Clinical Effects of ADHD Subtypes in Patients With Social Anxiety Disorder

Koyuncu, Ahmet; Çelebi, Fahri; Ertekin, Erhan; Kök, Burcu Ece; Tükel, Raşit

doi:10.1177/1087054715617533

Cited by 22 publications

(21 citation statements)

References 44 publications

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“…Fear/anxiety, avoidance, and total scores of Liebowitz Social Anxiety Scale (LSAS) and lifetime major depressive disorder were found to be higher and functionality was found to be lower in the group of patients with comorbid ADHD, when compared with those without ADHD. In their second study, Koyuncu et al (2015b) found the rate of childhood ADHD comorbidity as 62% (n=88) in patients with SAD (n=142), and 63 of these patients had the diagnosis of inattentive type. This group had higher scores of social anxiety and avoidance and had earlier onset of SAD than the combined type of childhood ADHD.…”

Section: Introductionmentioning

confidence: 97%

The relationship of social anxiety disorder symptoms with probable attention deficit hyperactivity disorder in Turkish university students; impact of negative affect and personality traits of neuroticism and extraversion

Evren

Dalbudak²,

Ozen

et al. 2017

Psychiatry Research

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Section: Introductionmentioning

confidence: 97%

The relationship of social anxiety disorder symptoms with probable attention deficit hyperactivity disorder in Turkish university students; impact of negative affect and personality traits of neuroticism and extraversion

Evren

Dalbudak²,

Ozen

et al. 2017

Psychiatry Research

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“…19 High rates of co-morbidity in patients with SAD may indicate a more specific ADHD and SAD relationship. 3,4 Moreover, in studies of ADHD, SAD has been reported to have a high prevalence as a comorbid anxiety disorder. 9,10 All these studies may provide evidence supporting our hypothesis.…”

Section: Discussionmentioning

confidence: 99%

“…In the first study, 72.3% of 130 outpatients with a primary diagnosis of adult SAD also met the diagnostic criteria for childhood ADHD . The second study showed that 62.1% had childhood ADHD in a sample of 142 outpatients with SAD …”

Section: Introductionmentioning

confidence: 97%

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Development of social anxiety disorder secondary to attention deficit/hyperactivity disorder (the developmental hypothesis)

Koyuncu¹,

Alkın

Tükel

2016

Early Intervention Psych

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Social anxiety disorder (SAD) may develop secondary to childhood attention deficit/hyperactivity (ADHD) in a subgroup of the patients with SAD. Patients pass through a number of identifiable stages of developmental pathways to SAD as they grow up. Patients with ADHD have maladaptive behaviours in social settings due to the symptoms of ADHD. These behaviours are criticized by their parents and social circle; they receive insults, humiliation and bullying. After each aversive incident, the individual feels shame and guilt. A vicious cycle emerges. The patients then develop social fears and a cognitive inhibition that occurs in social situations. The inhibition increases gradually as the fear persists and the individual becomes withdrawn. Patients start to monitor themselves and to focus on others' feedback. Finally, performative social situations become extremely stimulating for them and may trigger anxiety/panic attacks. If this hypothesis is proven, treatment of 'patients with SAD secondary to ADHD' should focus on the primary disease.

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“…Therefore, it may be important to know the prevalence and patterns of psychiatric comorbidity and sleep problems and their relationship between clinical (such as ADHD presentation) and sociodemographic (such as age and gender) variables in young subjects with ADHD. Despite there having been several reports on the prevalence and patterns of comorbid psychiatric disorders in relation to different ADHD presentations, age and gender among adults with ADHD, there is a lack of studies on these issues among young subjects with ADHD (18,19). In this study, the researchers investigated the prevalence and patterns of psychiatric comorbidity and sleep problems in relation to different ADHD presentations, age (children vs adolescents), and gender in a clinical sample of children and adolescents with ADHD.…”

Section: Introductionmentioning

confidence: 99%

Psychiatric Comorbidity and Sleep Problems in Children and Adolescents With Attention Deficit Hyperactivity Disorder in Relation to Attention Deficit Hyperactivity Disorder Presentation, Age and Gender

Coşkun¹,

Guven²,

Alnak³

et al. 2020

J Istanb Fac Med

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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...

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Clinical Effects of ADHD Subtypes in Patients With Social Anxiety Disorder

Abstract: The inattentive subtype of ADHD may have a more specific relationship with SAD than ADHD-C.

Cited by 22 publications

References 44 publications

The relationship of social anxiety disorder symptoms with probable attention deficit hyperactivity disorder in Turkish university students; impact of negative affect and personality traits of neuroticism and extraversion

The relationship of social anxiety disorder symptoms with probable attention deficit hyperactivity disorder in Turkish university students; impact of negative affect and personality traits of neuroticism and extraversion

Development of social anxiety disorder secondary to attention deficit/hyperactivity disorder (the developmental hypothesis)

Psychiatric Comorbidity and Sleep Problems in Children and Adolescents With Attention Deficit Hyperactivity Disorder in Relation to Attention Deficit Hyperactivity Disorder Presentation, Age and Gender

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