Dikkat Eksikliği Hiperaktivite Bozukluğu Tanısı Alan Hastalarda Davranım Bozukluğu Belirtilerinin Öngörücüleri

Abstract

Horozcu Saltık, H, Predictors of Behavioral Disorder Symptoms in Patients with Attention Deficit Hyperactivity Disorder, Hacettepe University Faculty of Medicine, Thesis in Child and Adolescent Psychiatry, Ankara, 2020. The aim of this study is to evaluate the predictors of conduct disorder symptoms, emotion recognition, empathy skills, callous unemotional traits and family relations of subjects aged 12-18 years with a diagnosis of Attention Deficit Hyperactivity Disorder (ADHD), who met the inclusion criteria and accepted to participate in the study. It is a cross-sectional study based on the evaluation of the results and comparison of the findings with healthy control subjects. 102 adolescents between the ages 12-18 were enrolled in the study, 49 in ADHD group, 18 girls and 31 boys and and 53 in healthy control group, 23 girls and 30 boys, that matched for age, gender and socioeconomic-sociocultural level. All children were interviewed by using Schedule for Affective Disorders and Schizophrenia for School Aged Children- Present and Lifetime version (K-SADS-PL) to screen previous and current ADHD in research group and to exclude any psychiatric disorder in healthy control group. All subjects were evaluated with Conners - Wells' Adolescent Self - Report Scale - Long Form, KA-SI Empathic Tendency Scale for Children and Adolescents - Adolescent Form, Inventory of Callous-Unemotional Traits–Youth Form, Strenghts and Difficulties Questionarie (SDQ), Beck Depression Inventory (BDI), Reading The Mind in the Eyes Test (RME) were completed by adolescent and Conners’ Parent Rating Scale Long Form-Revised (CEDS-Y: U), The Turgay DSM-IV Based Disruptive Behavior Disorders Child and Adolescent Rating and Screening Scale, (T-DSM-IV-S), Family Assessment Device (FAD) and Griffith Empathy Scale-Parent Evaluation Form were completed by parents. Adolescents with ADHD had more difficulty in recognizing emotions, had empathic difficulties in cognitive areas, callous-unemotional traits are prominent in this group and family and social functionality problems were higher. Subjects who had ADHD with conduct disorder (CD) symptoms, showed more behavioral, emotional, family, social and anger control problems as well as significant empathy difficulties in cognitive domains and higher depression scale scores. There was no significant difference between ADHD with CD symptoms and emotion reading and callous-unemotional traits. When the whole sample was evaluated, it was determined that cognitive lack of empathy, family problems, emotional problems, behavioral problems, anger control problems, depressive symptoms, opposition, hyperactivity, anxiety, and shyness could be variables that could predict behavioral disorder symptoms. Key words: Attention deficit hyperactivity disorder, conduct disorder, emotion recognition, empathy skills, callous-unemotional traits