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

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

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

Panik bozukluğu hastalarında dikkat eksikliği hiperaktivite bozukluğu eştanısı

Background : While high attention deficit hyperactivity disorder (ADHD) comorbidity in pediatric patientswith panic disorder (PD) has been evaluated, the comorbidity of adult ADHD in adult patients with PD havenot been studied. The aim of this study is to analyze ADHD comorbidity in adult PD patients, and to comparewith healthy controls, and to compare PD patients with ADHD.Methods: Sixty patients diagnosed as PD from outpatient unit of Istanbul Sisli Etfal Teaching and ResearchHospital, Psychiatry Department and, control group of individuals without DSM-IV Axis I psychopathologywere also recruited. The Turkish version of the Structural Clinical Interview for DSM-IV, Wender UtahRating Scale, Adult ADD/ADHD DSM-IV based Diagnostic and Rating Scale were administered toparticipants.Result: Adult ADHD comorbidity of PD patients was identified to be 6,7%. PD patients with adult ADHDhad higher rates of alcohol and substance abuse than without adult ADHD and, all of the PD patients withadult ADHD had generalized anxiety disorder (GAD). Conclusion: Patients with PD, especially with comorbid anxiety disorders and, alcohol/substance abuse ordependence should be evaluated for adult ADHD .

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