Şahan Nilay, Atasavun Uysal Songül, Çak Halime T
J Psychiatr Pract. 2023 Mar 1;29(2):122-136. doi: 10.1097/PRA.0000000000000695.
Attention-deficit/hyperactivity disorder (ADHD) is often comorbid with a number of other psychiatric conditions. The goal of this study was to investigate whether motor skills, manual dexterity, and visual perception differ in the presence of ADHD and comorbid psychiatric conditions in school-age boys by comparing them to a group of children with typical development (TD). We evaluated 81 boys 6 to 10 years of age in 5 groups: ADHD only (n=18); ADHD+specific learning disorders (ADHD+SLDs) (n=17); ADHD+oppositional defiant disorder (n=16); ADHD+anxiety disorders (n=15); and TD (n=15). The participants with ADHD only and those with ADHD+comorbidity had significantly lower scores than the participants in the TD group in every area we evaluated. The lowest scores were observed in the ADHD+SLD group in all motor skills domains except for the fine motor precision field. Furthermore, the group with ADHD+SLD had statistically significantly lower scores than the 3 other groups with ADHD+comorbidity in 3 areas: balance, upper extremity coordination, and speed and agility. Motor problems in patients with ADHD and comorbid conditions may not be a focus of attention in clinics. However, especially in the case of comorbid conditions accompanying ADHD, it is important to consider problems in motor skills, manual dexterity, and visual perception in evaluation and treatment to increase these children's quality of life.
注意缺陷/多动障碍（ADHD）常与许多其他精神疾病共病。本研究的目的是通过将学龄期男孩中患有ADHD及共病精神疾病的儿童与一组发育正常（TD）的儿童进行比较，来调查运动技能、手部灵活性和视觉感知在这些情况下是否存在差异。我们评估了81名6至10岁的男孩，分为5组：仅患有ADHD（n = 18）；ADHD + 特定学习障碍（ADHD + SLDs）（n = 17）；ADHD + 对立违抗障碍（n = 16）；ADHD + 焦虑症（n = 15）；以及TD（n = 15）。在我们评估的每个领域中，仅患有ADHD的参与者和患有ADHD共病的参与者的得分均显著低于TD组的参与者。除了精细运动精度领域外，ADHD + SLD组在所有运动技能领域的得分最低。此外，ADHD + SLD组在平衡、上肢协调性以及速度和敏捷性这三个方面的得分在统计学上显著低于其他三个患有ADHD共病的组。ADHD及共病患者的运动问题在临床中可能未受到关注。然而，尤其是在ADHD伴有共病的情况下，在评估和治疗中考虑运动技能、手部灵活性和视觉感知方面的问题对于提高这些儿童的生活质量非常重要。
