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Beyond Attention-Deficit Hyperactivity Disorder: Exploring Psychiatric Comorbidities and Their Neuropsychological Consequences in Adults

OBJECTIVES: This study aimed to identify the psychiatric comorbidity status of adult patients diagnosed with attention-deficit hyperactivity disorder (ADHD) and determine the impact of comorbidities on neuropsychological outcomes in ADHD. METHODS: The study participants were 124 adult patients with...

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Autores principales: Roh, Hyun Jae, Bahn, Geon Ho, Lee, Seung Yup, Joung, Yoo-Sook, Kim, Bongseog, Kim, Eui-Jung, Lee, Soyoung Irene, Hong, Minha, Han, Doug Hyun, Lee, Young Sik, Yoo, Hanik K, Bhang, Soo-Young
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Child and Adolescent Psychiatry 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10568183/
https://www.ncbi.nlm.nih.gov/pubmed/37841480
http://dx.doi.org/10.5765/jkacap.230050
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author Roh, Hyun Jae
Bahn, Geon Ho
Lee, Seung Yup
Joung, Yoo-Sook
Kim, Bongseog
Kim, Eui-Jung
Lee, Soyoung Irene
Hong, Minha
Han, Doug Hyun
Lee, Young Sik
Yoo, Hanik K
Bhang, Soo-Young
author_facet Roh, Hyun Jae
Bahn, Geon Ho
Lee, Seung Yup
Joung, Yoo-Sook
Kim, Bongseog
Kim, Eui-Jung
Lee, Soyoung Irene
Hong, Minha
Han, Doug Hyun
Lee, Young Sik
Yoo, Hanik K
Bhang, Soo-Young
author_sort Roh, Hyun Jae
collection PubMed
description OBJECTIVES: This study aimed to identify the psychiatric comorbidity status of adult patients diagnosed with attention-deficit hyperactivity disorder (ADHD) and determine the impact of comorbidities on neuropsychological outcomes in ADHD. METHODS: The study participants were 124 adult patients with ADHD. Clinical psychiatric assessments were performed by two boardcertified psychiatrists in accordance with the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. All participants were assessed using the Mini-International Neuropsychiatric Interview Plus version 5.0.0 to evaluate comorbidities. After screening, neuropsychological outcomes were assessed using the Comprehensive Attention Test (CAT) and the Korean version of the Wechsler Adult Intelligence Scale, Fourth Edition (K-WAIS-IV). RESULTS: Mood disorders (38.7%) were the most common comorbidity of ADHD, followed by anxiety (18.5%) and substance use disorders (13.7%). The ADHD with comorbidities group showed worse results on the Perceptual Organization Index and Working Memory Index sections of the K-WAIS than the ADHD-alone group (p=0.015 and p=0.024, respectively). In addition, the presence of comorbidities was associated with worse performance on simple visual commission errors in the CAT tests (p=0.024). CONCLUSION: These findings suggest that psychiatric comorbidities are associated with poor neuropsychological outcomes in adult patients with ADHD, highlighting the need to identify comorbidities in these patients.
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spelling pubmed-105681832023-10-13 Beyond Attention-Deficit Hyperactivity Disorder: Exploring Psychiatric Comorbidities and Their Neuropsychological Consequences in Adults Roh, Hyun Jae Bahn, Geon Ho Lee, Seung Yup Joung, Yoo-Sook Kim, Bongseog Kim, Eui-Jung Lee, Soyoung Irene Hong, Minha Han, Doug Hyun Lee, Young Sik Yoo, Hanik K Bhang, Soo-Young Soa Chongsonyon Chongsin Uihak Original Article OBJECTIVES: This study aimed to identify the psychiatric comorbidity status of adult patients diagnosed with attention-deficit hyperactivity disorder (ADHD) and determine the impact of comorbidities on neuropsychological outcomes in ADHD. METHODS: The study participants were 124 adult patients with ADHD. Clinical psychiatric assessments were performed by two boardcertified psychiatrists in accordance with the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. All participants were assessed using the Mini-International Neuropsychiatric Interview Plus version 5.0.0 to evaluate comorbidities. After screening, neuropsychological outcomes were assessed using the Comprehensive Attention Test (CAT) and the Korean version of the Wechsler Adult Intelligence Scale, Fourth Edition (K-WAIS-IV). RESULTS: Mood disorders (38.7%) were the most common comorbidity of ADHD, followed by anxiety (18.5%) and substance use disorders (13.7%). The ADHD with comorbidities group showed worse results on the Perceptual Organization Index and Working Memory Index sections of the K-WAIS than the ADHD-alone group (p=0.015 and p=0.024, respectively). In addition, the presence of comorbidities was associated with worse performance on simple visual commission errors in the CAT tests (p=0.024). CONCLUSION: These findings suggest that psychiatric comorbidities are associated with poor neuropsychological outcomes in adult patients with ADHD, highlighting the need to identify comorbidities in these patients. Korean Academy of Child and Adolescent Psychiatry 2023-10-01 2023-10-01 /pmc/articles/PMC10568183/ /pubmed/37841480 http://dx.doi.org/10.5765/jkacap.230050 Text en Copyright © 2023 Korean Academy of Child and Adolescent Psychiatry https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Roh, Hyun Jae
Bahn, Geon Ho
Lee, Seung Yup
Joung, Yoo-Sook
Kim, Bongseog
Kim, Eui-Jung
Lee, Soyoung Irene
Hong, Minha
Han, Doug Hyun
Lee, Young Sik
Yoo, Hanik K
Bhang, Soo-Young
Beyond Attention-Deficit Hyperactivity Disorder: Exploring Psychiatric Comorbidities and Their Neuropsychological Consequences in Adults
title Beyond Attention-Deficit Hyperactivity Disorder: Exploring Psychiatric Comorbidities and Their Neuropsychological Consequences in Adults
title_full Beyond Attention-Deficit Hyperactivity Disorder: Exploring Psychiatric Comorbidities and Their Neuropsychological Consequences in Adults
title_fullStr Beyond Attention-Deficit Hyperactivity Disorder: Exploring Psychiatric Comorbidities and Their Neuropsychological Consequences in Adults
title_full_unstemmed Beyond Attention-Deficit Hyperactivity Disorder: Exploring Psychiatric Comorbidities and Their Neuropsychological Consequences in Adults
title_short Beyond Attention-Deficit Hyperactivity Disorder: Exploring Psychiatric Comorbidities and Their Neuropsychological Consequences in Adults
title_sort beyond attention-deficit hyperactivity disorder: exploring psychiatric comorbidities and their neuropsychological consequences in adults
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10568183/
https://www.ncbi.nlm.nih.gov/pubmed/37841480
http://dx.doi.org/10.5765/jkacap.230050
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