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Steinhausen, H.C. et al.

Steinhausen, N??vik, Baldursson, Curatolo, Lorenzo, Rodrigues Pereira, Ralston, Rothenberger,

Co-existing psychiatric problems in ADHD in the ADORE cohort.

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.[1]

References

Co-existing psychiatric problems in ADHD in the ADORE cohort. Steinhausen, H.C., N??vik, T.S., Baldursson, G., Curatolo, P., Lorenzo, M.J., Rodrigues Pereira, R., Ralston, S.J., Rothenberger, A. European child & adolescent psychiatry (2006) [Pubmed]

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