Correlates of ADHD Among Children in Pediatric and Psychiatric Clinics

Busch, Betsy; Biederman, Joseph; Cohen, Louise Glassner; Sayer, Julie; Monuteaux, Michael C.; Mick, Eric; Zallen, Barry G.; Faraone, Stephen V.

doi:10.1176/appi.ps.53.9.1103

Cited by 137 publications

(84 citation statements)

References 51 publications

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“…To a lesser degree, children in the non-psychiatric sample also had multiple types of comorbidities and similar social problems. These results are consistent with Busch et al [29], whose findings contradicted previous studies that showed non-psychiatric samples as less compromised than psychiatric samples [1,[26][27][28][29].…”

Section: Discussionsupporting

confidence: 91%

An Assessment of Comorbidity and Social Demographics in a Primarily African-American and Hispanic Population of Boys with ADHD Treated in Psychiatric/Non-Psychiatric and Public/Private Clinics in Miami, Florida

Rothe¹,

Lewis²

2016

J Child Adolesc Behav

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Objective: To determine whether social disadvantage and comorbidity in boys with attention-deficit/hyperactivity disorder (ADHD) differ among psychiatric versus non-psychiatric and public versus private clinics. Methods:This cross-sectional study included boys 6-12 years of age, clinically diagnosed, and pharmacologically treated for ADHD at 1 of 5 clinics in Miami, Florida. The child's caregiver completed a demographics form, the Child Behavior Checklist, and the Child Symptom Inventory. Results:The study included 174 boys (28% African-American and 64% Hispanic). The sample included 42% psychiatric practices and 73% public clinics. Compared to the non-psychiatric sample, children in the psychiatric samples presented more often with ADHD hyperactive-impulsive subtype and combined subtype. Children in the psychiatric clinics had the most severe forms of ADHD and the most comorbid diagnoses, particularly behavioral, mood, and anxiety disorders. Compared to the private clinics, children in the public psychiatric clinic presented more markers of socioeconomic disadvantage. Public clinics also had more severe ADHD, social phobia, aggressive behavior, and externalizing behaviors than private clinics. Conclusions:Comorbidity and severity of ADHD in children treated in primary care clinics were lower than, but clinically comparable to, that found in psychiatric clinics. Socioeconomic disadvantages are present in children treated in public clinics.

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Section: Discussionsupporting

confidence: 91%

An Assessment of Comorbidity and Social Demographics in a Primarily African-American and Hispanic Population of Boys with ADHD Treated in Psychiatric/Non-Psychiatric and Public/Private Clinics in Miami, Florida

Rothe¹,

Lewis²

2016

J Child Adolesc Behav

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“…A amostra re d u z i d a deste estudo pode ter limitado estas conclusões já que apenas 4 casos de crianças com o tipo hiperativo foram encontradas. Tr a n s t o rnos psiquiátricos comórbidos são comuns no TDAH 1 9 , part i c u l a rmente transtornos disruptivos, de humor e de ansiedade 9,13,[21][22][23] . Nesta amostra, a maioria das crianças com TDAH (57,14%) manifestava alguma das comorbidades estudadas, em concordância com outros estudos 1 3 , 1 6 , 2 3 .…”

Section: Média De Idade (Anos) ±unclassified

Comorbidades do transtorno de déficit de atenção e hiperatividade em crianças escolares

Possa

Spanemberg

Guardiola³

2005

Arq. Neuro-Psiquiatr.

