Investigation of the effects of ODD comorbidity on internalization and externalization symptoms in children with ADHD

Akıncı M. A., Turan B., Yıldırım Demirdöğen E.

13th International Congress on Psychopharmacology & International Symposium on Child and Adolescent Psychopharmacology (ICP 2022), Antalya, Türkiye, 9 - 12 Kasım 2022, ss.100-101

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: Antalya
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.100-101
  • Atatürk Üniversitesi Adresli: Evet

Özet

OBJECTIVE: Oppositional Defiant Disorder (ODD) is the most common psychiatric disorder that co-occurs with Attention Deficit Hyperactivity Disorder (ADHD). This study aimed to determine the areas in which children and adolescents with ADHD with and without ODD comorbidity have difficulties and to evaluate the symptoms of internalization and externalization. METHODS: 23 children and adolescents with ADHD (13 boys, 10 girls) and 23 children and adolescents (20 boys, 3 girls) with ADHD+ODD were included in the study. The study sample was assessed using the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL). Strengths and difficulties questionnaire (SDQ) to identify the areas of difficulty experienced by children, to evaluate depression and anxiety levels the revised child anxiety and depression scales (RCADS) were used to be graded separately by children and their parents. RESULTS: In children's reports, emotional problems, peer problems, internalization, total difficulty, and depression scores were found to be significantly higher in the ADHD+ODD group than in the ADHD group (p<0.05). It was found that behavioral problems, attention deficit/hyperactivity, externalization, total difficulty, anxiety, and depression scores on parent scales were higher in the ADHD+ODD group compared to the ADHD group. In binary logistic regression analysis, in which the predictive factors related to the presence of ODD comorbidity were examined, it was determined that externalizing symptoms such as behavioral problems and attention-deficit/hyperactivity obtained from parent-rated SDQ subscales predicted ODD. CONCLUSIONS: Our findings suggest that the presence of ODD comorbidity causes an increase in internalizing and externalizing symptoms in children with ADHD, and the reports of children and parents through subjective and objective experiences may differ from each other.