Attention-deficit/hyperactivity disorder in children and adolescents with obsessive-compulsive disorder: fact or artifact
Department of Psychiatry
Medical Subject Headings
Adolescent; Attention Deficit Disorder with; Hyperactivity; Boston; Child; Comorbidity; Diagnosis, Differential; Female; Humans; Male; Obsessive-Compulsive Disorder; Psychiatric Status Rating Scales
OBJECTIVE: To clarify whether the symptoms of inattention and distractibility commonly seen in children and adolescents with obsessive-compulsive disorder (OCD) represent true comorbidity with attention-deficit/hyperactivity disorder (ADHD) or a manifestation of obsessional anxiety.
METHOD: Phenotypic features and functional correlates of ADHD-like symptoms were examined in youths with and without OCD from a large sample of pediatric psychiatry patients consecutively referred since 1997.
RESULTS: The number, frequency, and types of core ADHD symptoms as well as ADHD-associated functional indices were identical in all youths with DSM-IV-diagnosed ADHD irrespective of the presence or absence of comorbid OCD.
CONCLUSION: These findings suggest that when ADHD-like symptoms are seen in youths with OCD, they reflect a true comorbid state of OCD plus ADHD and that the ADHD syndrome may be independent of OCD in comorbid youths.
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Citation: J Am Acad Child Adolesc Psychiatry. 2002 Jan;41(1):52-8. Link to article on publisher's site
Geller, Daniel A.; Biederman, Joseph; Faraone, Stephen V.; Cradock, Kathleen; Hagermoser, Lisa; Zaman, Noreen; Frazier, Jean A.; Coffey, Barbara J.; and Spencer, Thomas J., "Attention-deficit/hyperactivity disorder in children and adolescents with obsessive-compulsive disorder: fact or artifact" (2002). Psychiatry Publications and Presentations. 387.