The Interaction Between Attention Deficit Hyperactivity Disorder and Anxiety Symptoms/Dikkat eksikligi hiperaktivite bozuklugu ile kaygi belirtileri iliskisi

Headnote

ABSTRACT

The interaction between attention deficit hyperactivity disorder and anxiety symptoms

Objective: Attention deficit hyperactivity disorder (ADHD) and anxiety disorders are commonly seen in the field of child psychiatry. Childhood ADHD and anxiety disorders are comorbid with an estimated rate of 13% to 50%. In this study, it was aimed to research anxiety symptoms and its relation with ADHD symptoms in children with ADHD.

Method: Fifty children with ADHD and 49 healthy controls (aged 8-15 years) who do not have any psychiatric diagnosis were included in study. We used socio-demographic information form, Conners' Teacher Rating Scale (CTRS), Child Behavior Checklist for 4-18 years (CBCL), The Screen for Child Anxiety Related Emotional Disorders (SCARED) both parent and child report for assessing these children. The diagnosis were made with Kiddie Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version (K-SADS-PL).

Results: The anxiety disorders comorbidity rate was 24% in ADHD group. The total scores of SCARED parent and children reports were higher in ADHD group. SCARED children report scores were higher than SCARED parent report scores in both groups.

Discussion: Our results agree with the previously reported common anxiety comorbidity with ADHD and the association between attention deficit symptoms and anxiety symptoms. In our study, parents reported fewer anxiety symptoms in their children than children's self reports. Clinicians should evaluate anxiety symptoms carefully in children with ADHD that could be unnoticed by their parents. The treatment should be determined according to the comorbidities.

Key words: ADHD, anxiety, attention, children, comorbidity

ÖZET

Dikkat eksikligi hiperaktivite bozuklugu ile kaygi belirtileri iliskisi

Amaç: Dikkat eksikligi hiperaktivite bozuklugu (DEHB) ve kaygi bozukluklari çocuk psikiyatrisi alaninda siklikla görülen bozukluklardir. Çocukluk çaginda DEHB'ye kaygi bozukluklarinin eslik etme orani %13-50 arasinda degismektedir. Bu çalismada DEHB tanisi alan çocuklarda kaygi belirtilerinin arastirilmasi, bu belirtilerin DEHB belirtileri ile iliskisinin degerlendirilmesi ve saglikli kontrollerle karsilastirilmasi amaçlandi.

Yöntem: Çalismaya DEHB tanisi almis 8-16 yas arasi 50 çocuk ve herhangi bir ruhsal bozukluk tanisi almayan 48 saglikli kontrol dahil edildi. Katilimcilarin degerlendirilmesinde sosyodemografik bilgi formu, Conners' Ögretmen Derecelendirme Ölçegi (CÖDÖ), Çocukluk Çagi Anksiyete Tarama Ölçegi (ÇATÖ) (Ebeveyn ve Çocuk Formu) ve 4-18 Yas Çocuk ve Gençlerde Davranis Degerlendirme Ölçegi (ÇDDÖ) kullanildi. Tanilar Okul Çagi Çocuklari için Duygulanim Bozukluklari ve Sizofreni Görüsme Çizelgesi- Simdi ve Yasam Boyu...