Attention Deficit and Hyperactivity Symptoms in A Group of University Students and Relations with Temperament and Character Profiles

iAmaç: Çocukluk dikkat eksikliği hiperaktivite bozukluğu (DEHB) tanısı olan bir erişkin hasta alt grubunda belirtiler azalır ama DSM 5 DEHB tanı ölçütlerini karşılamasa da eşikaltı seviyelerde devam etmektedir. Bu gruptaki vakaların tanı koymada yaşanan güçlüklerle birlikte hastalığın süreğen seyri ve psikiyatrik eştanı riskinin artmasıyla birlikte yüksek oranda kişilik bozuklukları geliştirme ihtimali de bulunmaktadır. Bu araştırmada, klinik başvurusu olmayan bir toplulukta erişkin DEHB'nin özellikle eşikaltı belirtilerle seyreden tipinin kişilik özellikleriyle ilişkisini değerlendirmeyi amaçladık. Yöntem: Bir üniversitenin farklı fakültelerinden 122 öğrenci çalışmaya dahil edilmiştir. Olgulara DEHB bulgularını değerlendirmek için Turgay'ın Erişkin DEHB Ölçeği, mizaç ve kişilik özelliklerini değerlendirmek için Cloninger'in Silinecek Mizaç ve Karakter Envanteri (TCI) uygulanmıştır.Bulgular: Olguların %14.7'sinde, orta düzey DEHB belirtileri saptanmıştır. TCI ve DEHB belirtileri arasında yapılan karşılaştırmalarda, orta seviyede DEHB belirtileri gösteren öğrencilerin işbirliği yapma ve kendi kendini yönetme puanları, düşük seviyede DEHB belirtileri gösteren gruba göre istatistiksel olarak anlamlı derecede düşük bulunmuştur. TCI alt tipleri ve DEHB kriterleri arasında da istatistiksel olarak anlamlı korelasyonlar tespit edilmiştir.Sonuç: Özellikle kişilik özelliklerinin değerlendirilmesinde temelde yatan bir DEHB olup olmadığına dair ayrıntılı bir inceleme yapmak önemlidir

Bir grup üniversite öğrencisinde dikkat eksikliği ve hiperaktivite bozukluğu semptomları ve mizaç ve karakter profili ile ilişkis

Attention deficit and hyperactivity symptoms in a group of university students and relations with temperament and character profilesObjective: In a subgroup of adult patients with a childhood diagnosis of attention deficit and hyperactivity disorder (ADHD), the symptoms decrease but persist at sub-threshold levels, although not fulfilling DSM 5 criteria for ADHD. Diagnostic difficulties, chronicity of the situation and psychiatric comorbidities also increase the risk of personality disorders in this group of patients. The aim of this study is to evaluate the relations between this subgroup of ADHD and personality characteristics in a population who did not attend a clinic for psychiatric problems.Method: Hundred and twenty two of students from different faculties of a university are included in the study. Turgay's Adult ADHD Rating Scale is used to evaluate ADHD symptoms and Cloninger's Character and Temperament Inventory (TCI) is used to evaluate personality characteristics.Results: Moderate levels of ADHD symptoms were present in 14.7% of cases. This group also showed statistically lower scores in cooperativeness and self-directedness in TCI with respect to students who showed low levels of ADHD symptomatology. There were also statistically significant correlations between TCI subgroups and ADHD symptoms.Conclusion: ADHD symptoms should be investigated particularly, as they are temperamental traits for the development of personality characteristics

