Assessment and treatment of attention deficit hyperactivity disorder in children with comorbid psychiatric illness

@article{Waxmonsky2003AssessmentAT,
  title={Assessment and treatment of attention deficit hyperactivity disorder in children with comorbid psychiatric illness},
  author={James G. Waxmonsky},
  journal={Current Opinion in Pediatrics},
  year={2003},
  volume={15},
  pages={476-482}
}
  • J. Waxmonsky
  • Published 1 October 2003
  • Psychology, Medicine
  • Current Opinion in Pediatrics
Purpose of review Attention deficit hyperactivity disorder (ADHD) frequently occurs with a wide variety of comorbid psychiatric disorders such as conduct disorder, depression, mania, anxiety, and learning disabilities. Because the vast majority of children with ADHD are treated in primary care settings, it is important that primary medical doctors be proficient in the diagnosis and initial treatment of children with ADHD and its commonly occurring comorbid disorders. ADHD research is beginning… 
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References

SHOWING 1-10 OF 49 REFERENCES
Attention deficit hyperactivity disorder and comorbid disorders: issues of overlapping symptoms.
TLDR
Assessment of the influence of overlapping symptoms on the diagnosis of ADHD shows that ADHD is not an artifact of symptoms shared with other psychiatric disorders and that the comorbid conditions themselves are not an artifacts of overlapping ADHD symptoms.
Comorbidity of attention-deficit/hyperactivity disorder with psychiatric disorder: an overview.
  • S. Pliszka
  • Psychology, Medicine
    The Journal of clinical psychiatry
  • 1998
TLDR
Coexisting anxiety appears to attenuate impulsivity in ADHD, and stimulant response is poorer in ADHD children with comorbid anxiety, while the short-term response to stimulants is the same in these two groups.
Systematic chart review of the pharmacologic treatment of comorbid attention deficit hyperactivity disorder in youth with bipolar disorder.
TLDR
Although tricyclic antidepressants (TCAs) significantly increased the probability of ADHD improvement following mood stabilization, there was also a significant association between treatment with TCAs and relapse of manic symptoms.
ADHD comorbidity findings from the MTA study: comparing comorbid subgroups.
TLDR
Three clinical profiles are indicated, ADHD co-occurring with internalizing disorders (principally parent-reported anxiety disorders) absent any concurrent disruptive disorder (ADHD + ANX), ADHD Co-occurred with ODD/CD but no anxiety (AD HD + ODD /CD), and ADHD with both anxiety and O DD/CD may be sufficiently distinct to warrant classification as ADHD subtypes different from "pure" ADHD with neither comorbidity.
Anxiety and Depression Symptoms and Response to Methylphenidate in Children With Attention-Deficit Hyperactivity Disorder and Tic Disorder
TLDR
There was little evidence (group data) that children with anxiety or depression symptoms responded in a clinically different manner to methylphenidate than youngsters who did not exhibit these symptoms, particularly in school observations of the core features of ADHD.
Correlates of ADHD among children in pediatric and psychiatric clinics.
TLDR
It is suggested that children cared for in pediatric practice have similar levels of comorbidity and dysfunction as psychiatrically referred youth.
Does Comorbid Attention-Deficit/Hyperactivity Disorder Impact the Clinical Expression of Pediatric Obsessive-Compulsive Disorder?
TLDR
It is suggested that the OCD phenotype runs true and is not impacted by comorbid ADHD in youths diagnosed with both OCD and ADHD, and more work is needed to determine whether OCD plus ADHD represents a developmentally and etiologically distinct form of the OCD syndrome.
Correlates of comorbid psychopathology in children with ADHD.
TLDR
Comorbid externalizing and internalizing symptoms are correlated with age of ADHD onset and are related to the severity of clinical presentation in a referred sample of children with ADHD.
Pharmacotherapy of attention-deficit hyperactivity disorder across the life cycle.
TLDR
The available literature indicates the important role of psychopharmacological agents in the reduction of the core symptoms of ADHD and associated impairments.
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