Prevalence of attention deficit hyperactivity disorder and comorbid disruptive behavior disorders among school age children in Trabzon

AK, İsmail; GUL, Neyir; KÜLTÜR, S. Ebru Çengel; TOPBAS, MURAT; TİRYAKİ, Ahmet

Prevalence of attention deficit hyperactivity disorder and comorbid disruptive behavior disorders among school age children in Trabzon

Neyir GUL, (Karadeniz Teknik Üniversitesi, Tıp Fakültesi, Trabzon, Türkiye)

Ahmet TİRYAKİ, (Karadeniz Teknik Üniversitesi, Tıp Fakültesi, Trabzon, Türkiye)

S. Ebru Çengel KÜLTÜR, (Hacettepe Üniversitesi, Tıp Fakültesi, Ankara, Türkiye)

Murat TOPBAŞ, (Karadeniz Teknik Üniversitesi, Tıp Fakültesi, Trabzon, Türkiye)

İsmail AK (Karadeniz Teknik Üniversitesi, Tıp Fakültesi, Trabzon, Türkiye)

Klinik Psikofarmakoloji Bülteni

19 4

Yıl: 2010 Cilt: 20 Sayı: 1 Sayfa Aralığı: 50 - 56 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Prevalence of attention deficit hyperactivity disorder and comorbid disruptive behavior disorders among school age children in Trabzon

Öz:

Amaç: Bu çalışmanın amacı Trabzon ilinde ilköğretim çağı çocuklarında Dikkat Eksikliği Hiperaktivite Bozukluğu’nun (DEHB) ve ona eşlik eden Yıkıcı Davranış Bozuklukları’nın (YDB) yaygınlığını incelemektir.Yöntem: Çalışmada 6-12 yaş aralığındaki ilkokul öğrencilerinde (n=1126) DSM-IV tanı ölçütlerine göre DEHB ve YDB tanılarının konulması amacı ile Turgay’ın Çocuk ve Ergenlerde Davranım Bozuklukları için DSM-IV’e Dayalı Tarama Ölçeği kullanılmıştır.Bulgular: DEHB yaygınlığı %8.6 (n=97) ve alt tip dağılımları dikkat eksikliği %1.6 (n=18), hiperaktif/ dürtüsel tip %6 (n=69) ve kombine %0.9 (n=10) olarak sıralanmıştır. Erkek kız oranı DEHB’nin tüm alt tipleri için 3.5/1 olarak bulunmuştur. Örneklemde diğer YDB yaygınlığı %18.6 (n=209)’dır. Karşıt Gelme-Karşı Olma Bozukluğu’nun (KG-KOB) yaygınlığı %14.1 (n=159) ve Davranım Bozukluğu’nunki (DB) %4.4 (n=50) olarak belirlenmiştir. DEHB olan olgularda KG-KOB’nin sıklığı %57.5 (n=56)ve DB’nin sıklığı %20.6 (n=20)’dır.Sonuç: Bu çalışmanın sonuçları DEHB yaygınlığının, erkek baskınlığının ve eşlik eden YDB sıklığının kültürler arasında anlamlı bir farklılık göstermediği görüşünü desteklemektedir. Öte yandan hiperaktif/ dürtüsel alt tipin dağılımı literatürde sunulan oranlardan farklılık göstermektedir. Bu farkın Türk toplumunda çocuğa yönelik yaşa bağlı tutumlar, yaklaşım örüntüleri ve beklentilerle ilişkili kültürel farklarla şekilllenebileceği değerlendirilmiştir. Bu noktanın kültürel farklara odaklanan ileri çalışmalarla açıklanması önerilmektedir

Anahtar Kelime:

Konular: Farmakoloji ve Eczacılık

Trabzon ili ilköğretim çağı çocuklarında dikkat eksikliği hiperaktivite bozukluğu ve eşlik eden yıkıcı davranış bozuklukları yaygınlığı

Öz:

