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Attention deficit hyperactivity disorder in adult psychiatric patients : Frequency and functional impairment / Muhammad Nashaat Ashmawii Kotb ; Supervised Suaad Sayed Moussa , Mona Yehiia All Rakhawy , Omniia Raafat Amiin

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Muhammad Nashaat Ashmawii Kotb , 2015Description: 211 P. : charts ; 25cmOther title:
  • معدل انتشار اضطراب فرط الحركة وقلة الانتباه والخلل الوظيفى لدى المرضى النفسيين البالغين [Added title page title]
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Dissertation note: Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Neuropsychiatry Summary: Background: Attention deficit hyperactivity disorder (ADHD) in adults is missed diagnosis in psychiatric clinical practice. The evidence on persistence poses several difficulties for adult psychiatry considering the lack of expertise for diagnostic assessment, higher degree of comorbidity and limited treatment options. Aim of the work: This study was conducted aiming at detecting the frequency of ADHD in adult psychiatric patients, detecting the frequency of psychiatric comorbidity as well as assessing the relation between adult ADHD and functional impairment. Methods: The subjects of the study were taken consecutively from psychiatric outpatients clinics, screened for adult ADHD, and then they were divided into two groups according to presence or absence of adult ADHD. Results: Adult ADHD Frequency in psychiatric patients reached 12.7% according to DSM-IV criteria and doubled (24%) when DSM-5 criteria were applied. Bipolar I disorder and substance use disorder were the highest presenting disorders with adult ADHD. Patients with adult ADHD had significantly higher levels of impairment and disability in work/academic performance, family relations and social relationship, as well as disorder severity. Predictors of adult ADHD in patients with bipolar I disorder were number of admissions and self neglect, in those with MDD were impairment in social relationships, self neglect and DSH, and in those with SUD were total impairment score on SDS and number of hospital admissions. Conclusions: Adult ADHD often presents as an impairing underlying condition in adults, yet it is currently underdiagnosed and treated, leading to ineffective treatment and higher costs of psychiatric illness. It is recommended that clinicians sustain a high index of watchfulness for adult ADHD in their daily practice, factor ADHD screening into their routine psychiatric evaluations of patients with bipolar and SUD, and follow up definite adult ADHD subjects to assess the response to prescribed medications for ADHD and their effect on patients' performance
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Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.21.Ph.D.2015.Mu.A (Browse shelf(Opens below)) Not for loan 01010110068449000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.21.Ph.D.2015.Mu.A (Browse shelf(Opens below)) 68449.CD Not for loan 01020110068449000

Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Neuropsychiatry

Background: Attention deficit hyperactivity disorder (ADHD) in adults is missed diagnosis in psychiatric clinical practice. The evidence on persistence poses several difficulties for adult psychiatry considering the lack of expertise for diagnostic assessment, higher degree of comorbidity and limited treatment options. Aim of the work: This study was conducted aiming at detecting the frequency of ADHD in adult psychiatric patients, detecting the frequency of psychiatric comorbidity as well as assessing the relation between adult ADHD and functional impairment. Methods: The subjects of the study were taken consecutively from psychiatric outpatients clinics, screened for adult ADHD, and then they were divided into two groups according to presence or absence of adult ADHD. Results: Adult ADHD Frequency in psychiatric patients reached 12.7% according to DSM-IV criteria and doubled (24%) when DSM-5 criteria were applied. Bipolar I disorder and substance use disorder were the highest presenting disorders with adult ADHD. Patients with adult ADHD had significantly higher levels of impairment and disability in work/academic performance, family relations and social relationship, as well as disorder severity. Predictors of adult ADHD in patients with bipolar I disorder were number of admissions and self neglect, in those with MDD were impairment in social relationships, self neglect and DSH, and in those with SUD were total impairment score on SDS and number of hospital admissions. Conclusions: Adult ADHD often presents as an impairing underlying condition in adults, yet it is currently underdiagnosed and treated, leading to ineffective treatment and higher costs of psychiatric illness. It is recommended that clinicians sustain a high index of watchfulness for adult ADHD in their daily practice, factor ADHD screening into their routine psychiatric evaluations of patients with bipolar and SUD, and follow up definite adult ADHD subjects to assess the response to prescribed medications for ADHD and their effect on patients' performance

Issued also as CD

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