our outpatient clinic and diagnosed with attention deficit hyperactivity disorder were included in the study. The files of the patients were examined and their demographic characteristics, symptoms, psychiatric diagnoses and drug profiles were recorded. The pattern of the psychiatric disorders accompanied by attention deficit hyperactivity disorder cases and the differences according to age and gender were analyzed. The differences were determined in patients with psychiatric comorbidity compared to those without. Result: The mean age of the 777 patients included in the study was 11.1±2.94 and 76.6% were boys. 60.9% of attention deficit hyperactivity disorder patients had comorbid psychiatric disorders. The most common psychiatric comorbidities were specific learning disability (23.6%), oppositional defiant disorder (12.9%) and conduct disorder (12.1%). There was no difference between the genders in terms of the incidence of psychiatric comorbidities. The rate of psychiatric comorbidity was significantly higher in adolescents than in children. A psychotropic medication was used in 86.4% of the cases and psychotropic polypharmacy was present in 31.5%. The rate of polypharmacy was significantly higher in the group with psychiatric comorbidity. Conclusion: Attention deficit hyperactivity disorder is frequently accompanied by other psychiatric disorders and the psychiatric comorbidity leads to a more complicated clinical profile. Approximately one-third of attention deficit hyperactivity disorder patients have psychiatric polypharmacy and these patients should be carefully monitored. Primary care physicians who are frequently confronted with attention deficit hyperactivity disorder cases should be careful about psychiatric comorbidities. Keywords: Child psychiatry, attention deficit hyperactivity disorder, mental disorders, Family practice

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 84%

Section: Discussioncontrasting

confidence: 76%

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Attention Deficit Hyperactivity Disorder and Psychiatric Comorbidities

et al. 2020

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“…Currently, diagnosis of ADHD is relied on a questionnaire-and subjective observation-based model (Kupfer, 2000). A significant proportion of the children with ADHD also have anxiety and/or depression and other psychiatric comorbidities, many of whom later develop into clinically diagnosed anxiety and/or major depression disorder (MDD) during adolescence or early adulthood (Inci et al, 2016). Understanding the neurobiological bases of this disorder is highly expected for the development of neurobiological criteria-based diagnosis model for this very heterogeneous syndrome (Martin Fernandez-Mayoralas et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Structural and Functional Abnormalities in Children with Attention-Deficit/Hyperactivity Disorder: A Focus on Subgenual Anterior Cingulate Cortex

Zhan

Liu

et al. 2017

Brain Connectivity

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Attention-deficit/hyperactivity disorder (ADHD), characterized by developmentally inappropriate inattention, hyperactivity/impulsivity, or a combination of both, is a major public health problem. Neuroimaging studies have revealed associations of these cognitive impairments with structural and functional deficits all over the brain. Existing findings are not fully consistent because of the heterogeneity of study samples and diversity of research techniques. In this study, we propose to utilize a multimodal magnetic resonance imaging (MRI) approach to study the structural and functional brain networks in children with ADHD-combined type (ADHD-C) with a focus on the subgenual anterior cingulate cortex (sgACC). Diffusion tensor imaging (DTI) and resting-state functional MRI (rs-fMRI) data from 32 children with ADHD-C and 32 group-matched controls were involved. Network-based statistic analysis of the rs-fMRI data revealed a disconnected functional network between the sgACC and multiple regions in the occipital lobe and cerebellum, whereas the DTI data showed disrupted white matter integrity in the subgenual cingulum bundle (sgCB). Post hoc region of interest (ROI)-based analyses showed significantly increased fluctuation of the spontaneous brain activity in the sgACC and higher radial diffusivity in the sgCB in the ADHD group. Both the rs-fMRI and DTI ROI-based measures were significantly correlated with clinical measures that examine behavioral capacities of attention and inhibitory control. Findings of this study suggest that functional alterations in the sgACC and white matter under development in the sgCB may impact each other, and together contribute to impaired attention and inhibitory control function in children with ADHD.

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“…Inci ve ark. 11 Ege Üniversitesi'nde 6-18 yaş arası DEHB tanısı almış 1000 çocukla yaptıkları kesitsel çalışmada psikiyatrik komorbidite prevalansının %56,3 olduğunu belirtmişlerdir. Amerikan Ulusal Öğrenme Engelliler Merkezi'nin verilerine göre, ÖÖG tanısı almış çocukların üçte biri kadarının aynı zamanda DEHB tanısı aldığı belirtilmektedir.…”

Section: Introductionunclassified

Knowledge and Awareness of Guidance Counselors About Attention Deficit and Hyperactivity Disorder and Specific Learning Disability

Oral¹,

Karakurt²

2020

tjcamh

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Bu araştırmada ilköğretim ve ortaöğretim psikolojik danışmanlık ve rehberlik (PDR) öğretmenlerinin dikkat eksikliği ve hiperaktivite bozukluğu (DEHB) ve özgül öğrenme güçlüğü (ÖÖG) ile ilgili bilgi ve farkındalık düzeylerinin belirlenmesi amaçlanmış, öğretmenlerin geçmişte aldıkları DEHB ve ÖÖG eğitimi ile bilgi ve farkındalık düzeyleri arasında bir ilişkinin olup olmadığı sorgulanmıştır. Gereç ve Yöntem: Bu çalışma, Erzurum iline bağlı bir ilçenin okullarında görevli olan PDR öğretmenlerinin DEHB ve ÖÖG hakkındaki bilgi ve farkındalık düzeylerini inceleyen betimsel bir çalışmadır. Araştırmada örneklem seçme yöntemine gidilmemiştir. Araştırmaya gönüllü olarak katılmak isteyen PDR öğretmenleri (n=35) dahil edilerek araştırmacılar tarafından hazırlanan basılı anketleri doldurmaları istenmiştir. Bulgular: PDR öğretmenlerinin DEHB ve ÖÖG hakkında bilgi ve farkındalık düzeylerinin orta seviyede olduğu saptanmıştır. Geçmişte DEHB ile ilgili eğitimi almış olan öğretmenlerin almamış öğretmenlere göre anketten anlamlı düzeyde daha yüksek puan aldıkları görülmüştür. Sonuç: Çalışmanın sonuçları öğretmenlerin DEHB ve ÖÖG ile ilgili bilgi ve farkındalıklarının artırılmasının faydalı olabileceğini işaret etmektedir. Çalışmanın sonucu Erzurum iline bağlı ilçenin Milli Eğitim Müdürlüğü ile paylaşılmıştır. DEHB ve ÖÖG için erken tanı ve müdahalenin önemi göz önünde bulundurulduğunda, Erzurum il merkezine bağlı diğer ilçelerin okullarında görev yapan hem sınıf öğretmenleri hem de PDR öğretmenlerinin DEHB ve ÖÖG konusunda bilgi ve yeterliliklerinin artırılması için eğitimler düzenlenmesi planlanmıştır.

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Psychiatric Comorbidity and Demographic Characteristics of 1,000 Children and Adolescents With ADHD in Turkey

Abstract: These findings provide valuable information about the comorbid disorders in children and adolescents with a very large clinical sample of ADHD children.

Cited by 28 publications

References 83 publications

Attention Deficit Hyperactivity Disorder and Psychiatric Comorbidities

Attention Deficit Hyperactivity Disorder and Psychiatric Comorbidities

Structural and Functional Abnormalities in Children with Attention-Deficit/Hyperactivity Disorder: A Focus on Subgenual Anterior Cingulate Cortex

Knowledge and Awareness of Guidance Counselors About Attention Deficit and Hyperactivity Disorder and Specific Learning Disability

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