Comorbidity of attention-deficit/hyperactivity disorder with psychiatric disorder: An overview

Research output: Contribution to journalArticle

293 Citations (Scopus)

Abstract

Original languageEnglish
Pages (from-to)50-58
Number of pages9
JournalJournal of Clinical Psychiatry
Volume59
Issue numberSUPPL. 7
StatePublished - 1998

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Attention Deficit Disorder with Hyperactivity
Psychiatry
Comorbidity
Conduct Disorder
Learning Disorders
Anxiety
Anxiety Disorders
Mood Disorders
Attention Deficit and Disruptive Behavior Disorders
Antisocial Personality Disorder
Impulsive Behavior
Aggression
Bipolar Disorder
Artifacts

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

Comorbidity of attention-deficit/hyperactivity disorder with psychiatric disorder : An overview. / Pliszka, Steven R.

In: Journal of Clinical Psychiatry, Vol. 59, No. SUPPL. 7, 1998, p. 50-58.

Research output: Contribution to journalArticle

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abstract = "Attention-deficit/hyperactivity disorder (ADHD) has been noted to be comorbid with a variety of psychiatric disorders. These include oppositional defiant and conduct disorders, as well as affective, anxiety, and learning disorders. Considerable debate has revolved as to the meaning of this overlap. Does it occur by chance or is it an artifact of referral bias? Are the comorbid conditions secondary to the ADHD, or can other psychiatric disorders masquerade as attentional problems? Alternatively, ADHD may exist as distinct subtypes, each with its specific comorbidity. Studies that have examined the comorbidity of oppositional, conduct, affective, anxiety, and learning disorders in ADHD are reviewed. ADHD and ADHD with conduct disorder appear to be distinct subtypes, possibly with different etiologies. While the short-term response to stimulants is the same in these two groups, children with ADHD and conduct disorder children have higher rates of antisocial personality as adults. Coexisting anxiety appears to attenuate impulsivity in ADHD, and stimulant response is poorer in ADHD children with comorbid anxiety. Anxiety and ADHD appear to be inherited independently. A subset of ADHD children also meet criteria for bipolar disorder, although the exact prevalence of this diagnosis in ADHD children is strongly debated. Regardless of prevalence, this is a severely impaired group of ADHD children, with high rates of aggression and psychiatric disorder in their families. The comorbidity of ADHD and major depression is much less studied, and few firm conclusions can be made about it. Finally, about 20{\%}-25{\%} of ADHD children meet criteria for a learning disorder, but learning disorders appear to be independent of ADHD.",
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