Abdullah AKPINAR, Hülya ERTEKİN, Oğuz KARAMUSTAFALIOĞLU, Yusuf ERTEKİN, Bahadır BAKIM, Onur TANKAYA

Panik bozukluğu hastalarında dikkat eksikliği hiperaktivite bozukluğu eştanısı English

Amaç: Panik bozukluğu PB olan pediatrik hastalar ile dikkat eksikliği hiperaktivite bozukluğu DEHB birlikteliği sık olmasına karşın, erişkinlik döneminde DEHB ve PB birlikteliği incelenmemiştir. Bu çalışmada PB hastalarında DEHB birlikteğini analiz etmek ve PB hastalarında DEHB olanlar ile sağlıklı kontrol grubunu karşılaştırmak amaçlanmıştır. Materyal ve metod: Şişli Etfal Eğitim ve Araştırma Hastanesi Psikiyatri Kliniğinden 60 PB tanılı hasta ile DSM-IV Eksen I psikopatolojisi olmayan kontrol grubu çalışmaya dahil edilmiştir. DSM-IV için Yapılandırılmış Klinik Görüşmesi, Wender Utah Derecelendirme Ölçeği, Erişkin Dikkat Eksikliği Hiperaktivite Ölçeği katılımcılara uygulanmıştır. Bulgular: PB hastalarında DEHB birlikteliği % 6.7 oranında saptanmıştır. Alkol ve madde kötüye kullanımı DEHB eştanısı olan PB hastalarında, DEHB eştanısı olmayan gruba göre daha yüksek düzeydeydi. DEHB eştanısı olan PB hastalarının tamamında yaygın anksiyete bozukluğu bulunmakta idi. Sonuç: PB hastalarından özellikle anksiyete bozukluğu ve alkol madde kötüye kullanımı eştanısı olanlar DEHB yönünden değerlendirilmelidir.

Anahtar Kelimeler:

Dikkat eksikliği hiperaktivite bozukluğu, eştanı, panik bozukluk

The comorbidity of adult attention-deficit/hyperactivity disorder in panic disorder patients

Background: While high attention deficit hyperactivity disorder ADHD comorbidity in pediatric patients with panic disorder PD has been evaluated, the comorbidity of adult ADHD in adult patients with PD have not been studied. The aim of this study is to analyze ADHD comorbidity in adult PD patients, and to compare with healthy controls, and to compare PD patients with ADHD. Methods: Sixty patients diagnosed as PD from outpatient unit of Istanbul Sisli Etfal Teaching and Research Hospital, Psychiatry Department and, control group of individuals without DSM-IV Axis I psychopathology were also recruited. The Turkish version of the Structural Clinical Interview for DSM-IV, Wender Utah Rating Scale, Adult ADD/ADHD DSM-IV based Diagnostic and Rating Scale were administered to participants. Result: Adult ADHD comorbidity of PD patients was identified to be 6,7%. PD patients with adult ADHD had higher rates of alcohol and substance abuse than without adult ADHD and, all of the PD patients with adult ADHD had generalized anxiety disorder GAD .Conclusion: Patients with PD, especially with comorbid anxiety disorders and, alcohol/substance abuse or dependence should be evaluated for adult ADHD

Keywords:

Attention deficit hyperactivity disorder, comorbidity, panic disorder,

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