학술논문
Assessment of comorbidity and social anxiety in adolescents with attention deficit hyperactivity disorder: The SELFIE study
Document Type
article
Author
María Jesús Mardomingo Sanz; Carlos Sancho Mateo; Begoña Soler López; Patricia Alcindor Huelva; Luis Artiles Pérez; Joan Bastardas Sardan; Oscar Blanco Barca; Cristina Casal Pena; José Casas Rivero; Rafael de Burgos Marín; Teresa de Santos Moreno; Oscar Durán Forteza; Alberto Fernández Jaén; Ingrid Filippidis Semino; David Fraguas Herráez; Fidel J. García Sánchez; Jorge Miguel García Téllez; José Antonio Gómez Sánchez; Balma Gómez Vicente; Montserrat Hernández Martínez; Abigail Huertas Patón; María Luisa Joga Elvira; Francisco José Lara Cabeza; María Jesús Luna Ibáñez; Marcos Madruga Garrido; Ignacio Málaga Dieguez; Claudia Matos Spohring; Sacramento Mayoral Moyano; José A. Mazaira Castro; Ricardo Alberto Migliorelli Toppi; Leonor Montoliu Tamarit; José Juan Muro Romero; Enrique Ortega García; Carmen Ortiz de Zárate Aguirresarube; Tamara Pablos Sánchez; Alfonso Pavón Puey; Beatriz Payá Gonzaléz; José Carlos Peláez; Iván Pérez Eguiagaray; Benjamín Piñeiro Dieguez; Eloy Rodríguez Arrebola; Andrés Rodríguez Sacristán Cascajo; Helena Romero Escobar; Javier Royo Moya; María José Ruiz Lozano; María Angustias Salmerón Ruiz; Carmen Sánchez García del Castillo; Joaquín María Sole Montserrat; Rosario Vacas Moreira; Magdalena Valverde Gómez
Source
Anales de Pediatría (English Edition), Vol 90, Iss 6, Pp 349-361 (2019)
Subject
Language
Spanish; Castilian
ISSN
2341-2879
Abstract
Introduction: Attention-deficit/hyperactivity disorder (ADHD) and its comorbidities have an impact on the social anxiety of children and adolescents, but there are practically no studies addressing this topic in adolescence. Our objective was to assess the degree of social anxiety and to analyse the presence of psychiatric comorbidities (PSCs) in adolescents with ADHD. Methodology: We conducted a cross-sectional observational study in patients aged 12–18 years with a confirmed diagnosis of ADHD (DSM-5). We collected data on the presence and type of PSCs and assessed social anxiety by means of the Social Anxiety Scale for Adolescents (SAS-A). Results: Forty-six child and adolescent psychiatrists and paediatric neurologists participated in the study and recruited 234 patients. Of the total patients, 68.8% (159) were male and 31.2% (72) female, with a mean age in the sample of 14.9 years (95% CI, 14.6–15.1). The type of ADHD was combined type (C) in 51.7% (121), predominantly inattentive (PI) in 37.2% (87), and predominantly hyperactive-impulsive (PH) in 9% (21). Of all patients, 97.9% (229) received pharmacological therapy: 78.6% (184) methylphenidate, 15% (35) lisdexamfetamine and 4.3% (10) atomoxetine.We found PSCs in 50.4% of the patients (118), of which the most frequent were learning and communication disorders (20.1%, n = 47) and anxiety disorders (19.2%, n = 45). The patients scored significantly higher in the SAS-A compared to reference values in the healthy population. The scores in the SAS-A were less favourable in adolescents with the PI type compared to those with the PH type (P = .015). The presence of a comorbid anxiety disorder was associated with worst scores in SAS-A (P