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Yıl:2009; Cilt: 10; Sayı: Ek 1>> Özet
Anadolu Psikiyatri Dergisi; 2009;10(Ek 1):62-62
Bir genel psikiyatri polikliniğinde erişkin DEHB tanısıyla izlenen hastaların değerlendirilmesi
C Şengül, M Efe, H Alaçam, H Herken
Pamukkale Üniversitesi, Denizli

Giriş: Erişkin dikkat eksikliği/hiperaktivite bozukluğu (DEHB) konusunda yapılan çalışmalar, hastalığın daha iyi anlaşılmasının yolunu açmış ve hastalık genel psikiyatri polikliniklerinde daha iyi tanınmaya başlanmıştır. Ayrıca özelleşmiş erişkin DEHB poliklinikleri sayesinde hastalığın izlenmesinde daha iyi sonuçlar elde edilebilmektedir. Biz 2008 yılında hastanemiz polikliniğine başvuran ve erişkin DEHB tanısı konan hastaların verilerini geriye dönük olarak incele-meyi amaçladık. Yöntem: Çalışmada 2008 yılında üniversitemiz genel psikiyatri polikliniğinde erişkin DEHB tanısı konularak izlem altına alınan hastaların verilerini geriye dönük olarak incelemeyi planladık. Bulgular: 2008 yılı poliklinik kayıtlarına göre toplam 39 hasta erişkin DEHB tanısı ile izlenmekteydi. Bu hastalardan 23'ü (59%) erkek, 16?sı (41%) kadındı. Hastaların yaş ortalaması 27.8±12.0 idi ve 16-68 yaş arasında değişmekteydi. Hastaları yaşlarına göre gruplara ayırdığımızda, hastaların 26?sı (61.5%) 16-25, 6?sı (15.4%) 26-35, altısı (15.4%) 36-45 yaş grubundaydı ve üçü (7.7%) 45 yaşından büyüktü. Bu 39 hastanın dokuzunda (23.1%) erişkin DEHB'na depresyon, üçüne (7.7%) ise anksiyete bozukluğu tanısı eşlik etmekteydi. Hastaların 92.3%'ü antidepresan ilaçlar kullanmaktaydı. İki hasta ilaçsız izlenirken, bir hasta sadece modafinil ile izlenmekteydi. Tartışma: DEHB'ye yönelik sorgulamanın özelikle polikliniğe unutkanlık, konsantrasyon sorunları ve dürtüsellik gibi yakınmalarla başvuran hastalarda yapılması ve mümkünse bu hastaların özelleşmiş polikliniklerde izlenmesi, bozukluğun daha iyi tanınmasının ve tedavi edilmesinin yolunu açacaktır.
Evaluation of patients with adult ADHD in a general psychiatry policlinic
Objective: Studies on adult attention deficit/ hyperactivity disorder (ADHD) made the disease more clear and disorder was understood better in ambulatory psychiatry. In addition, better results were achieved on Adult ADHD treatment in specialized ADHD policlinics. We investigated our policlinic data for Adult ADHD retrospectively for [year] 2008. Methods: We aimed to investigate 2008 policlinics data of patients with Adult ADHD retrospectively. Results: Thirty-nine patients were diagnosed as adult ADHD in 2008. Twenty-three (59%) of these patients were male and 16 (41%) were female. Mean age of patients 27.8±12.0 and ranges from 16 to 68. When we categorized patients for their age; 26 patients (61.5%) were between 16-25 [year]s, six patients (15.4%) were 26-35 [year]s, six patients (15.4%) were 36-45 [year]s and three (7.7%) were above 45 [year]s. Nine patients (23.1%) had comorbid depression and three (7.7%) patients had comorbid anxiety disorders. Most of the patients (92.3%) were using antidepressants for treatment. Two patients were not using any drug and only one patient used modafinile for treatment. Discussion: Patients with forgetfulness, concentration problems, and impulsivity complaints should be questioned for adult ADHD. In addition, these patients can be diagnosed and treated better if specialized policlinics for adult ADHD can be formed.

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