ADHD and Anxiety: Clinical Significance and Treatment Implications
| Autor: | Thomas E. Gift, Frederick W. Reimherr, Tammy A. Steans, Barrie K. Marchant |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Generalized anxiety disorder Population Emotions Comorbidity Anxiety behavioral disciplines and activities 03 medical and health sciences 0302 clinical medicine Drop out mental disorders medicine Humans Clinical significance Attention Adhd symptoms Psychiatry education education.field_of_study Clinical Trials as Topic medicine.disease Emotional dysregulation Anxiety Disorders 030227 psychiatry Clinical trial Diagnostic and Statistical Manual of Mental Disorders Psychiatry and Mental health Attention Deficit Disorder with Hyperactivity Female medicine.symptom Psychology 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Current psychiatry reports. 19(12) |
| ISSN: | 1535-1645 |
| Popis: | In comparison to the DSM formulation of ADHD, we have proposed that ADHD in adults should be divided into Inattentive and Emotional Dysregulation Presentations. Under both systems, there is potential overlap with generalized anxiety disorder (GAD). We compared data from four distinct populations: ADHD clinical trials, GAD clinical trials, an ADHD clinic, and a forensic clinic. Approximately 25% of patients in each population had comorbid ADHD and anxiety. Comorbid subjects reported more childhood ADHD symptoms and higher scores on ADHD scales and were more likely to fit criteria for ADHD Emotional Dysregulation Presentation or DSM-IV combined type. Comorbid subjects did not drop out at a higher rate and showed significant drug-placebo differences on ADHD symptoms, including Emotional Dysregulation. Conversely, although symptoms of anxiety decreased, there was no drug-placebo difference in improvement. |
| Databáze: | OpenAIRE |
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