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RESUMO -O b j e t i v o: Avaliar a freqüência de transtorno de conduta (TC), transtorno desafiador opositivo ( T D O ) e transtorno obsessivo-compulsivo (TOC) em crianças com transtorno de déficit de atenção e hiperatividade ( T D A H ) . M é t o d o:Estudo realizado em crianças de 7 a 11 anos com TDAH conforme critérios do DSM-IV ( n = 3 5 ) , exame neurológico normal e exame neurológico evolutivo (ENE) segundo Lefèvre alterado. Os re s p o n s á v e i s responderam a questionários contendo os critérios do DSM-IV para TDAH e para comorbidades. R e s u l t a d o s: TDAH do tipo combinado foi o mais prevalente (51,4%). Quatorze crianças (40,0%) apresentaram TC, incluindo duas que apresentaram TC e TOC. Cinco (14,2%) apresentaram apenas TDO e uma (2,8%) apresentou apenas TOC. Onze das quatorze crianças (78,5%) com TC tinham TDAH do tipo combinado (p<0,05). Onze das quinze crianças (73,3%) sem comorbidades eram do tipo desatentas ou hiperativas (p<0,05). Conc l u s ã o: O TDAH a p resenta alta freqüência de comorbidade com TC, que parece estar pre f e rencialmente associado ao TDAH combinado.PALAVRAS-CHAVE: transtorno de déficit de atenção e hiperatividade, comorbidades, crianças.Attention-deficit hyperactivity disorder comorbidity in a school sample of children ABSTRACT -O b j e c t i v e:To evaluate the frequency of conduct disorder (CD), oppositional defiant disord e r (ODD) and obsessive-compulsive disorder (OCD) in children with attention-deficit hyperactivity disorder (ADHD). Method: This study was performed with children between 7 and 11 years old who fit the DSM-IV diagnostic criteria (n=35) to ADHD, normal neurologic examination and abnormal evolutionary neuro l ogical examination (ENE) by Lefèvre. Parents answered a questionnaire with DSM-IV criteria to ADHD and c o m o r b i d i t i e s . R e s u l t: ADHD combined subtype was the most prevalent (51.4%). Fourteen (40%) had CD, including two with both CD and OCD. Five (14.2%) had only ODD and one (2.8%) only OCD. Eleven of fourt e e n children (78.5%) with CD had also ADHD combined subtype, with significant statistical difference (p<0.05). Eleven of fifteen children (73.3%) without comorbidity had inattentive or hyperactive subtype (p<0.05). C o n c l u s i o n:The frequency of association between CD and ADHD was high, much more in combined subtype.KEY WORDS: attention-deficit hyperactivity disorder, comorbidity, children.O transtorno de déficit de atenção e hiperatividade (TDAH) é condição comum em crianças e re sponsável por uma série de prejuízos médico-sociais, especialmente dificuldades escolare s 1 -3 . É classicamente caracterizado por alterações dos sistemas m o t o res, perceptivos, cognitivos, de comport a m e nto, comprometendo o aprendizado de crianças c o m potencial intelectual adequado 1,[4][5][6] . A Associação Americana de Psiquiatria, através do DSM-IV o define como um padrão persistente de desatenção e / o u hiperatividade, mais freqüente e severo do que aquele tipicamente observado em indivíduos em nível equivalente de desenvolvimento ...

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“…(Biederman et al, 2006;Biederman et al, 2010b) (Busch et al, 2002) Subjects were derived from two identically designed longitudinal case-control family studies of ADHD. These studies recruited male and female probands aged 6 to 17 years with DSM-III-R ADHD (N=140 boys, N=140 girls) and without ADHD (i.e.…”

Section: Methodsmentioning

confidence: 99%

10.4 Examining the Association Between Attention-Deficit/Hyperactivity Disorder and Substance Use Disorders: A Familial Risk Analysis

Yule

2016

Journal of the American Academy of Child & Adolescent Psych

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Correlates of ADHD Among Children in Pediatric and Psychiatric Clinics

Cited by 137 publications

References 51 publications

An Assessment of Comorbidity and Social Demographics in a Primarily African-American and Hispanic Population of Boys with ADHD Treated in Psychiatric/Non-Psychiatric and Public/Private Clinics in Miami, Florida

An Assessment of Comorbidity and Social Demographics in a Primarily African-American and Hispanic Population of Boys with ADHD Treated in Psychiatric/Non-Psychiatric and Public/Private Clinics in Miami, Florida

Comorbidades do transtorno de déficit de atenção e hiperatividade em crianças escolares

10.4 Examining the Association Between Attention-Deficit/Hyperactivity Disorder and Substance Use Disorders: A Familial Risk Analysis

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