Attention - deficit / hyperactivity disorder (ADHD) is a genetically as well as environmentally determined disorder with a high rate
of psychiatric comorbidity.
Sensitivity, specificity, positive predictive values, and negative predictive values in the use of CBCL scales for the screening
of psychiatric comorbidity in paediatrically referred ADHD youth
These findings support the utility of the CBCL as a screening tool for the identification
of psychiatric comorbidity in ADHD youth in the primary care setting.
Rates
of psychiatric comorbidity, or dual diagnosis, among substance - abusing youths range from 25 to 82 percent.
He received a PhD from USC, where his research investigated explanations
of psychiatric comorbidity.
Barkley et al found increased rates of comorbid substance abuse disorder, anxiety disorder, mood disorder, personality disorders, and disruptive behavior disorders among adults with ADHD that had persisted from childhood into adulthood.23 Adults whose childhood ADHD did not persist also had increased rates
of psychiatric comorbidity, although lower than those with persistent ADHD (47.3 % vs 84.3 %).23 Other smaller studies also report elevated rates
of psychiatric comorbidity (65 — 89 %) among adults with ADHD.15 — 22 However, these studies used nonrepresentative samples of children referred to specialty treatment programs for ADHD.
It is therefore particularly concerning that we found high rates
of psychiatric comorbidity among our population - based sample of adult subjects with a history of childhood ADHD, regardless of whether ADHD persisted into adulthood (80.9 % and 47.0 % comorbidity rates, respectively).
The occurrence
of psychiatric comorbidities was assessed in four major diagnostic groups: anxiety disorders, depressive disorders, ADHD and oppositional defiant disorder / conduct disorder.
Not exact matches
Analysis
of the data found that patients with
psychiatric comorbidities in the previous year were readmitted to the hospital 3 to 5 percent more often within 30 days than those without a
psychiatric diagnosis.
As a result
of this study, Dr. Kumar and her team are researching the effect
of specific
psychiatric comorbidities commonly seen in individuals with ADHD on the development
of obesity.
Service use records
of more than 400 homeless individuals with
psychiatric comorbidities were analyzed to examine patterns
of geographic relocation, as well as health, justice, and social welfare service utilization.
2 Although CD affects only 1 %
of the population officially, it is associated with many autoimmune
comorbidities of the neuromusculoskletal systems like myesthenia gravis, multiple sclerosis, peripheral neuropathy, cerebellar ataxia, myalgia (muscle pain), multiple myoclonus, depression, anxiety,
psychiatric disease, and many others.
«Inactivity, sleep disturbance,
psychiatric comorbidity, medication, and ongoing stress experienced by people with CFS will affect HPA axis function, and the findings that HPA axis dysregulation is more prominent in patients with a longer duration
of illness suggest that the endocrine changes may be secondary.»
The studies included were generally
of short duration in young adult women who did not have any substantial
psychiatric comorbidity.
Such abuse is associated with greater
psychiatric comorbidity but not with the overall severity
of the eating disorder.
Siblings
of adolescents with ADHD who themselves have ADHD are more likely to have
psychiatric comorbidities than are unaffected siblings or controls without ADHD
5
of 6 adequate studies found an association between abuse and greater
psychiatric comorbidity in patients with eating disorders.
Attention - deficit / hyperactivity disorder (ADHD) is the most common childhood neurodevelopmental disorder.1, 2 Important questions about adult outcomes for childhood ADHD remain, including the rate
of persistence
of ADHD into adulthood, the
psychiatric comorbidities of adult ADHD, and the risk
of serious adverse outcomes, such as criminality and mortality.
Among the 7 ADHD cases who died, 5 had a previous history
of both substance use disorder and ≥ 1 other
psychiatric comorbidity.
Examining
comorbidity is critical because it is so prevalent among juveniles in the general population, 69,70 adult jail detainees, 71 and adults who have high arrest rates, such as substance abusers, 72 young, long - term
psychiatric patients, 73 and homeless, mentally ill persons.74 Moreover, studies71
of adults suggest that juveniles with comorbid disorders may be especially vulnerable to arrest, particularly if they are poor and can not afford treatment.
Because we did not have good data on
psychiatric comorbidity in our study, we were unable to formulate a more detailed and differentiated picture
of the risk following mental health vulnerability.
Comorbidity of psychiatric diagnoses with posttraumatic stress disorder in survivors
of childhood trauma.
Comorbidity of gender dysphoria and other major
psychiatric diagnoses.
It is significantly associated with DSM - III - R hypochondriasis, even after controlling for
psychiatric comorbidity, 35 and it predicts the persistence
of hypochondriacal symptoms in transiently hypochondriacal patients.17
Lifetime and 12 - month prevalence
of DSM — III — R
psychiatric disorders in the United States: results from the National
Comorbidity Survey
Axis I
psychiatric comorbidity is common in hypochondriasis.14 The prevalence
of psychiatric disorder remained relatively stable over time in this sample, but methodological problems make these findings uncertain.
Comorbidity is a hallmark
of late life mental health disorders, with
psychiatric disorder and physical illness each influencing a range
of outcomes
of the other.
Comorbidity of substance use disorders and other
psychiatric disorders among adolescents: evidence from an epidemiologic survey.
The adolescent and young adult with ADHD is at risk for school failure, emotional difficulties, poor peer relationships, and trouble with the law.29, 30 Factors identifiable in younger youth that predict the persistence
of ADHD into adulthood include familiality with ADHD and
psychiatric comorbidity — particularly aggression or delinquency problems.28,, 29,31,32
Prevalence and
comorbidity of psychiatric disorders in preschoolers attending a large pediatric service
Lifetime and 12 - month prevalence
of DSM - III — R
psychiatric disorders in the United States: results from the National
Comorbidity Study
In the National
Comorbidity Survey Replication, Kessler et al. (17) found that 27.7 %
of respondents had had 2 or more
psychiatric disorders in their lifetime.
Prior studies on
psychiatric comorbidity have applied a range
of methods, from traditional regression models for estimating associations between different disorders (20, 21, 24) to multinomial logistic models that compare combinations
of pairs
of comorbid disorders (25) to latent growth models that jointly estimate trajectories
of behavior clusters (26, 27).
Lifetime co-occurrence
of DSM - III - R alcohol abuse and dependence with other
psychiatric disorders in the National
Comorbidity Survey
Specifically, this would allow primary care practitioners to efficiently garner information regarding
psychiatric comorbidity in their ADHD patients that in turn may affect the choice
of treatment or referral for the afflicted child.
Comorbidity of AUDs / SUDs with other
psychiatric conditions is associated with increased disorder severity and poorer outcomes among youths [7, 9].
Lifetime and 12 - month prevalence
of psychiatric disorders in the United States: results from the National
Comorbidity Survey
Demographic characteristics
of paediatrically referred ADHD youth with and without
psychiatric comorbidity
Using baseline diagnoses, preschoolers were categorized into 1
of 3 hierarchical diagnostic groups: (1) the MDD group was composed
of those who met criteria for MDD and had any other
comorbidity (n = 75), (2) the
psychiatric group was composed
of those who met criteria for any anxiety and / or disruptive disorders but did not have MDD (n = 79)(anxiety disorders included separation anxiety disorder, generalized anxiety disorder, and posttraumatic stress disorder.
The familial aggregation
of common
psychiatric and substance abuse disorders in the National
Comorbidity Survey: A family history study
Convergence
of the Child Behavior Checklist with structured interview - based
psychiatric diagnoses
of ADHD children with and without
comorbidity