ADHD, BEHAVIORAL AND HYPERKINETIC DISORDERS IN CHILDREN
The aim of the study was assessment of risk-factors and type of behavioral disorders in children in correlation of age.
Methods: Study was conducted at Iashvili Children’s Central Hospital, in frame of Children’s mental health state program. We evaluated children with behavioral disorders, attention deficiency and learning disabilities and diagnosis was done by a multidisciplinary team (pediatric psychiatrist, child neurologist, pediatrician and psychologist) using different assessment tools. At all 342 patients aged 2-18 years were evaluated. The data was statistically processed with SPSS 16 program.
Results: ADHD was diagnosed in 14,3%, speech disorders 14,6%, ASD – 12,8%, learning problems – 9%. In early childhood isolated speech disorders and ASD is relatively high, while in elder children (over 6 year) main problems are ADHD, behavioral and emotional and learning disorders. In most cases was seen isolated ADHD, but in 28,3% ADHD was associated with antisocial behavior and in 4,3% with speech disorders. The ADHD is twice more frequent in boys, than in girls (p <0,05). In children under 12 ADHD is mainly associated with speech disorders, after 12 with - antisocial behavior (p <0,05). There is positive correlation with social risk-factors (poverty, single parent, death in family, changes in school) and ADHD, learning and speech disorders.
Conclusion: According to results of our study in early aged children main problems are speech disorders, ASD, Motor delay, while in elder children behavioral and emotional disorders, ADHD and learning disorders are more frequent.
2. Attention-Deficit / Hyperactivity Disorder (ADHD). American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 5th edition. Arlington, VA., American Psychiatric Association, 2013.
3. A National Profile of Attention-Deficit Hyperactivity Disorder Diagnosis and Treatment Among US Children Aged 2 to 5 Years. Journal of Developmental and Behavioral Pediatrics. 2017, 38(7), 455–464.Melissa L. Danielson, Susanna S. Visser, Mary Margaret M. Gleason, Georgina Peacock, Angelika H. Claussen, Stephen Blumberg
4. Attention-Deficit/Hyperactivity Disorder and Psychiatric Comorbidity: Functional Outcomes in a School-Based Sample of Children (Data from a community study show that children with ADHD and other conditions are more likely to have problems with friendships and to get into trouble in school or with the police. (Published November 25, 2015)
5. Demographic Differences Among a National Sample of US Youth With Behavioral Disorders Clinical Pediatrics, published online December 23, 2015 DOI: 10.1177/ 0009922815623229 Susanna N. Visser, Emily L. Deubler, Rebecca H. Bitsko, Joseph R. Holbrook, and Melissa L. Danielson
6. Diagnostic experiences of children with attention-deficit/ hyperactivity disorder. National Health Statistics Report, 81, 1-7, published online September 3, 2015 Susanna N. Visser, BenjamingZablotsky, Joseph R. Holbrook, Melissa L. Danielson, &Rebecca H. Bitsko
7. U.S. Preventive Services Task Force. 2006. Screening for Speech and Language Delay in Preschool Children: Recommendation Statement. Pediatrics. 117:497–501. Available at: http://www.ahrq.gov/clinic/uspstf06/speech/speechrs.htm