Cak H Tuna, Dinc Gulser Senses, Tuzun Zeynep, Evinc S Gulin, Cop Esra, Cuhadaroglu Cetin Fusun
Department of Child and Adolescent Psychiatry, Hacettepe University, Ankara, Turkey,
Atten Defic Hyperact Disord. 2013 Dec;5(4):353-60. doi: 10.1007/s12402-013-0114-x. Epub 2013 Jul 28.
The aim of this study was to examine clinical outcomes, psychiatric comorbidity and neuropsychological characteristics in Turkish adolescents with an attention deficit hyperactivity disorder (ADHD) diagnosis in childhood. A total of 45 children with ADHD diagnosis and 28 children with a psychiatric diagnosis other than ADHD in a 1-year cohort of 7-10-year-olds were reevaluated 6 years later using Schedule for Affective Disorders and Schizophrenia for School-Age Children Present and Lifetime version and Wechsler Intelligence Scale for Children-Revised and Stroop Test TBAG version. This study shows that the clinical outcomes and the comorbidity patterns for ADHD from childhood to adolescence in Turkey are similar to reported rates in the Western countries. In the ADHD group, 75.6 % still has impairing ADHD symptoms and 46.6 % has comorbid psychiatric disorders. The main difference is anxiety disorders being the most common comorbid disorders (37.8 %) in Turkish ADHD youth. These findings stress the high comorbidity associated with ADHD and support the importance of assessment and treatment for ADHD and comorbidities during adolescence.
本研究的目的是调查童年期被诊断为注意力缺陷多动障碍（ADHD）的土耳其青少年的临床结局、精神共病情况和神经心理学特征。在一个由7至10岁儿童组成的为期1年的队列中，共有45名被诊断为ADHD的儿童和28名患有ADHD以外精神疾病诊断的儿童，6年后使用《学龄儿童情感障碍和精神分裂症问卷（现患和终生版）》、《韦氏儿童智力量表修订版》和《斯特鲁普测验TBAG版》进行重新评估。本研究表明，土耳其从童年到青少年期ADHD的临床结局和共病模式与西方国家报告的发生率相似。在ADHD组中，75.6%的人仍有损害性的ADHD症状，46.6%的人患有共病精神障碍。主要差异在于焦虑症是土耳其ADHD青少年中最常见的共病障碍（37.8%）。这些发现强调了与ADHD相关的高共病率，并支持在青少年期对ADHD及其共病进行评估和治疗的重要性。
