Tags

Type your tag names separated by a space and hit enter

Psychopathology and symptom remission at adolescence among children with attention-deficit-hyperactivity disorder.
Aust N Z J Psychiatry. 2010 Apr; 44(4):323-32.AN

Abstract

OBJECTIVE

The aim of the present study was to examine changes of attention-deficit-hyperactivity disorder (ADHD) symptoms and psychiatric comorbidities at adolescence, and mother-child agreement on reports of ADHD symptoms among children with ADHD as compared to unaffected controls.

METHODS

The participants included 93 patients (male, 82.8%) aged 11-16, who were clinically diagnosed with ADHD at the mean age of 7.3 +/- 2.8 years, and 93 age-, sex-, and parental education-matched school controls. The participants and their mothers were first interviewed separately for baseline psychopathology at childhood, followed by current psychopathology using the Chinese Kiddie Epidemiologic version of the Schedule for Affective Disorders and Schizophrenia.

RESULTS

At adolescence, 46 patients (49.5%) met full DSM-IV ADHD criteria, 31 (33.3%) had subthreshold ADHD, and 16 (17.2%) had recovered from ADHD. We found a significant progressive decline in the three ADHD core symptoms for the ADHD group: hyperactivity had the greatest effect size, followed by inattention, and then impulsivity. Children with ADHD tended to report less severe ADHD symptoms at childhood and adolescence than their mothers. They were more likely than the controls to have oppositional defiant disorder (odds ratio (OR)=18.0; 95% confidence interval (CI)=8.3-38.9), conduct disorder (OR=23.1, 95%CI =5.3-100.2), mood disorders (OR=3.8, 95%CI = 1.5-9.4), bipolar disorders (Fisher's exact p < 0.001), and sleep disorders (OR=3.1, 95%CI = 1.6-6.0) at adolescence.

CONCLUSIONS

The present findings are similar to those of Western studies, regarding the patterns of comorbidity, stability of core symptoms, and mother-child differences on symptom reports.

Authors+Show Affiliations

Department of Psychiatry, National Taiwan University Hospital and College of Medicine, No. 7, Chung-Shan South Road, Taipei 10002, Taiwan. gaushufe@ntu.edu.twNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20307165

Citation

Gau, Susan Shur-Fen, et al. "Psychopathology and Symptom Remission at Adolescence Among Children With Attention-deficit-hyperactivity Disorder." The Australian and New Zealand Journal of Psychiatry, vol. 44, no. 4, 2010, pp. 323-32.
Gau SS, Lin YJ, Cheng AT, et al. Psychopathology and symptom remission at adolescence among children with attention-deficit-hyperactivity disorder. Aust N Z J Psychiatry. 2010;44(4):323-32.
Gau, S. S., Lin, Y. J., Cheng, A. T., Chiu, Y. N., Tsai, W. C., & Soong, W. T. (2010). Psychopathology and symptom remission at adolescence among children with attention-deficit-hyperactivity disorder. The Australian and New Zealand Journal of Psychiatry, 44(4), 323-32. https://doi.org/10.3109/00048670903487233
Gau SS, et al. Psychopathology and Symptom Remission at Adolescence Among Children With Attention-deficit-hyperactivity Disorder. Aust N Z J Psychiatry. 2010;44(4):323-32. PubMed PMID: 20307165.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychopathology and symptom remission at adolescence among children with attention-deficit-hyperactivity disorder. AU - Gau,Susan Shur-Fen, AU - Lin,Yu-Ju, AU - Cheng,Andrew Tai-Ann, AU - Chiu,Yen-Nan, AU - Tsai,Wen-Che, AU - Soong,Wei-Tsuen, PY - 2010/3/24/entrez PY - 2010/3/24/pubmed PY - 2010/7/14/medline SP - 323 EP - 32 JF - The Australian and New Zealand journal of psychiatry JO - Aust N Z J Psychiatry VL - 44 IS - 4 N2 - OBJECTIVE: The aim of the present study was to examine changes of attention-deficit-hyperactivity disorder (ADHD) symptoms and psychiatric comorbidities at adolescence, and mother-child agreement on reports of ADHD symptoms among children with ADHD as compared to unaffected controls. METHODS: The participants included 93 patients (male, 82.8%) aged 11-16, who were clinically diagnosed with ADHD at the mean age of 7.3 +/- 2.8 years, and 93 age-, sex-, and parental education-matched school controls. The participants and their mothers were first interviewed separately for baseline psychopathology at childhood, followed by current psychopathology using the Chinese Kiddie Epidemiologic version of the Schedule for Affective Disorders and Schizophrenia. RESULTS: At adolescence, 46 patients (49.5%) met full DSM-IV ADHD criteria, 31 (33.3%) had subthreshold ADHD, and 16 (17.2%) had recovered from ADHD. We found a significant progressive decline in the three ADHD core symptoms for the ADHD group: hyperactivity had the greatest effect size, followed by inattention, and then impulsivity. Children with ADHD tended to report less severe ADHD symptoms at childhood and adolescence than their mothers. They were more likely than the controls to have oppositional defiant disorder (odds ratio (OR)=18.0; 95% confidence interval (CI)=8.3-38.9), conduct disorder (OR=23.1, 95%CI =5.3-100.2), mood disorders (OR=3.8, 95%CI = 1.5-9.4), bipolar disorders (Fisher's exact p < 0.001), and sleep disorders (OR=3.1, 95%CI = 1.6-6.0) at adolescence. CONCLUSIONS: The present findings are similar to those of Western studies, regarding the patterns of comorbidity, stability of core symptoms, and mother-child differences on symptom reports. SN - 1440-1614 UR - https://www.unboundmedicine.com/medline/citation/20307165/Psychopathology_and_symptom_remission_at_adolescence_among_children_with_attention_deficit_hyperactivity_disorder_ L2 - https://journals.sagepub.com/doi/10.3109/00048670903487233?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -