Diagnosis and treatment of comorbidity in children and adolescents with attention deficit hyperactivity disorder

LUO Xue-rong; WANG Bei-ni

doi:10.11852/zgetbjzz2018-26-07-02

PDF(597 KB)

Chinese Journal of Child Health Care ›› 2018, Vol. 26 ›› Issue (7) : 701-704. DOI: 10.11852/zgetbjzz2018-26-07-02

Diagnosis and treatment of comorbidity in children and adolescents with attention deficit hyperactivity disorder

LUO Xue-rong¹, WANG Bei-ni²

Author information +

History +

Abstract

Attention deficit hyperactivity disorder (ADHD) is one of the most common psychiatric disorders among children and adolescents.The comorbidity rate is around 48%,which includes oppositional defiant disorder (ODD),conduct disorder(CD),anxiety,bipolar disorder(BPD),major depression disorder(MDD),tic disorder(TD),autism spectrum disorder(ASD),learning disorder(LD),and substance abuse.This article reviews the evidence on the diagnosis and treatment of the comorbidities in ADHD patients in order to help with the pediatrists and psychiatrists' practice.

Key words

attention deficit hyperactivity disorder / comorbidity / diagnosis and treatment

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

LUO Xue-rong, WANG Bei-ni. Diagnosis and treatment of comorbidity in children and adolescents with attention deficit hyperactivity disorder[J]. Chinese Journal of Child Health Care. 2018, 26(7): 701-704 https://doi.org/10.11852/zgetbjzz2018-26-07-02

References

[1] Thomas R,Sanders S,Doust J,et al.Prevalence of attentiondeficit hyperactivity disorder: a systematic review and meta analysis[J].Pediatrics,2015,135(4):994-1001.
[2] 申艳梅,罗雪荣.湖南省6~16岁儿童青少年注意缺陷多动障碍流行病学研究[D].长沙:中南大学,2016.
[3] 美国精神医学学会.《精神障碍诊断与统计手册》第5版[M].北京:北京大学出版社,2015:55-62.
[4] Kirley A,Lowe N,Mullins C,et al.Phenotype studies of the DRD4 gene polymorphisms in ADHD: association with oppositional defiant disorder and positive family history[J].Am J Med Genet B Neuropsychiatr Genet,2004,131B(1):38-42.
[5] 李君,王玉凤,周儒伦,等.5-HT1D基因多态与共患破坏性行为障碍的儿童注意缺陷多动障碍的相关性[J].北京大学学报:医学版,2007,39(5):535-538.
[6] Salatino OA,Genro JP,Guimares AP,et al.Cathechol-O-methyltransferase Val(158)Met polymorphism is associated with disruptive behavior disorders among children and adolescents with ADHD[J].J Neural Transm (Vienna),2012,119(6):729-733.
[7] 叶蓓.伴或不伴ODD的ADHD儿童心理社会因素和5-HTTLPR/MAOA-μVNTR的关联分析[D].郑州:郑州大学,2010.
[8] 江文庆,李焱,杜亚松,等.注意缺陷多动障碍与对立违抗障碍男童的情绪调节过程缺陷[J].中国儿童保健杂志,2017,25(5):440-443.
[9] Michael CS,Emily HC.Comparison of brain volume abnormalities between ADHD and conduct disorder in adolescence[J].J Psychiatry Neurosci,2012,37(6):389-398.
[10] The MTA Cooperative Group.A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder[J] .Arch Gen Psychiatry,1999,56(12):1073-1086.
[11] 冷月,金宇,静进.注意缺陷多动障碍共患焦虑障碍研究概况[J].中国学校卫生,2010,31(11):1290-1293.
[12] Biederman J.Resolved :mania is mistaken for ADHD in prepubertal children[J].J Am Acad Child Adolesc Psychiatry,1998,37(10):1091-1093.
[13] Marangoni C,De Chiara L,Faedda GL.Bipolar disorder and ADHD: comorbidity and diagnostic distinctions[J].Curr Psychiatry Rep,2015,17(8):604-634.
[14] 杜亚松.注意缺陷多动障碍共病及其治疗进展[J].实用儿科临床杂志,2010,25(12):874-876.
[15] 邓红珠,邹小兵.2011版美国儿科学会《儿童青少年注意缺陷多动障碍诊断、评估和治疗临床实用指南》解读[J].中国实用儿科杂志,2012,27(2):99-101.
[16] William E,Adrian A,Jane C,et al.Prevalence,comorbidity and correlates of DSM-5 proposed disruptive mood dysregulation disorder[J].Am J Psychiatry,2013,170(2):173-179.
[17] Edmund JS,Sonuga B,Samuele C,et al.Annual research review:transdiagnostic neuroscience of child and adolescent mental disorders-differentiating decision making in attention-deficit/hyperactivity disorder,conduct disorder,depression,and anxiety[J].J Child Psychol Psyc,2016,57(3):321-349.
[18] 匡桂芳.注意缺陷多动障碍与抽动障碍共病心理社会因素相关性研究[D].苏州:苏州大学,2008.
[19] 李晓萌,张劲松.注意缺陷多动障碍与孤独症谱系障碍共病诊断新进展[J].中国儿童保健杂志,2015,23(3):275-277.
[20] Silver LB.Attention deficit hyperactivity disorder[M].3rd ed.Washington DC:American Psychiatric Publishing,2004:159-181.
[21] Staal WG,deKrom M,deJonge MV.Brief report: the dopa-mine-3-receptorgene(DRD3) isassociated with specific repetitive behavior in autism spectrum disorder(ASD)[J].J Autism Dev disorder,2012,42(5):885-888.
[22] 刘璐,李海梅,钱秋谨,等.肾上腺素能α1A受体基因多态与注意缺陷多动障碍共患学习困难的关联分析[J].中国心理卫生杂志,2013,27(6):418-423.