Objective: The aim of this study is to determine the prevalence of Attention Deficit Hyperactivity Disorder (ADHD) and co-morbid Disruptive Behavior Disorders (DBDs) in a sample of primary school children in Trabzon, Turkey.Method: Primary school children aged 6–12 years (n=1126) were assessed for the DSM-IV criteria of ADHD and co-morbid DBDs using Turgay‘s DSM-IV based ADHD and disruptive behavior disorders screening scale.Results: The prevalence of ADHD was 8.6% (n=97) and the subtypes were predominantly inattentive 1.6% (n=18), predominantly hyperactive/impulsive 6.1% (n=69) and combined 0.9% (n=10) respectively. The male to female ratio was 3.5/1 for ADHD (all subtypes). The prevalence of other DBDs in the study sample was 18.6% (n=209). The cases were distributed as Oppositional Defiant Disorder (ODD) 14.1% (n=159) and Conduct Disorder (CD) 4.4% (n=50) respectively. The frequency of ODD among ADHD cases was 57.5% (n=56) and that of CD was 20.6% (n=20).Conclusions: It was supported that ADHD did not show significant differences among cultures regarding its prevalence, male predominance and high DBD co-morbidity. On the other hand, the ADHD subtype distribution differed from the literature in favor of the predominantly hyperactive/impulsive subtype. This may be related to cultural differences in attitudes toward child and expectations and patterns related to age and situation appropriate behaviors and should be further investigated in Turkey.

Anahtar Kelime:

