Youths with ADHD with and without tic disorders: Comorbid psychopathology, executive function and social adjustment
Youths with ADHD with and without tic disorders: Comorbid psychopathology, executive function and social adjustment
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DOI：
10.1016/j.ridd.2012.01.001
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发表时间：
2012-05-01
影响因子：
3.1
通讯作者：
Gau, Susan Shur-Fen
中科院分区：
文献类型：
--
作者：
Lin, Yu-Ju;Lai, Meng-Chuan;Gau, Susan Shur-Fen
注意力缺陷/多动障碍（ADHD）和抽动障碍（TD）通常同时发生。澄清精神共病，执行功能和社会适应困难的儿童和青少年的ADHD与TD和不了解发展的精神病理学，并确定其特定的临床需求。这项匹配的病例对照研究比较了三组（每组40名）8至16岁的青少年：ADHD合并TD（ADHD + TD），ADHD无TD（ADHD TD）和典型的社区控制。ADHD组与对照组相比有更多的对立违抗性障碍，TD的存在与更多的焦虑障碍相关。TD没有对ADHD施加额外的执行功能障碍或社会适应困难。有趣的是，对于患有ADHD的青少年，与没有TD的青少年相比，TD的存在与学校人际交往困难较少有关。对于患有ADHD的青少年，应仔细评估和调查共存TD的潜在各种影响方向。(C)2012爱思唯尔有限公司保留所有权利。
Attention deficit/hyperactivity disorder (ADHD) and tic disorders (TD) commonly co-occur. Clarifying the psychiatric comorbidities, executive functions and social adjustment difficulties in children and adolescents of ADHD with and without TD is informative to understand the developmental psychopathology and to identify their specific clinical needs. This matched case-control study compared three groups (n = 40 each) of youths aged between 8 and 16 years: ADHD with co-occurring TD (ADHD + TD), ADHD without TD (ADHD TD) and typically developing community controls. Both ADHD groups had more co-occurring oppositional defiant disorder than the control group, and the presence of TD was associated with more anxiety disorders. TD did not impose additional executive function impairments or social adjustment difficulties on ADHD. Interestingly, for youths with ADHD, the presence of TD was associated with less interpersonal difficulties at school, compared to those without TD. The potential various directions of effects from co-occurring TD should be carefully evaluated and investigated for youths with ADHD. (C) 2012 Elsevier Ltd. All rights reserved.