The sociodemographic features and comorbid psychiatric diagnosis of children diagnosed attention deficit and hyperactivity disorder who applied to child and adolescent psychiatry policlinics of A university hospital

Attention deficit and hyperactivity disorder (ADHD) is the most frequent neuropsychiatric disorder which causes impairment in psychosocial functioning like problems in social relationships and unsuccess at school. It's prevalence is thought to be %5,9-7,1 in studies made in recent years. In various studies it is reported that additional psychiatric diseases aggravate ADHD's sypmtoms and effect the response to treatment negatively. The aim of this study is to compare the sociodemographic features, comorbid psychiatric conditions and treatment between ADHD subtypes in children between 6-18 years who diagnosed ADHD in Child and Adolescent Psychiatry Policlinics of Blacksea Technical University Faculty of Medicine. 164 child and adolescent who applied to Child and Adolescent Psychiatry Policlinics of Karadeniz Technical University Faculty of Medicine between 1 January 2014 nad 31 June 2014, diagnosed ADHD according to DSM V, had at least three policlinics interview and did not meet the exclusion criterias are evaluated in this study. It is determined that 120 (%73,2) of the 164 ADHD patients are boys and 44 (%26,8) of them are girls. 69 (%42,1) of these patients are attention deficieny (AD) subtype of ADHD (ADHD group A), 81(%49,4) of them are combined subtype of ADHD (ADHD group C )and 14 (%8,5) of them are hyperactivity-impulsivity predominant subtype of ADHD (ADHD group H). The mean age of ADHD-A group is 10±3,020, ADHD-C group is 9,05±2,484 and ADHD-H group is 8,71±2,091. If we examine for the comorbid psychiatric diagnosis, the ratio of having at least one comorbid psychiatric conditions is %75,6 (124). %42 (69) of the patients have one comorbid condition with ADHD, %31,7 (52) of the patients have two comorbid conditions with ADHD and %1,8 of the patients have three comorbid conditions with ADHD. %24,4 of the sample have no psychiatric comorbid condition. Oppositional defiant disorder is the most frequent psychiatric comorbid condition overall the sample. It is the comorbid condition in 43 (%26,2) patients. In 41(%25) patients behavioral disorders, in 36 (%22) patients anxiety disorder, in 22 (%13,4) patients nocturnal enurezis, in 17 (%10,4) patients tic disorders and in 10 (%6,1) patients depressive disorder is the comorbid condition. In our sample 164 of the patients have a treatment for ADHD. 107 (%65,3) of these patients use long-acting methylphenidate, 33 (%20,1) of these patients use short-acting methylphenidate, 14(%8,5) of them use atomoxetine for ADHD treatment. 10 (%6,1) patients have no treatment. Children have diagnosis of ADHD with comorbid psychiatric conditions are possibly more resistant to treatments. In these patients both ADHD and comorbid psychiatric condition must be treated successfully. The high ratio of comorbid conditions in our study shows that both diagnosis must be treated.