Treatment duration is associated with functioning and prognosis in children with attention deficit hyperactivity disorder [Dikkat eksikligi ve hiperaktivite bozuklugu olan cocuklari{dotless}n tedavi süresi işlevsellik ve prognoz ile ilişkilidir]
Küçük Resim Yok
Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: Attention Deficit Hyperactivity Disorder (ADHD) persists through adolescence and adulthood, and 15-80% of the children diagnosed with ADHD continue to have the disorder into adulthood, depending on the diagnostic criteria used; however, these findings have mostly been derived from follow-up studies in North America. The longitudinal outcomes of ADHD children from non-Western countries, such as Turkey, and the prognostic differences between ADHD+Oppositional Defiant Disorder (ODD) and ADHD+Conduct Disorder (CD) cases require further exploration. Six years after an initial study of 18 months conducted between 2000 and 2002, we sought to evaluate 120 cases of ADHD with comorbid ODD or CD. Methods: The original sample included 120 ADHD + ODD/CD children, followed for 18 months during 2000-2002. We evaluated the last-known psychiatric status, academic achievement, substance use, and social functionality of 60 children who were interviewed six years earlier. The treatment duration was divided into three groups: less than 15 months, 15-45 months, and greater than 45 months. Results: In the initial study, we found that both combined treatment (parent training and stimulant treatment) and only stimulant treatment were effective in reducing ADHD, ODD, and CD symptoms. Six years after the initial study, the ADHD treatment was found to be effective in many areas, including academic success (p<0.001), grade retention (p=0.026), expulsion or suspension from school (p=0.009), rate of accidents and broken bones requiring reduction (p=0.001), and cigarette smoking (p=0.018). Conclusions: ADHD symptoms are associated with impairments in multiple functional domains, and ADHD treatment is effective for Turkish children in many of these domains. There is a statistically significant difference in treatment success between groups created according to the treatment duration.
Açıklama
Anahtar Kelimeler
Attention deficit/hyperactivity disorder, Functionality, Prognostic outcomes, Treatment duration
Kaynak
Klinik Psikofarmakoloji Bulteni
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
22
Sayı
2
