Spectrum of co-morbidities and psychopathology in children with Attention-deficit hyperactivity disorder (ADHD): A retrospective study
Sheffali Gulati, Shobha Sharma, Kakali Purkayastha, Gautam Kamila, Arvinder Singh, Sayoni Chowdhury, Puneet Chaudhary, Shivam Pandey
Objective: To correlate the diversity in co-morbidities and psychopathology in children with ADHD Method- This is a retrospective study of ADHD children presenting to a tertiary care center in northern India between October 2017 and March 2022 were analyzed using Stata v.15 software, Spearman and Pearson correlation was used for nonparametricevaluation. DSM V criteria, AIIMS-INDT tool, CONNER’s teacher’srating scale, Mallin’s Intelligence Scale for Indian Children (MISIC), Childhood Behavior Check List (CBCL)were utilized for diagnosing and evaluating these children. Results: The data was analyzed for 131 patients, intelligence quotient was >70 [(118male (90.08%), 13 female (9.92%), mean age9.48 years]. The most shared presentation was of the combined (inattentivehyperactive-impulsive) (91/131), followed by predominantly inattentive (29/131) and predominantly hyperactive-impulsive (11/131).The psychometric parameters (learning problems, executive functioning and peer relation)in CONNER’s scale was found significant (p<0.001). Co-morbidities were found in 35.1% patients; most common being specific learning disability (SLD)(29/46) followed by aggression (4/46). Conduct disorder and Tourette syndrome were predominant in (3/46), Oppositional Defiant Disorder and seizurewere the least (1/46) . Conclusion- This study suggests that the spectrum of comorbidities in the children with ADHD is diverse. The most common co-morbidity observed was SLD in 63 % children. SLD was most common with combined presentation in both females and males. Four patients had multiple co-morbidities with ADHD presentation.
Keywords: Attention Deficit Hyperactivity Disorder, comorbidity, Psychometric parameter
Sheffali Gulati
All India Institute of Medical Sciences
India
Shobha Sharma
All India Institute of Medical Sciences
India
Kakali Purkayastha
All India Institute of Medical Sciences
India
Gautam Kamila
All India Institute of Medical Sciences
India
Arvinder Singh
All India Institute of Medical Sciences
India
Sayoni Chowdhury
All India Institute of Medical Sciences
India
Puneet Chaudhary
All India Institute of Medical Sciences
India
Shivam Pandey
All India Institute of Medical Sciences
India
Objective: To correlate the diversity in co-morbidities and psychopathology in children with ADHD Method- This is a retrospective study of ADHD children presenting to a tertiary care center in northern India between October 2017 and March 2022 were analyzed using Stata v.15 software, Spearman and Pearson correlation was used for nonparametricevaluation. DSM V criteria, AIIMS-INDT tool, CONNER’s teacher’srating scale, Mallin’s Intelligence Scale for Indian Children (MISIC), Childhood Behavior Check List (CBCL)were utilized for diagnosing and evaluating these children. Results: The data was analyzed for 131 patients, intelligence quotient was >70 [(118male (90.08%), 13 female (9.92%), mean age9.48 years]. The most shared presentation was of the combined (inattentivehyperactive-impulsive) (91/131), followed by predominantly inattentive (29/131) and predominantly hyperactive-impulsive (11/131).The psychometric parameters (learning problems, executive functioning and peer relation)in CONNER’s scale was found significant (p<0.001). Co-morbidities were found in 35.1% patients; most common being specific learning disability (SLD)(29/46) followed by aggression (4/46). Conduct disorder and Tourette syndrome were predominant in (3/46), Oppositional Defiant Disorder and seizurewere the least (1/46) . Conclusion- This study suggests that the spectrum of comorbidities in the children with ADHD is diverse. The most common co-morbidity observed was SLD in 63 % children. SLD was most common with combined presentation in both females and males. Four patients had multiple co-morbidities with ADHD presentation.
Keywords: Attention Deficit Hyperactivity Disorder, comorbidity, Psychometric parameter
Sheffali Gulati
All India Institute of Medical Sciences
India
Shobha Sharma
All India Institute of Medical Sciences
India
Kakali Purkayastha
All India Institute of Medical Sciences
India
Gautam Kamila
All India Institute of Medical Sciences
India
Arvinder Singh
All India Institute of Medical Sciences
India
Sayoni Chowdhury
All India Institute of Medical Sciences
India
Puneet Chaudhary
All India Institute of Medical Sciences
India
Shivam Pandey
All India Institute of Medical Sciences
India
