Main Article Content
Prevalence of attention-deficit/ hyperactivity disorder (ADHD) symptomatology and psychiatric co-morbidity among adolescents diagnosed with ADHD in childhood
Abstract
Objectives. Given the paucity of research on adolescent attention-deficit/hyperactivity disorder (ADHD), this study aimed to establish the prevalence of Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) ADHD in a cohort of South African adolescents who had
been diagnosed with the disorder in childhood. It also aimed to establish the prevalence of psychiatric co-morbidities and adjustment difficulties in this sample.
Method. Data regarding age of diagnosis, current ADHD status, current ADHD-related pharmacological management, current psychopathology and current adjustment were gathered from 64 adolescents and their guardians
via self-report questionnaire. Descriptive statistics were calculated with regard to current ADHD status, co-morbid psychopathology and adjustment difficulties, as well as current ADHD-related medication.
Results. According to parent reports, 59.38% of the sample met DSM-IV criteria for ADHD Inattentive subtype, while 37.50% met the criteria for ADHD Hyperactive/Impulsive subtype. Of the adolescents, 64.06% were still using stimulant medication. Based on the adolescent self-report,
43.75% of the sample had clinically significant symptoms of psychopathology or maladjustment. Furthermore, 39.28% met the diagnostic criteria for at least one psychiatric co-morbidity.
Conclusion. ADHD persisted into adolescence in the current sample. A significant psychopathological and maladjustment load appears evident among adolescents previously diagnosed with ADHD, despite continuous pharmacological management of the condition.
been diagnosed with the disorder in childhood. It also aimed to establish the prevalence of psychiatric co-morbidities and adjustment difficulties in this sample.
Method. Data regarding age of diagnosis, current ADHD status, current ADHD-related pharmacological management, current psychopathology and current adjustment were gathered from 64 adolescents and their guardians
via self-report questionnaire. Descriptive statistics were calculated with regard to current ADHD status, co-morbid psychopathology and adjustment difficulties, as well as current ADHD-related medication.
Results. According to parent reports, 59.38% of the sample met DSM-IV criteria for ADHD Inattentive subtype, while 37.50% met the criteria for ADHD Hyperactive/Impulsive subtype. Of the adolescents, 64.06% were still using stimulant medication. Based on the adolescent self-report,
43.75% of the sample had clinically significant symptoms of psychopathology or maladjustment. Furthermore, 39.28% met the diagnostic criteria for at least one psychiatric co-morbidity.
Conclusion. ADHD persisted into adolescence in the current sample. A significant psychopathological and maladjustment load appears evident among adolescents previously diagnosed with ADHD, despite continuous pharmacological management of the condition.