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首页> 外文期刊>The world journal of biological psychiatry: the official journal of the World Federation of Societies of Biological Psychiatry >Co-morbidity of bipolar disorder in children and adolescents with attention deficit/hyperactivity disorder (ADHD) in an outpatient Turkish sample.
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Co-morbidity of bipolar disorder in children and adolescents with attention deficit/hyperactivity disorder (ADHD) in an outpatient Turkish sample.

机译：土耳其门诊样本中患有注意力缺陷/多动障碍（ADHD）的儿童和青少年躁郁症的合并症。

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This study aimed to assess the prevalence of bipolar disorder (BPD) in children and adolescents with attention deficit hyperactivity disorder (ADHD), and to compare the clinical characteristics of a group with ADHD with a group with co-morbidity of ADHD and BPD. The study includes 121 individuals, aged 6-16 years, with a diagnosis of ADHD. Co-morbidity of BPD was evaluated using the Schedule for Affective Disorders and Schizophrenia for School-age Children-Present and Lifetime version (K-SADS-PL) and the Parent-Young Mania Rating Scale (P-YMRS). The Child Behavior Checklist (CBCL) was used to assess psychopathology in two groups. Ten children (8.3%) in the ADHD sample received the additional diagnosis of BPD. The ADHD + BPD group had significantly higher scores than the ADHD group on withdrawn, anxiety/depression, social problems, thought problems, attention problems, aggression, externalization, total score items of CBCL, and on the P-YMRS. It could be concluded that BPD is not a rare co-morbid condition in children with diagnosis of ADHD and subjects with this co-morbidity show more severe psychopathology than subjects with pure ADHD. Differential diagnosis of BPD disorder in subjects with ADHD seems crucial in establishing an effective treatment program, and therefore improving mental health outcomes.
机译：本研究旨在评估患有注意力缺陷多动障碍（ADHD）的儿童和青少年的双相情感障碍（BPD）患病率，并比较ADHD组和ADHD与BPD合并症组的临床特征。这项研究包括121位年龄在6-16岁之间的患有ADHD的个体。 BPD合并症的评估采用《学龄儿童-现存和终生版情感障碍和精神分裂症时间表》（K-SADS-PL）和“父母-年轻躁狂症评定量表”（P-YMRS）进行。儿童行为清单（CBCL）用于评估两组的心理病理学。 ADHD样本中有10名儿童（8.3％）接受了BPD的额外诊断。 ADHD + BPD组在退缩，焦虑/抑郁，社会问题，思想问题，注意问题，攻击性，外在化，CBCL总分项和P-YMRS方面的得分均明显高于ADHD组。可以得出结论，在诊断为ADHD的儿童中BPD并非罕见的合并症，与单纯ADHD的受试者相比，患有BPD的受试者表现出更严重的精神病理学特征。在多动症患者中对BPD疾病进行鉴别诊断对于建立有效的治疗方案，从而改善心理健康结局似乎至关重要。

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