Symptoms and level of functioning related to comorbidity in children and adolescents with ADHD: a cross-sectional registry study

Abstract Background It is well known that a wide range of psychiatric disorders co-occur with attention deficit hyperactivity disorder. In this study we aimed to examine the associations of psychiatric comorbidity in ADHD with symptom severity and level of functioning. Methods We used data from the...

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Main Authors: Marie Elwin, Tove Elvin, Jan-Olov Larsson
Format: Article
Language:English
Published: BMC 2020-07-01
Series:Child and Adolescent Psychiatry and Mental Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13034-020-00336-4
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author Marie Elwin
Tove Elvin
Jan-Olov Larsson
author_facet Marie Elwin
Tove Elvin
Jan-Olov Larsson
author_sort Marie Elwin
collection DOAJ
description Abstract Background It is well known that a wide range of psychiatric disorders co-occur with attention deficit hyperactivity disorder. In this study we aimed to examine the associations of psychiatric comorbidity in ADHD with symptom severity and level of functioning. Methods We used data from the Swedish National Quality Registry for ADHD Treatment Follow-up and identified comorbid diagnoses in a sample of 3246 Swedish children and adolescents with ADHD. We investigated the association of comorbidity with symptom severity and level of function by multiple linear regressions. Results Autism spectrum disorder, anxiety and affective disorders, oppositional defiant disorder or conduct disorder, learning disorders, and multiple comorbid disorders associate to lower levels of functioning compared to ADHD only. Multiple comorbidity, autism spectrum disorder, oppositional defiant or conduct disorders and tic disorders relate to ADHD symptom severity. Conclusions Comorbidity subgroups with ADHD differ in functional impairment and ADHD symptoms severity. Information on comorbidity profiles could be used for treatment planning more adapted to the individual. Especially those who have autism spectrum disorders and multiple comorbid disorders are at risk of severe ADHD symptoms and low level of functioning.
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spelling doaj.art-d00147fc42c74701a7ca22427f4314942022-12-22T01:34:08ZengBMCChild and Adolescent Psychiatry and Mental Health1753-20002020-07-011411810.1186/s13034-020-00336-4Symptoms and level of functioning related to comorbidity in children and adolescents with ADHD: a cross-sectional registry studyMarie Elwin0Tove Elvin1Jan-Olov Larsson2University Health Care Research Center, Region Örebro CountyUniversity Health Care Research Center, Region Örebro CountyKarolinska InstitutetAbstract Background It is well known that a wide range of psychiatric disorders co-occur with attention deficit hyperactivity disorder. In this study we aimed to examine the associations of psychiatric comorbidity in ADHD with symptom severity and level of functioning. Methods We used data from the Swedish National Quality Registry for ADHD Treatment Follow-up and identified comorbid diagnoses in a sample of 3246 Swedish children and adolescents with ADHD. We investigated the association of comorbidity with symptom severity and level of function by multiple linear regressions. Results Autism spectrum disorder, anxiety and affective disorders, oppositional defiant disorder or conduct disorder, learning disorders, and multiple comorbid disorders associate to lower levels of functioning compared to ADHD only. Multiple comorbidity, autism spectrum disorder, oppositional defiant or conduct disorders and tic disorders relate to ADHD symptom severity. Conclusions Comorbidity subgroups with ADHD differ in functional impairment and ADHD symptoms severity. Information on comorbidity profiles could be used for treatment planning more adapted to the individual. Especially those who have autism spectrum disorders and multiple comorbid disorders are at risk of severe ADHD symptoms and low level of functioning.http://link.springer.com/article/10.1186/s13034-020-00336-4Attention deficit hyperactivity disorderChildrenAdolescentsComorbiditiesGlobal functioningSymptom assessment
spellingShingle Marie Elwin
Tove Elvin
Jan-Olov Larsson
Symptoms and level of functioning related to comorbidity in children and adolescents with ADHD: a cross-sectional registry study
Child and Adolescent Psychiatry and Mental Health
Attention deficit hyperactivity disorder
Children
Adolescents
Comorbidities
Global functioning
Symptom assessment
title Symptoms and level of functioning related to comorbidity in children and adolescents with ADHD: a cross-sectional registry study
title_full Symptoms and level of functioning related to comorbidity in children and adolescents with ADHD: a cross-sectional registry study
title_fullStr Symptoms and level of functioning related to comorbidity in children and adolescents with ADHD: a cross-sectional registry study
title_full_unstemmed Symptoms and level of functioning related to comorbidity in children and adolescents with ADHD: a cross-sectional registry study
title_short Symptoms and level of functioning related to comorbidity in children and adolescents with ADHD: a cross-sectional registry study
title_sort symptoms and level of functioning related to comorbidity in children and adolescents with adhd a cross sectional registry study
topic Attention deficit hyperactivity disorder
Children
Adolescents
Comorbidities
Global functioning
Symptom assessment
url http://link.springer.com/article/10.1186/s13034-020-00336-4
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AT toveelvin symptomsandleveloffunctioningrelatedtocomorbidityinchildrenandadolescentswithadhdacrosssectionalregistrystudy
AT janolovlarsson symptomsandleveloffunctioningrelatedtocomorbidityinchildrenandadolescentswithadhdacrosssectionalregistrystudy