Konular: Farmakoloji ve Eczacılık

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 4th edn., American Psychiatric Association, Washington D.C. : 1994
2. Gittelman R, Mannuzza S, Shenker R, Bonagura N. Hyperactive boys almost grown up, I: psychiatric status. Arch Gen Psychiatry 1985; 42:937-947
3. Barkley RA, Fischer M, Edelbrock CS, Smallish L. The adolescent outcome of hyperactive children diagnosed by research criteria, I: an 8-year prospective follow-up study. J Am Acad Child Adolesc Psychiatry 1990; 29:546-557
4. 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
5. Biederman J. Attention-deficit/hyperactivity disorder: a selective overview. Biol Psychiatry 2005; 57:1215-1220
6. Sayal K, Taylor E, Beecham J, Byrne P. Pathways to care in children at risk of Attention Deficit/Hyperactivity Disorder. Br J Psychiatry 2002; 181:43-48
7. Sayal K, Goodman R, Ford T. Barriers to the identification of children with Attention Deficit/Hyperactivity Disorder. J Child Psychol Psychiatry 2006; 47:744-750
8. Neuman RJ, Sitdhiraksa N, Reich W, Ji TH, Joyner CA, Sun LW, Todd RD. Estimation of prevalence of DSM-IV and latent classdefined ADHD subtypes in a population-based sample of child and adolescent twins. Twin Res Hum Genet 2005; 8:392-401
9. Schaffer D, Fisher P, Lucas CP, Dulcan MK, Schwab-Stone ME. NIMH Diagnostic Interview Schedule for Children version IV (NIMH DISCIV): description differences from the previous versions, and reliability of some common diagnosis. J Am Acad Child Adolesc Psychiatry 2000; 39:28-38
10. Rohde LA. ADHD in Brazil: The DSM-IV criteria in a culturally different population. J Am Acad Child Adolesc Psychiatry 2002; 41:1131-1133
11. Erşan EE, Doğan O, Doğan S, Sümer H. The distribution of symptoms of attentiondeficit/ hyperactivity disorder and oppositional defiant disorder in school age children in Turkey. Eur Child Adolesc Psychiatry 2004; 13:354-361
12. Cantwell DP. Attention deficit disorder: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry 1996; 35:978-987
13. Brown RT, Freeman WS, Perrin JM, Stein MT, Amler RW, Feldman HM, Pierce K, Wolraich ML. Prevalence and assessment of attention-deficit/hyperactivity disorder in primary care settings. Pediatrics 2001; 107:43
14. Leung, AK, Lemay JF. Attention deficit hyperactivity disorder: an update. Adv Ther 2003; 20:305-318
15. Mannuzza S, Klein RG, Moulton JL. Persistence of attention deficit/ hyperactivity disorder into adulthood: what have we learned from the prospective follow-up studies? J Atten Disord 2003; 7:93-100
16. Polanczyk G, Jensen P. Epidemiologic Considerations in Attention Deficit Hyperactivity Disorder: A Review and Update. Child Adolesc Psychiatr Clin N Am 2008; 17:245-260
17. Rowland AS, Skipper B, Rabiner DL, Umbach DM, Stallone L, Campbell RA, Hough RL, Naftel AJ, Sandler DP. The shifting subtypes of ADHD: classification depends on how symptom reports are combined. J Abnorm Child Psychol 2008; 36:731-743
18. Faraone SV, Sergeant J, Gillberg C, Biederman J. The worldwide prevalence of ADHD: is it an American condition? World Psychiatry 2003; 2:104-113
19. Timimi S, Taylor E. ADHD is best understood as a cultural construct. Br J Psychiatry 2004; 184:8-9
20. Polanczyk G, de Lima MS, Horta BL, Biederman J, Rohde LA. The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatry 2007; 164:942-948
21. Reid R. Assessment of ADHD with culturally different groups: the use of behavioral rating scales. Sch Psychol Rev 1995; 24:537-560
22. Livingston R. Cultural issues in diagnosis and treatment of ADHD. J Am Acad Child Adolesc Psychiatry 1999; 38:1591-1594
23. Rohde LA, Szobot C, Polanczyk G, Schmitz M, Martins S, Tramontina S. Attention-Deficit/Hyperactivity Disorder in a Diverse Culture: Do Research and Clinical Findings Support the Notion of a Cultural Construct for the Disorder? Biol Psychiatry 2005; 57:1436-1441
24. Rowland AS, Umbach DM, Catoe KE, Stallone L, Long S, Rabiner D, Naftel AJ, Panke D, Faulk R, Sandler DP. Studying the epidemiology of attention-deficit hyperactivity disorder: screening method and pilot results. Can J Psychiatry 2001; 46:931-940
25. Skounti M, Philalithis A, Mpitzaraki K, Vamvoukas M, Galanakis E. Attention-deficit/hyperactivity disorder in schoolchildren in Crete. Acta Paediatr 2006; 95:658-663
26. McClellan J, Bresnahan MA, Echeverria D, Knox SS, Susser E. Approaches to psychiatric assessment in epidemiological studies of children. J Epidemiol Community Health 2009; 63: i4-i14
27. Erol N, Simsek Z, Oner O, Munir K. Epidemiology of attention problems among Turkish children and adolescents: a national study. J Atten Disord 2008; 11:538-545
28. Lemeshow S, Hosmer DW, Klar J, Lwanga SK. Adequacy of Sample Size in Health Studies. The World Health Organization and John Wiley and Sons, New York, NY: 1990
29. Turgay A. Turgay's DSM-IV based ADHD and disruptive behaviour disorders screening scale, Integrative Therapy Institute Publication, Toronto-Ontario, Canada: 1997
30. Ercan ES, Amado S, Somer O. Dikkat Eksikligi hiperaktivite Bozuklugu ve Yikici Davranis Bozukluklari icin bir test bataryasi gelistirme calismasi. Cocuk ve Genclik Ruh Sagligi Dergisi (Journal of Child and Adolescent Mental Health) 2001; 8:132-144
31. Shaffer D, Fisher PW, Lucas CP. Respondent based interviews. In: Shaffer D, Lucas CP, Richters JE (eds) Diagnostic assessment in child and adolescent psychopathology. Guilford Press, 1999: 3-34
32. Jensen PS, Watanabe HK, Richters JE, Roper M, Hibbs ED, Salzberg AD, Liu S. Scales, diagnoses, and child psychopathology: II. Comparing the CBCL and the DISC against external validators. J Abnorm Child Psychol 1996; 24:151-168
33. Mitsis EM, McKay KE, Schulz KP, Newcorn JH, Halperin JM. Parent-teacher concordance for DSM-IV attentiondeficit/hyperactivity disorder in a clinic-referred sample. J Am Acad Child Adolesc Psychiatry 2000; 39:308-313
34. Fontana RS, Vasconcelos MM, Werner J Jr, Góes FV, Liberal EF. ADHD prevalence in four Brazilian public schools. Arq Neuropsiquiatr 2007; 65:134-137
35. Cardo E, Servera M, Llobera J. Estimation of the prevalence of attention deficit hyperactivity disorder among the standard population on the island of Majorca. Rev Neurol 2007; 44:10-14
36. Gomez R, Harvey J, Quick C, Scharer I, Harris G. DSM-IVAD/HD: confirmatory factor models, prevalence, and gender and age differences based on parent and teacher ratings of Australian primary school children. J Child Psychol Psychiatry 1999; 40:265-274
37. Zuddas A, Marzocchi GM, Oosterlaan J, Cavolina P, Ancilletta B, Sergeant J. Factor structure and cultural factors of disruptive behaviour disorders symptoms in Italian children. Eur Psychiatry 2006; 21:410-418
38. Adewuya AO, Famuyiwa OO. Attention deficit hyperactivity disorder among Nigerian primary school children prevalence and co-morbid conditions. Eur Child Adolesc Psychiatry 2007; 16:10-15
39. Montiel-Nava C, Peña JA, López M, Salas M, Zurga JR, Montiel-Barbero I, Pirela D, Cardozo JJ. Estimations of the prevalence of attention deficit hyperactivity disorder in Marabino children. Rev Neurol 2002; 35:1019-1024
40. Wolraich ML, Hannah JN, Baumgaertel A, Feurer ID. Examination of DSM-IV criteria for attention deficit/hyperactivity disorder in a county-wide sample. J Dev Behav Pediatr 1998; 19:162-168
41. Skounti M, Philalithis A, Galanakis E. Variations in prevalence of attention deficit hyperactivity disorder worldwide. Eur J Pediatr 2007; 166:117-123
42. Rohde LA. Is there a need to reformulate attention deficit hyperactivity disorder criteria in future nosologic classifications? Child Adolesc Psychiatr Clin N Am 2008; 17:405-420
43. Çakaloz B, Pekcanlar Akay A., Böber E. Dikkat eksikliği hiperaktivite bozukluğu ve eşlik eden karşıt olma karşı gelme bozukluğu olan prepubertal erkek çocuklarda plazma kortizol düzeylerinin değerlendirilmesi. Klinik Psikofarmakoloji Bülteni 2005; 15: 158-164
44. Chhabildas N, Pennington BF, Willcutt EG. A comparison of the neuropsychological profiles of the DSM-IV subtypes of ADHD. J Abnorm Child Psychol 2001; 29:529-540
45. Nigg JT, Blaskey LG, Huang-Pollock CL, Rappley MD. Neuropsychological executive functions and DSM-IV ADHD subtypes. J Am Acad Child Adolesc Psychiatry 2002; 41:59-66
46. Woo BSC, Rey JM. The validity of the DSM-IV subtypes of attention-deficit/hyperactivity disorder. Aust N Z J Psychiatry 2005; 39:344-353
47. Keller MB, Lavori PW, Beardslee WR, Wunder J, Schwartz CE, Roth J, Biederman J. The disruptive behavioral disorder in children and adolescents: comorbidity and clinical course. J Am Acad Child Adolesc Psychiatry 1992; 31:204-209

