Research view
Title: | Psychiatric comorbidities in a sample of attention deficit hyperactivity disorder children in pediatric psychiatric clinics of El-Dakahlia Hospital of Mental Health |
Author: | Lamiaa G. El Hamrawy, Somaia M. El Sayed, Mohamed R. Soltan and Osama M. Abd El-Gwad |
Abstract: |
Background
Attention deficit hyperactivity disorder (ADHD) is one of the most frequent psychiatric
disorders of childhood and is frequently associated with comorbid illnesses.
Objective
to the objective of this article was to determine the frequency of psychiatric
comorbidities in a sample of children diagnosed with ADHD in El-Dakahlia Hospital of
Mental Health and to assess the association between ADHD subtypes and the
distribution of comorbid psychiatric disorders.
Participants and methods
The sample included 60 children aged 6–12 years diagnosed with ADHD on the basis
of Diagnostic and Statistical Manual of Mental Disorders, 4th ed., criteria. Conner’s
Parent Rating Scale-revised and the L and Kiddie Schedule for Affective Disorders and
Schizophrenia for School-Age Children-Present and Lifetime Version were applied to
diagnose ADHD and comorbid psychiatric disorders. The Wechsler Intelligence Scale
for Children was used to assess the intelligence quotient of all selected children.
Results
The prevalence of total psychiatric comorbidities in ADHD cases was 90% according
to Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age
Children-Present and Lifetime Version. The most frequent psychiatric comorbid
disorder was oppositional defiant disorder (55%), followed by comorbid nocturnal
enuresis (33.3%), generalized anxiety disorder (33.3%), and depressive disorders
(16.7%). Oppositional defiant disorder was more frequent in children diagnosed with
ADHD-combined type (71.4%). Specific phobia disorder was more frequent in
children diagnosed with ADHD-inattentive type (36.4%). There was no significant
difference between females and males with respect to the prevalence of comorbid
disorders.
Conclusion
High rates of psychiatric comorbidities were found in children with ADHD (90%).
Thus, management of comorbidities as well as ADHD is required to obtain the best
outcomes for the patients.
Keywords:
attention deficit hyperactivity disorder, children, psychiatric comorbidity
|
Journal: | Middle East Curr Psychiatry 24:134–141 |
Text: | |
Download |