DEPRESSIVE SYMPTOMATOLOGY IN YOUNG PATIENTS WITH ADHD IN OUTPATIENT CARE
Journal Title: Acta Neuropsychologica - Year 2008, Vol 6, Issue 4
Abstract
[b]Background.[/b] Attention-Deficit Hyperactivity Disorder (ADHD) is frequently associated with other neuropsychiatric childhood disorders. Therefore, the assessment of young patients can be complicated by several factors, including the differential diagnosis of comorbid psychiatric conditions, as well as inconsistencies in the manifestation of ADHD symptomatology. The symptoms of comorbid depression presented by patients primarily diagnosed with ADHD are often unrecognized and/or untreated. For that reason, greater attention should be devoted to the complex interplay between ADHD and associated disorders. The main goal of the discussed study was to analyze the symptomatology presented by the individuals diagnosed with ADHD, in the course of the first psychiatric consultation, as well as overall psychiatric comorbidities.[b]Material and methods.[/b] 62 subjects, ages 5 to 19 (mean 12.57) participated in this retrospective study. These individuals were referred for the first psychiatric assessment at the Psychological and Pedagogical Center because of attention deficits, learning difficulties, hyperactivity, aggressive behaviours, talkativeness, interpersonal difficulties, forgetfulness or impatience. The data were gathered in 2007.[b]Results.[/b] In the presented sample, the clinical picture of depression was observed in almost 1/3 of the individuals ages 13 to 15. Irritability, persistent sadness, mood fluctuations as well as low self esteem/feelings of worthlessness were among most frequently reported symptoms. The explanations for the comorbidities, as well as their implications for clinical practice, are discussed. Overall, greater attention should be paid to interactions between ADHD and associated psychiatric comorbidities.
Authors and Affiliations
Anita Sumiła, Anna Cieślukowska
Keywords
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