Koyuncu Ahmet, Ertekin Erhan, Yüksel Çağrı, Aslantaş Ertekin Banu, Çelebi Fahri, Binbay Zerrin, Tükel Raşit
Bahat Group Hospitals, Istanbul, Turkey.
Istanbul University, Istanbul, Turkey
J Atten Disord. 2015 Oct;19(10):856-64. doi: 10.1177/1087054714533193. Epub 2014 May 9.
The aim of this study was to determine the frequency of childhood ADHD comorbidity in patients with social anxiety disorder (SAD), and the influence of this comorbidity on various demographic and clinical variables in SAD.
A total of 130 patients with SAD were assessed with K-SADS-PL's (Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version) behavioral disorders module to determine the childhood diagnosis of ADHD. Patients with or without a comorbid childhood ADHD were compared in terms of clinical characteristics and rating scores.
The mean age at onset of SAD was lower, and lifetime major depressive disorder and bipolar disorder (BD) comorbidity were higher in the SAD-ADHD group than in the SAD-without ADHD group.
We have found high ADHD comorbidity in patients with SAD. Presence of comorbid ADHD was associated with increased severity, functional impairment, and BD comorbidity.
本研究旨在确定社交焦虑障碍（SAD）患者中儿童期注意缺陷多动障碍（ADHD）共病的发生率，以及这种共病对SAD患者各种人口统计学和临床变量的影响。
使用儿童情感障碍和精神分裂症量表（学龄儿童版，目前和终生版）的行为障碍模块对总共130例SAD患者进行评估，以确定儿童期ADHD的诊断。比较有或无儿童期ADHD共病的患者的临床特征和评分。
SAD-ADHD组的SAD平均发病年龄较低，终生重度抑郁症和双相情感障碍（BD）共病率高于无ADHD的SAD组。
我们发现SAD患者中ADHD共病率很高。ADHD共病的存在与病情严重程度增加、功能损害和BD共病有关。
