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Co-morbidity in Attention-Deficit Hyperactivity Disorder: A Clinical Study from India.
- Source :
-
East Asian archives of psychiatry : official journal of the Hong Kong College of Psychiatrists = Dong Ya jing shen ke xue zhi : Xianggang jing shen ke yi xue yuan qi kan [East Asian Arch Psychiatry] 2016 Dec; Vol. 26 (4), pp. 148-53. - Publication Year :
- 2016
-
Abstract
- Objective: To assess the prevalence of neurodevelopmental and psychiatric co-morbidities in children and adolescents diagnosed with attention-deficit hyperactivity disorder at a tertiary care child and adolescent psychiatry centre.<br />Methods: A total of 63 children and adolescents who were diagnosed with attention-deficit hyperactivity disorder and fulfilled the inclusion criteria were comprehensively assessed for neurodevelopmental and psychiatric co-morbidities. The tools used included the Mini-International Neuropsychiatric Interview for Children and Adolescents, Attention Deficit Hyperactivity Disorder Rating Scale IV (ADHD-RS), Children's Global Assessment Scale, Clinical Global Impression Scale, Vineland Social Maturity Scale, and Childhood Autism Rating Scale.<br />Results: All except 1 subject had neurodevelopmental and / or psychiatric disorder co-morbid with attention-deficit hyperactivity disorder; 66.7% had both neurodevelopmental and psychiatric disorders. Specific learning disability was the most common co-existing neurodevelopmental disorder and oppositional defiant disorder was the most common psychiatric co-morbidity. The mean baseline ADHD-RS scores were significantly higher in the group with psychiatric co-morbidities, especially in the group with oppositional defiant disorder.<br />Conclusion: Co-morbidity is present at a very high frequency in clinic-referred children diagnosed with attention-deficit hyperactivity disorder. Psychiatric co-morbidity, specifically oppositional defiant disorder, has an impact on the severity of attention-deficit hyperactivity disorder. Co-morbidity needs to be explicitly looked for during evaluation and managed appropriately.
- Subjects :
- Adolescent
Attention Deficit Disorder with Hyperactivity psychology
Child
Child, Preschool
Comorbidity
Female
Humans
India epidemiology
Male
Mental Disorders epidemiology
Mental Disorders psychology
Neurodevelopmental Disorders epidemiology
Neurodevelopmental Disorders psychology
Prevalence
Prospective Studies
Attention Deficit Disorder with Hyperactivity epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 2224-7041
- Volume :
- 26
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- East Asian archives of psychiatry : official journal of the Hong Kong College of Psychiatrists = Dong Ya jing shen ke xue zhi : Xianggang jing shen ke yi xue yuan qi kan
- Publication Type :
- Academic Journal
- Accession number :
- 28053283