Comparison of Psychosocial Correlates in Primary School Age Children with Attention Deficit/ Hyperactivity Disorder- Combined Type, with and without Dysthymic Disorder

2006 ◽  
Vol 36 (4) ◽  
pp. 419-426 ◽  
Author(s):  
Katrina Harris ◽  
Marilyn Boots ◽  
Jessica Talbot ◽  
Alasdair Vance
2003 ◽  
Vol 37 (5) ◽  
pp. 563-569 ◽  
Author(s):  
Alasdair Vance ◽  
Katrina Harris ◽  
Marilyn Boots ◽  
Jessica Talbot ◽  
Mary Karamitsios

Objective: Attention deficit hyperactivity disorder, combined type (ADHD-CT), dysthymic disorder, and anxiety disorders frequently co-occur in primary school age children, although there have been no published data describing their association. We investigated the association of anxiety, defined from a parent or child perspective, with primary school-age children with ADHD-CT with and without dysthymic disorder. Method: One hundred and forty-six medication naïve children with ADHD-CT were studied. Two groups with and without dysthymic disorder were formed to compare parent and child reports of anxiety, using categorical and continuous measures of anxiety, using logistic regression. Results: Separation anxiety disorder and social phobia were associated with primary school-age children with ADHD-CT and dysthymic disorder, compared to children with ADHD-CT without dysthymic disorder. Conclusions: The recognition of dysthymic disorder and anxiety disorders and their management in primary school-age children with ADHD-CT is generally poorly understood. The identification and elucidation of composite anxiety and depressive phenomena that may be systematically investigated through longitudinal studies of epidemiologically derived samples is needed in this particular group of children.


2003 ◽  
Vol 37 (5) ◽  
pp. 570-576 ◽  
Author(s):  
Alasdair L. A. Vance ◽  
Paul Maruff ◽  
Rebecca Barnett

Objective: Executive function deficits are evident in primary school-age children with attention deficit hyperactivity disorder, combined type (ADHD-CT) and are possibly improved by longer-term psychostimulant medication. In contrast, a substantial subgroup of children with ADHD-CT become symptomatic despite longer-term psychostimulant medication use. We investigated the hypothesis that better executive function performance is associated with the use of longer-term psychostimulant medication in primary school-age children with ADHD-CT who are again symptomatic of ADHD-CT, despite its use. Method: A cross-sectional study of 40 primary school-age psychostimulant medicationnaïve children with ADHD-CT, 26 with symptomatic ADHD-CT and treated with psychostimulant medication, and 26 control children without ADHD-CT was conducted. Nonverbal tasks of executive function were compared across the three groups. Results: The longer-term psychostimulant medication-treated group had a better executive function performance, despite being symptomatic for ADHD-CT, than the psychostimulant medication-naïve group. Conclusion: Improved executive function may be a marker of psychostimulant medication effect in children with ADHD-CT treated in the longer term. This improvement may not correlate with that of the ADHD-CT symptoms. Longitudinal studies are required.


2019 ◽  
Vol 4 (4) ◽  
pp. 615-623
Author(s):  
David L. Evans ◽  
K. Leann Owens

Purpose The purpose of this report was to describe the nature of word-final repetition (WFR) in an adult with normal intelligence and attention-deficit/hyperactivity disorder. Method A 25-year-old man completed speaking tasks that differed in linguistic complexity to examine the nature of his WFRs and the effect a stimulant medication had on his frequency of WFR. Results WFR occurred as a single iteration on sentences containing 2 or more clauses and occurred most often during monologue speaking tasks, on the final complete syllable of multisyllabic words, on content words, and on words in the utterance-final position. A minimal increase in WFR occurred when the participant completed a speaking task with a stimulant medication than the same speaking task without a stimulant medication. Conclusion Findings are similar to previous cases of WFR among school-age children, which have reported the majority of WFRs during propositional speaking tasks and a limited awareness of WFR. Linguistic, motor, coexisting conditions, and genetic explanations of WFR are considered relative to this case. Intervention of WFR should consider the individual needs of the client and the client's awareness of WFR.


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