APA	GUL N, TİRYAKİ A, KÜLTÜR S, TOPBAS M, AK İ (2010). Prevalence of attention deficit hyperactivity disorder and comorbid disruptive behavior disorders among school age children in Trabzon. , 50 - 56.
Chicago	GUL Neyir,TİRYAKİ Ahmet,KÜLTÜR S. Ebru Çengel,TOPBAS MURAT,AK İsmail Prevalence of attention deficit hyperactivity disorder and comorbid disruptive behavior disorders among school age children in Trabzon. (2010): 50 - 56.
MLA	GUL Neyir,TİRYAKİ Ahmet,KÜLTÜR S. Ebru Çengel,TOPBAS MURAT,AK İsmail Prevalence of attention deficit hyperactivity disorder and comorbid disruptive behavior disorders among school age children in Trabzon. , 2010, ss.50 - 56.
AMA	GUL N,TİRYAKİ A,KÜLTÜR S,TOPBAS M,AK İ Prevalence of attention deficit hyperactivity disorder and comorbid disruptive behavior disorders among school age children in Trabzon. . 2010; 50 - 56.
Vancouver	GUL N,TİRYAKİ A,KÜLTÜR S,TOPBAS M,AK İ Prevalence of attention deficit hyperactivity disorder and comorbid disruptive behavior disorders among school age children in Trabzon. . 2010; 50 - 56.
IEEE	GUL N,TİRYAKİ A,KÜLTÜR S,TOPBAS M,AK İ "Prevalence of attention deficit hyperactivity disorder and comorbid disruptive behavior disorders among school age children in Trabzon." , ss.50 - 56, 2010.
ISNAD	GUL, Neyir vd. "Prevalence of attention deficit hyperactivity disorder and comorbid disruptive behavior disorders among school age children in Trabzon". (2010), 50-56.

