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Med J Tabriz Uni Med Sciences. 2022;44(1): 15-25.
doi: 10.34172/mj.2022.010
  Abstract View: 184
  PDF Download: 115

Child and Adolescent Psychiatry

Original Article

Comorbid psychiatric disorders in children and adolescents with attention deficit hyperactivity disorder: A descriptive analytic study

Shahrokh Amiri 1 ORCID logo, Marziyeh Alivandi Vafa 2* ORCID logo, Behzad Dehghani Asl 3

1 Department of Psychiatry, Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
2 Department of Psychology, Tabriz Branch, Islamic Azad University, Tabriz, Iran.
3 Graduate of General Medicine. Tabriz Branch, Islamic Azad University, Tabriz, Iran.
*Corresponding Author: Email: m.alivand@iaut.ac.ir

Abstract

Background. Psychiatric studies are influenced by geographical conditions and research methods. Among them, the use of diagnostic tools may cause controversy over the results of studies on psychiatric disorders as such ADHD. The aim of this study was to investigate comorbid psychiatric disorders in children and adolescents with attention deficit hyperactivity disorder.

Methods. In this study, 400 children and adolescents with ADHD were selected from the clients of Razi and Sharif Hospital Psychiatric Clinic. For sample selection, a demographic questionnaire and semi-structured diagnostic interview (K-SADS-PL) were utilized to evaluate the presence of psychiatric disorders. The duration of the project was 4 months.

Results. The mean age of the patients was 9.16±2.46 years and the highest frequency was in the age group of 6 to 9 years (63%). Of the 400 patients studied, 73.3% were boys. The highest frequency of education was related to preschool (61.5%). A history of ADHD was positive in 10.8% in the father, 2.3% in the mother and 3.8% in both parents. Also, 9.5% of patients had a history of ADHD in their brother and 4% had a positive history of ADHD in their sister. The most common psychiatric disorder in the present study was oppositional defiant disorder (92%). One comorbid disorder was identifiable in more than 54% of participants.

Conclusion. The most common psychiatric disorder in children with ADHD includes oppositional defiant disorder, which is more common in boys, although no significant differences was founded in terms of sex and age.

Practical Implications. Findings of this study suggest that the clinicians, child psychologists and psychiatrists ought to take into consideration the probability of comorbid disorders with ADHD, since failing to consider them might directly influence the quality and quantity of treatments utilized.


How to cite this article: Amiri Sh, Alivandi Vafa M, Dehghani B, Comorbid psychiatric disorders in children and adolescents with attention deficit hyperactivity disorder: A descriptive analytic study. Med J Tabriz Uni Med Sciences. 2022;44(1): 15-25. doi: 10.34172/mj.2022.010. Persian.
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Submitted: 17 May 2021
Revision: 17 Jul 2021
Accepted: 24 Jul 2021
ePublished: 20 Feb 2022
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