Co-existing psychiatric problems in ADHD in the ADORE cohort.
- Steinhausen HC Dept. of Chid and Adolescent Psychiatry, University of Zurich, Neumünsterallee 9, 8032, Zürich, Switzerland. steinh@kjpd.unizh.ch
- Nøvik TS
- Baldursson G
- Curatolo P
- Lorenzo MJ
- Rodrigues Pereira R
- Ralston SJ
- Rothenberger A
- 2006-12-21
Published in:
- European child & adolescent psychiatry. - 2006
Adolescent
Adolescent Behavior
Analysis of Variance
Attention Deficit Disorder with Hyperactivity
Child
Child Behavior
Cohort Studies
Comorbidity
Europe
Female
Humans
Longitudinal Studies
Male
Mental Disorders
Quality of Life
Severity of Illness Index
Surveys and Questionnaires
English
OBJECTIVE
To study the impact of co-existing psychiatric problems with ADHD on behavioural features, psychosocial functioning and quality of life in subjects of the ADORE cohort (N=1,478).
METHODS
The following six groups of associated psychiatric problems with ADHD were compared: oppositional-defiant disorder or conduct disorder only (ODD/CD); anxiety or depressive disorder only (ANX/DEP); tic/Tourette's disorder only (TIC/Tourette's); developmental co-ordination disorder only (DCD); two or more associated conditions; and none. Dependent variables included the ADHD Rating Scale-IV, the Strengths and Difficulties Questionnaire, the Clinical Global Impression-Severity scale, the Children's Global Assessment Scale and the Child Health Illness Profile-Child Edition.
RESULTS
Having multiple co-existing psychiatric problems increased the severity of ADHD in all domains, be it behavioural features, psychosocial impairment or deterioration of quality of life. A similar though less consistent pattern applied to subjects with co-existing ODD/CD.
CONCLUSIONS
The ADORE study provides impressive evidence for the far-reaching consequences of co-existing psychiatric problems in children with ADHD that warrant intensive consideration in clinical assessment and treatment.
To study the impact of co-existing psychiatric problems with ADHD on behavioural features, psychosocial functioning and quality of life in subjects of the ADORE cohort (N=1,478).
METHODS
The following six groups of associated psychiatric problems with ADHD were compared: oppositional-defiant disorder or conduct disorder only (ODD/CD); anxiety or depressive disorder only (ANX/DEP); tic/Tourette's disorder only (TIC/Tourette's); developmental co-ordination disorder only (DCD); two or more associated conditions; and none. Dependent variables included the ADHD Rating Scale-IV, the Strengths and Difficulties Questionnaire, the Clinical Global Impression-Severity scale, the Children's Global Assessment Scale and the Child Health Illness Profile-Child Edition.
RESULTS
Having multiple co-existing psychiatric problems increased the severity of ADHD in all domains, be it behavioural features, psychosocial impairment or deterioration of quality of life. A similar though less consistent pattern applied to subjects with co-existing ODD/CD.
CONCLUSIONS
The ADORE study provides impressive evidence for the far-reaching consequences of co-existing psychiatric problems in children with ADHD that warrant intensive consideration in clinical assessment and treatment.
- Language
-
- English
- Open access status
- green
- Identifiers
-
- DOI 10.1007/s00787-006-1004-y
- PMID 17177012
- Persistent URL
- https://folia.unifr.ch/global/documents/85164
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