Çocuk ve Ergenlerde Tip 1 Diyabetes Mellitus ile DEHB ve DEHB Şiddeti arasında Bir İlişki Var mı?: Vaka Kontrol Çalışması

Abstract

Our aim in this study was to investigate the relation between type 1 diabetes mellitus (DM) and attention deficithyperactivity disorder (ADHD) and severity of ADHD in children and adolescents. Cases (n:80) and healthy children (n:80) aged 6-18 and followed-up with Type 1 DM were included in the study. Psychiatric evaluation in the light of DSM-5 (The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition diagnostic criteria), an information form, the ADHD section of the Schedule for Affective Disorders and Schizophrenia for School-Age Children (6-18) (K-SADS-PL-T), the DuPaul ADHD Rating Scale, the Conners Teaching Rating Scale (CTRS), and the Conners Parental Rating Scale (CPRS) was applied to the participants. The two groups were compared in terms of ADHD and ADHD severity. Sixteen of the cases with type 1 DM, and 5 of the control group were diagnosed with ADHD, the rate of ADHD being higher in the case group (chi-square p<0.05). A statistically significant difference was determined between the ADHD scale scores. Mean HbA1c in cases diagnosed with ADHD in the case group was higher than in undiagnosed cases (p=0.020). All scale parameters, apart from HbA1c and the attention part of the CTRS, were higher in cases diagnosed with ADHD in the case group than in cases not diagnosed with ADHD(p=0.020). Duration of exposure to diabetes, and numbers of hospitalizations and ketoacidosis attacks were higher in cases with ADHD in the case group than in those without ADHD (p<0.05). There was a significant difference in terms of ADHD between the control and case groups in our study, and there is a probable association between ADHD and type 1 DM. Further, more detailed studies are needed to provide a clear explanation of that relation.