Panik bozukluğu hastalarında dikkat eksikliği hiperaktivite bozukluğu eştanısı English

Abdullah Akpınar; Hülya Ertekin; Oğuz Karamustafalıoğlu; Yusuf Ertekin; Bahadır Bakım; Onur Tankaya

Panik bozukluğu hastalarında dikkat eksikliği hiperaktivite bozukluğu eştanısı English

Year 2013, Volume: 10 Issue: 3, 108 - 113, 01.12.2013

Abdullah Akpınar Hülya Ertekin Oğuz Karamustafalıoğlu Yusuf Ertekin Bahadır Bakım Onur Tankaya

Abstract

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.

Keywords

Dikkat eksikliği hiperaktivite bozukluğu, eştanı, panik bozukluk

References

) Roy-Byrne PP, Cowley DS. Course and outcome in panic disorder: a review of recent follow-up studies. Anxiety 1994-1995; 1(4): 151-60.
) Roy-Byrne PP, Craske MG, Stein MB. Panic disorder.The Lancet 2006; 368(9540): 1023-32.
) Tamam L, Karakus G, Ozpoyraz N. Comorbidity of adult attention-deficit hyperactivity disorder and bipolar disorder: prevalence and clinical correlates. Eur Arch Psychiatry Clin Neurosci 2008; 258(7): 385-93.
) Kessler RC, Adler L, Barkley R, Biederman J, C. Keith Conners CK, Demler O, Faraone SV, Laurence L. Greenhill L L, Howes MJ, The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication. Am J Psychiatry 2006; 163(4): 716-23.
) Fones CS, Pollack MH, Susswein L, Otto M. History of childhood attention deficit hyperactivity disorder (ADHD) features among adults with panic disorder. J Affect Disorder 2000; 58(2): 99-106.
) Otto MW, Pollack MH, Rosenbaum JF, Sachs GS, Asher RH. Childhood history of anxiety in adults with panic disorder: association with anxiety sensitivity and comorbidity. Harv Rev Psychiatry 1994; 1(5): 288-93.
) Bradley S, Hood J. Psychiatrically referred adolescents with panic attacks: presenting symptoms, stressors and comorbidity. J Am Acad Child Adolesc Psychiatry 1993; 32(4): 826-9
) Biederman J, Faraone SV, Marrs A, Moore, P, Garcia, J, Ablon, S, Mick E, Gershon, J, Kearns ME, Panic Disorder and agoraphobia in consecutively referred children and adolescents. J Am Acad Child Adolesc Psychiatry 1997; 36(2): 214-23.
) Biederman J, Faraone SV, Keenan K, Steingard R, Tsuang MT. Familial association between attention deficit disorder and anxiety disorders. Am J Psychiatry ; 148(2): 251-6. ) Corapcioglu A, Aydemir O, Yıldız M, DSM-IV Eksen I Bozuklukları (SCID-I) İçin Yapılandırılmış Klinik Görüşme. Ankara, Turkey: Klinik Versiyon. Hekimler Yayın Birliği; 1999.
) Tural U, Fidaner H, Alkin T, Bandelow B. Assessing the severity of panic disorder and agoraphobia: validity, reliability and objectivity of the Turkish translation of the Panic and Agoraphobia Scale (P&A).J Anxiety Disord ; 16(3): 331-40. ) Oncu B, Olmez S, Senturk V. Validity And Reliability of the Turkish Version of the Wender Utah Rating Scale for Attention-Deficit/Hyperactivity Disorder in Adults. Turkish Journal of Psychiatry 2005; 16(4): 252-9.
) Gunay S, Savran C, Aksoy UM, Maner F, Turgay A, Yargıç I. The Norm Study, Transliteral Equivalence, Validity and Reliability of Adult Hyperactivity Scale in Turkish Adult Population (Adult ADD/ADHD DSM IV- Based Diagnostic Screening and Rating Scale). Psychiatry in Turkey 2006; 8(2): 98-107.
) McGough JJ, Barkley RA. Diagnostic controversies in adult attention deficit hyperactivity disorder. Am J Psychiatry 2004; 161(11): 1948-56.
) Van Ameringen M, Mancini C, Simpson W, Patterson B.Adult attention deficit hyperactivity disorder in an anxiety disorders population. CNS Neurosci Ther 2011; 17(4): 221-6.
) Jensen PS, Martin D, Cantwell DP. Comorbidity in ADHD: implications for research, practice, and DSM-V. J Am Acad Child Adolesc Psychiatry. 1997; 36(8): 1065
) DuPaul GJ, Barkley RA, McMurray MB. Response of children with ADHD to methylphenidate: interaction with internalizing symptoms. J Am Acad Child Adolesc Psychiatry. 1994; 33(6): 894-903.
) Tannock R, Ickowicz A, Schachar R. Differential effects of methylphenidate on working memory in ADHD children with and without comorbid anxiety. J Am Acad Child Adolesc Psychiatry. 1995; 34(7): 886-96.
) Dell'osso B, Lader M. Do benzodiazepines still deserve a major role in the treatment of psychiatric disorders? A critical reappraisal. Eur Psychiatry. 2013; (1): 7-20.
) Spencer T, Wilens T, Biederman J, Faraone SV, Ablon JS, Lapey K. A double-blind, crossover comparison of methylphenidate and placebo in adults with childhood- onset attention-deficit hyperactivity disorder. Arch Gen Psychiatry. 1995; 52(6): 434-43.

