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Hyperactivity and impulsivity in children with untreated allergic rhinitis: corroborated by rating scale and continuous performance test.

Abstract

BACKGROUND

Allergic rhinitis (AR) is the most common chronic allergic disease in school-age children. An increased prevalence of attention deficit hyperactivity disorder (ADHD) in AR patients has been reported; however, inattention and hyperactivity in AR children have not been investigated using objective and scientific measurements.

METHODS

We used AR symptom score, ADHD symptom scale, and computerized continuous performance test (CPT) to study the attention and impulsivity in AR children, age-matched controls, and ADHD children (aged 6-15 years). Univariate and multivariate linear regression analyses were applied to identify risk factors for impulsivity and inattention in AR children.

RESULTS

Twenty-nine controls, 10 ADHD, and 105 AR children were enrolled. There were no differences in age and sex among the three groups. The scores of Hyperactivity/Impulsivity subscales of ADHD symptoms from both parents and teachers were significantly higher in the AR children. The CPT in AR children revealed higher commission errors, shorter reaction times, and more perseveration. Risk factors for inattention and impulsivity in AR children included younger age, male sex, higher AR symptom scores, persistent AR, moderate/severe AR, multiple atopic diseases, family history of atopy, and possible comorbidity with ADHD.

CONCLUSION

Care for AR children should not only involve treating their allergy, but also monitoring the possible comorbidities of impulsivity and inattention. In children with impulsivity, AR should be considered in addition to ADHD.

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  • Authors+Show Affiliations

    ,

    Department of Pediatrics, Far Eastern Memorial Hospital, New Taipei City, Taiwan.

    ,

    Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan.

    ,

    Department of Pediatrics, Far Eastern Memorial Hospital, New Taipei City, Taiwan.

    ,

    Department of Psychiatry, Far Eastern Memorial Hospital, New Taipei City, Taiwan.

    ,

    Institute of Pharmacology, College of Medicine, National Taiwan University, Taipei, Taiwan.

    Department of Pediatrics, Far Eastern Memorial Hospital, New Taipei City, Taiwan. Electronic address: dtped14@pchome.com.tw.

    Source

    Pediatrics and neonatology 55:3 2014 Jun pg 168-74

    MeSH

    Adolescent
    Attention Deficit Disorder with Hyperactivity
    Child
    Comorbidity
    Female
    Humans
    Impulsive Behavior
    Male
    Parents
    Prevalence
    Reaction Time
    Rhinitis, Allergic
    Risk Factors

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    24211085

    Citation

    Yang, Ming-Tao, et al. "Hyperactivity and Impulsivity in Children With Untreated Allergic Rhinitis: Corroborated By Rating Scale and Continuous Performance Test." Pediatrics and Neonatology, vol. 55, no. 3, 2014, pp. 168-74.
    Yang MT, Lee WT, Liang JS, et al. Hyperactivity and impulsivity in children with untreated allergic rhinitis: corroborated by rating scale and continuous performance test. Pediatr Neonatol. 2014;55(3):168-74.
    Yang, M. T., Lee, W. T., Liang, J. S., Lin, Y. J., Fu, W. M., & Chen, C. C. (2014). Hyperactivity and impulsivity in children with untreated allergic rhinitis: corroborated by rating scale and continuous performance test. Pediatrics and Neonatology, 55(3), pp. 168-74. doi:10.1016/j.pedneo.2013.09.003.
    Yang MT, et al. Hyperactivity and Impulsivity in Children With Untreated Allergic Rhinitis: Corroborated By Rating Scale and Continuous Performance Test. Pediatr Neonatol. 2014;55(3):168-74. PubMed PMID: 24211085.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Hyperactivity and impulsivity in children with untreated allergic rhinitis: corroborated by rating scale and continuous performance test. AU - Yang,Ming-Tao, AU - Lee,Wang-Tso, AU - Liang,Jao-Shwann, AU - Lin,Yu-Ju, AU - Fu,Wen-Mei, AU - Chen,Chia-Chun, Y1 - 2013/11/07/ PY - 2013/05/30/received PY - 2013/09/01/revised PY - 2013/09/26/accepted PY - 2013/11/12/entrez PY - 2013/11/12/pubmed PY - 2016/4/1/medline KW - allergic rhinitis KW - attention deficit hyperactivity disorder KW - continuous performance test SP - 168 EP - 74 JF - Pediatrics and neonatology JO - Pediatr Neonatol VL - 55 IS - 3 N2 - BACKGROUND: Allergic rhinitis (AR) is the most common chronic allergic disease in school-age children. An increased prevalence of attention deficit hyperactivity disorder (ADHD) in AR patients has been reported; however, inattention and hyperactivity in AR children have not been investigated using objective and scientific measurements. METHODS: We used AR symptom score, ADHD symptom scale, and computerized continuous performance test (CPT) to study the attention and impulsivity in AR children, age-matched controls, and ADHD children (aged 6-15 years). Univariate and multivariate linear regression analyses were applied to identify risk factors for impulsivity and inattention in AR children. RESULTS: Twenty-nine controls, 10 ADHD, and 105 AR children were enrolled. There were no differences in age and sex among the three groups. The scores of Hyperactivity/Impulsivity subscales of ADHD symptoms from both parents and teachers were significantly higher in the AR children. The CPT in AR children revealed higher commission errors, shorter reaction times, and more perseveration. Risk factors for inattention and impulsivity in AR children included younger age, male sex, higher AR symptom scores, persistent AR, moderate/severe AR, multiple atopic diseases, family history of atopy, and possible comorbidity with ADHD. CONCLUSION: Care for AR children should not only involve treating their allergy, but also monitoring the possible comorbidities of impulsivity and inattention. In children with impulsivity, AR should be considered in addition to ADHD. SN - 2212-1692 UR - https://www.unboundmedicine.com/medline/citation/24211085/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S1875-9572(13)00176-9 DB - PRIME DP - Unbound Medicine ER -