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  • De Clercq B, De Fruyt F, Widiger TA. Integrating a developmental perspective in dimensional models of personality disorders. Clin Psychol Rev 2009; 29:154-162. [CrossRef]
  • Bellgrove MA, Hawi Z, Gill M, Robertson IH. The cognitive genetics of attention deficit hyperactivity disorder (ADHD): sustained attention as a candidate phenotype. Cortex 2006; 42:838-845. [CrossRef]
  • Barkley RA, Biederman J. Toward a broader definition of the age-of-onset criterion for attention-deficit hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 1997; 36:1204-1210. [CrossRef]
  • Quay HC. Inhibition and attention deficit hyperactivity disorder. J Abnorm Child Psychol 1997; 25:7-13. [CrossRef]
  • Barkley RA, Fischer M, Smallish L, Fletcher K. The persistence of attention-deficit/hyperactivity disorder into young adulthood as a function of reporting source and definition of disorder. J Abnorm Psychol 2002; 111:279-289. [CrossRef]
  • Grevet EH, Marques FZ, Salgado CA, Fischer AG, Kalil KL, Victor MM, Garcia CR, Sousa NO, Belmonte-de-Abreu P, Bau CH. Serotonin transporter gene polymorphism and the phenotypic heterogeneity of adult ADHD. J Neural Transm 2007; 114:1631-1636. [CrossRef]
  • Rösler M, Retz W, Yaqoobi K. Burg E, Retz-Junginger P. Attention deficit/hyperactivity disorder in female offenders: prevalence, psychiatric comorbidity and psychosocial implications. Eur Arch Psychiatry Clin Neurosci 2009; 259:98-105. [CrossRef]
  • Wood DR, Reimherr FW, Wender PH, Johnson GE. Diagnosis and treatment of minimal brain dysfunction in adults: a preliminary report. Arch Gen Psychiatry 1976; 33:1453-1460. [CrossRef]
  • Faraone SV, Biederman J, Spencer T, Wilens T, Seidman LJ, Mick E, Doyle AE. Attention-deficit/hyperactivity disorder in adults: an overview. Biol Psychiatry 2000; 48:9-20. [CrossRef]
  • Faraone SV, Kunwar A, Adamson, J, Biederman J. Personality traits among ADHD adults: implications of late-onset and subthreshold diagnoses. Psychol Med 2009; 39:685-693. [CrossRef]
  • American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorder, 5th Edition. Washington DC: American Psychiatric Association, 2013.
  • Gunay S, Savran C, Aksoy UM, Maner F, Turgay A, Yargic I. The norm study, transliteral equivalence, validity, reliability of adult hyperactivity scale in Turkish adult population. Psychiatry in Turkiye 2006; 8:98-107. (Turkish)
  • Cloninger CR, Svrakic DM, Pryzbeck TR. A psychobiological model of temperament and character. Arch Gen Psychiatry 1993; 50:975-990. [CrossRef]
  • Kose S, Sayar K, Ak I, Aydin N, Kalelioglu U, Kirpinar I, Reeves RA, Przybeck TR, Cloninger CR. Turkish version of the Temperament and Character Inventory (TCI): reliability, validity, and factorial structure. Bulletin of Clinical Psychopharmacology 2004; 14:107-131. (Turkish)
  • Biederman J, Faraone S, Milberger S, Curtis S, Chen L, Marrs A, Ouellette C, Moore P, Spencer T. Predictors of persistence and remission of ADHD into adolescence: results from a four- year prospective follow-up study. J Am Acad Child Adolesc Psychiatry 1996; 35:343-351. [CrossRef]
  • Dulcan M. Practice parameters for the assessment and treatment of children, adolescents, and adults with attention-deficit/ hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 1997; 36(Suppl.):85-121. [CrossRef]
  • Shaffer D. Attention deficit hyperactivity disorder in adults. Am J Psychiatry 1994; 151:633-638. [CrossRef]
  • Trollor JN. Attention deficit hyperactivity disorder in adults: conceptual and clinical issues. Med J Aust 1999; 171:421-425.
  • Weiss G, Hechtman L, Milroy T, Perlman T. Psychiatric status of hyperactives as adults: a controlled prospective 15-year follow- up of 63 hyperactive children. J Am Acad Child Psychiatry 1985; 24:211-220. [CrossRef]
  • Ward MF, Wender PH, Reimherr FW. The Wender Utah Rating Scale: an aid in the retrospective diagnosis of childhood attention deficit hyperactivity disorder. Am J Psychiatry 1993; 150:885-890.
  • Purper-Ouakil D, Cortese S, Wohl M, Aubron V, Orejarena S, Michel G, Asch M, Mouren MC, Gorwood P. Temperament and character dimensions associated with clinical characteristics and treatment outcome in attention-deficit/hyperactivity disorder boys. Compr Psychiatry 2010; 51:286-292. [CrossRef]
  • Robin AJ, Tzelepis A, Bedway M, Gilroy M, Sparague D. The empirical study of personality in ADHD adults: a new beginning. ADHD Report 1998; 5:11-15.
  • May B, Bos J. Personality characteristics of ADHD adults assessed with the Millon Clinical Multiaxial Inventory-II: evidence of four distinct subtypes. J Pers Assess 2000; 75:237-248. [CrossRef]
  • Jacob CP, Romanos J, Dempfle A, Heine M, Windemuth-Kieselbach C, Kruse A, Reif A, Walitza S, Romanos M, Strobel A, Brocke B, Schäfer H, Schmidtke A, Böning J, Lesch KP. Co-morbidity of adult attention-deficit/hyperactivity disorder with focus on personality traits and related disorders in a tertiary referral center. Eur Arch Psychiatry Clin Neurosci 2007; 257:309-317. [CrossRef]
  • Miller CJ, Miller SR, Newcorn JH, Halperin JM. Personality characteristics associated with persistent ADHD in late adolescence. J Abnorm Child Psychol 2008; 36:165-173. [CrossRef]
  • Arkar H. The relationship between Cloninger's temperament and character dimensions and personality disorders. Clinical Psychiatry 2008; 11:115-124. (Turkish)
  • Barnow S, Ruge J, Spitzer C, Freyberger HJ. Temperament and character in persons with borderline personality disorder. Nervenarzt 2005; 76:839-848. (German) [CrossRef]
  • Downey KK, Stelson FW, Pomerleau OF, Giordani B. Adult attention deficit hyperactivity disorder: psychological test profiles in a clinical population. J Nerv Ment Dis 1997; 185:32-38. [CrossRef]
  • Anckarsäter H, Stahlberg O, Larson T, Hakansson C, Jutblad SB, Niklasson L, Nydén A, Wentz E, Westergren S, Cloninger CR, Gillberg C, Rastam M. The impact of ADHD and autism spectrum disorders on temperament, character, and personality development. Am J Psychiatry 2006; 163:1239-1244. [CrossRef]
Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi-Cover
  • ISSN: 1018-8681
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1984
  • Yayıncı: Kare Yayıncılık
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