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

Year 2013, Volume: 10 Issue: 3, 108 - 113, 01.12.2013

Abdullah Akpınar Hülya Ertekin Oğuz Karamustafalıoğlu Yusuf Ertekin Bahadır Bakım Onur Tankaya

Abstract

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

References

) Roy-Byrne PP, Cowley DS. Course and outcome in panic disorder: a review of recent follow-up studies. Anxiety 1994-1995; 1(4): 151-60.
) Roy-Byrne PP, Craske MG, Stein MB. Panic disorder.The Lancet 2006; 368(9540): 1023-32.
) Tamam L, Karakus G, Ozpoyraz N. Comorbidity of adult attention-deficit hyperactivity disorder and bipolar disorder: prevalence and clinical correlates. Eur Arch Psychiatry Clin Neurosci 2008; 258(7): 385-93.
) Kessler RC, Adler L, Barkley R, Biederman J, C. Keith Conners CK, Demler O, Faraone SV, Laurence L. Greenhill L L, Howes MJ, The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication. Am J Psychiatry 2006; 163(4): 716-23.
) Fones CS, Pollack MH, Susswein L, Otto M. History of childhood attention deficit hyperactivity disorder (ADHD) features among adults with panic disorder. J Affect Disorder 2000; 58(2): 99-106.
) Otto MW, Pollack MH, Rosenbaum JF, Sachs GS, Asher RH. Childhood history of anxiety in adults with panic disorder: association with anxiety sensitivity and comorbidity. Harv Rev Psychiatry 1994; 1(5): 288-93.
) Bradley S, Hood J. Psychiatrically referred adolescents with panic attacks: presenting symptoms, stressors and comorbidity. J Am Acad Child Adolesc Psychiatry 1993; 32(4): 826-9
) Biederman J, Faraone SV, Marrs A, Moore, P, Garcia, J, Ablon, S, Mick E, Gershon, J, Kearns ME, Panic Disorder and agoraphobia in consecutively referred children and adolescents. J Am Acad Child Adolesc Psychiatry 1997; 36(2): 214-23.
) Biederman J, Faraone SV, Keenan K, Steingard R, Tsuang MT. Familial association between attention deficit disorder and anxiety disorders. Am J Psychiatry ; 148(2): 251-6. ) Corapcioglu A, Aydemir O, Yıldız M, DSM-IV Eksen I Bozuklukları (SCID-I) İçin Yapılandırılmış Klinik Görüşme. Ankara, Turkey: Klinik Versiyon. Hekimler Yayın Birliği; 1999.
) Tural U, Fidaner H, Alkin T, Bandelow B. Assessing the severity of panic disorder and agoraphobia: validity, reliability and objectivity of the Turkish translation of the Panic and Agoraphobia Scale (P&A).J Anxiety Disord ; 16(3): 331-40. ) Oncu B, Olmez S, Senturk V. Validity And Reliability of the Turkish Version of the Wender Utah Rating Scale for Attention-Deficit/Hyperactivity Disorder in Adults. Turkish Journal of Psychiatry 2005; 16(4): 252-9.
) Gunay S, Savran C, Aksoy UM, Maner F, Turgay A, Yargıç I. The Norm Study, Transliteral Equivalence, Validity and Reliability of Adult Hyperactivity Scale in Turkish Adult Population (Adult ADD/ADHD DSM IV- Based Diagnostic Screening and Rating Scale). Psychiatry in Turkey 2006; 8(2): 98-107.
) McGough JJ, Barkley RA. Diagnostic controversies in adult attention deficit hyperactivity disorder. Am J Psychiatry 2004; 161(11): 1948-56.
) Van Ameringen M, Mancini C, Simpson W, Patterson B.Adult attention deficit hyperactivity disorder in an anxiety disorders population. CNS Neurosci Ther 2011; 17(4): 221-6.
) Jensen PS, Martin D, Cantwell DP. Comorbidity in ADHD: implications for research, practice, and DSM-V. J Am Acad Child Adolesc Psychiatry. 1997; 36(8): 1065
) DuPaul GJ, Barkley RA, McMurray MB. Response of children with ADHD to methylphenidate: interaction with internalizing symptoms. J Am Acad Child Adolesc Psychiatry. 1994; 33(6): 894-903.
) Tannock R, Ickowicz A, Schachar R. Differential effects of methylphenidate on working memory in ADHD children with and without comorbid anxiety. J Am Acad Child Adolesc Psychiatry. 1995; 34(7): 886-96.
) Dell'osso B, Lader M. Do benzodiazepines still deserve a major role in the treatment of psychiatric disorders? A critical reappraisal. Eur Psychiatry. 2013; (1): 7-20.
) Spencer T, Wilens T, Biederman J, Faraone SV, Ablon JS, Lapey K. A double-blind, crossover comparison of methylphenidate and placebo in adults with childhood- onset attention-deficit hyperactivity disorder. Arch Gen Psychiatry. 1995; 52(6): 434-43.

There are 18 citations in total.

Details

Primary Language	Turkish
Journal Section	Research Article
Authors	Abdullah Akpınar Hülya Ertekin This is me Oğuz Karamustafalıoğlu This is me Yusuf Ertekin This is me Bahadır Bakım This is me Onur Tankaya This is me
Publication Date	December 1, 2013
Published in Issue	Year 2013 Volume: 10 Issue: 3

Cite

Vancouver	Akpınar A, Ertekin H, Karamustafalıoğlu O, Ertekin Y, Bakım B, Tankaya O. Panik bozukluğu hastalarında dikkat eksikliği hiperaktivite bozukluğu eştanısı English. Harran Üniversitesi Tıp Fakültesi Dergisi. 2013;10(3):108-13.