APA	GUL N, TİRYAKİ A, KÜLTÜR S, TOPBAS M, AK İ (2010). Prevalence of attention deficit hyperactivity disorder and comorbid disruptive behavior disorders among school age children in Trabzon. Klinik Psikofarmakoloji Bülteni, 20(1), 50 - 56.
Chicago	GUL Neyir,TİRYAKİ Ahmet,KÜLTÜR S. Ebru Çengel,TOPBAS MURAT,AK İsmail Prevalence of attention deficit hyperactivity disorder and comorbid disruptive behavior disorders among school age children in Trabzon. Klinik Psikofarmakoloji Bülteni 20, no.1 (2010): 50 - 56.
MLA	GUL Neyir,TİRYAKİ Ahmet,KÜLTÜR S. Ebru Çengel,TOPBAS MURAT,AK İsmail Prevalence of attention deficit hyperactivity disorder and comorbid disruptive behavior disorders among school age children in Trabzon. Klinik Psikofarmakoloji Bülteni, vol.20, no.1, 2010, ss.50 - 56.
AMA	GUL N,TİRYAKİ A,KÜLTÜR S,TOPBAS M,AK İ Prevalence of attention deficit hyperactivity disorder and comorbid disruptive behavior disorders among school age children in Trabzon. Klinik Psikofarmakoloji Bülteni. 2010; 20(1): 50 - 56.
Vancouver	GUL N,TİRYAKİ A,KÜLTÜR S,TOPBAS M,AK İ Prevalence of attention deficit hyperactivity disorder and comorbid disruptive behavior disorders among school age children in Trabzon. Klinik Psikofarmakoloji Bülteni. 2010; 20(1): 50 - 56.
IEEE	GUL N,TİRYAKİ A,KÜLTÜR S,TOPBAS M,AK İ "Prevalence of attention deficit hyperactivity disorder and comorbid disruptive behavior disorders among school age children in Trabzon." Klinik Psikofarmakoloji Bülteni, 20, ss.50 - 56, 2010.
ISNAD	GUL, Neyir vd. "Prevalence of attention deficit hyperactivity disorder and comorbid disruptive behavior disorders among school age children in Trabzon". Klinik Psikofarmakoloji Bülteni 20/1 (2010), 50-56.