Comorbidity of adult attention deficit and hyperactivity disorder in bipolar patients: prevalence, sociodemographic and clinical correlates/Yetiskin bipolar bozuklukta eriskin dikkat eksikligi ve hiperaktivite bozuklugu: siklik, sosyodemografik ve klinik iliskiler

• Published in: Noro-Psikiyatri Arsivi 2014-06, Vol.51 (2), p.97
• Main Authors: Berkol, Tonguc Demir, Yargic, Ilhan, Ozyildirim, Ilker, Yazici, Olcay
• Format: Article
• Language: English
• Subjects: Attention deficit hyperactivity disorder; Bipolar disorder; Comorbidity
• ISSN: 1300-0667; 1309-4866
• DOI: 10.4274/npa.y6376

Introduction: The aims of this study were to determine the frequency of adult attention deficit and hyperactivity disorder (ADHD) comorbidity in bipolar patients and to investigate the influence of this comorbidity on the clinical characteristics of bipolar disorder (BD). Method: Atotal of 135 patients with BD type I and II and BD not otherwise specified were included in this study. First, the Adult ADD/ADHD DSM-IV-Based Diagnostic Screening and Rating Scale (ADHD scale) was administered to all patients, and all of the patients were also interviewed forthe diagnosis. Patients who were diagnosed as having ADHD comorbidity (n=23) on the basis of DSM-IV and those who were not diagnosed to have ADHD comorbidity (n=32) were compared in terms of sociodemographic and clinical correlates. Results: Twenty-three of 135 patients (17%) were found to have ADHD comorbidity. In the ADHD comorbidity group, the level of education and the number of suicide attempts were higher (p=0.011 and 0.043, respectively). Although not significant, sub-threshold depressive symptoms in interepisodic periods, the lifetime history of antidepressant use and the total number of lifetime depressive episodes tended to be more frequent in bipolar disorder with ADHD comorbidity group than in the control group. Conclusion: Bipolar disorder has a frequent comorbidity with ADHD, and contrary to expectations, it might be related to the depressive aspect, ratherthan the manic aspect, of bipolar disorder. Early diagnosis of ADHD comorbidity in bipolar patients might help to prevent serious risk factors. (Archives of Neuropsychiatry 2014; 51:97-102) Key words: Adult attention deficit and hyperactivity disorder, bipolar disorder, comorbidity, depressive symptoms Conflict of interest: The authors reported no conflict of interest related to this article. Giris: Bu calismanin amaci bipolar hastalarda yetiskin dikkat eksikligi ve hiperaktivite bozuklugu (DEHB) estanisi sikligini tespit etmek ve bu estaninin, bipolar bozuklugun (BB) klinik ozellikleri uzerine etkisini arastirmaktir Yontem: Calismaya toplam 135 bipolar I, II veya BTA BB tamli hasta alinmistir. Oncelikle, Yetiskin DEB/DEHB DSM-IV'e Dayali Teshis Tarama ve Degerlendirme Olcegi (DEHB olcegi) tum hastalara uygulandi, buna bagli tum hastalarla tani icin gorusuldu. DSM-IV'e gore DEHB estanisi tespit edilen hasta grubu (23 hasta) ile bu estaninin tespit edilmedigi hasta gubu (32 hasta) sosyodemografik ve klinik ozellikleri acisindan karsilastirilmi