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Yıl:2017; Cilt: 4; Sayı: 2>> Özet
TAM METİN
The Journal of Neurobehavioral Sciences; 2017;4(2):82-89
Panik bozukluğu hastalarına eşlik eden erişkin dikkat eksikliği ve hiperaktivite bozukluğu
P Gökçeimam, HM Aytaç, H Erensoy
Erenköy Eğitim ve Araştırma Hastanesi, İstanbul
Panik Bozukluğu (PB) olan hastalarda diğer psikiyatrik hastalıkların eş tanı oranı oldukça yüksektir. Bu çalışmada panik bozukluğu tanısı almış erişkinlerde Dikkat Eksikliği ve Hiperaktivite Bozukluğu (DEHB) varlığı ve bu durumla ilişkili özellikler araştırılmıştır. Çalışmamıza psikiyatri polikliniğine başvuran ve SCID-I ile DSM-IV ‘e göre PB tanısı almış 65 kişi ile kontrol grubunu oluşturan 65 sağlıklı gönüllü alınmıştır. Hasta grubunun hastalık şiddeti ve klinik durumlarının belirlenebilmesi amacıyla bu gruba Panik-Agorafobi Ölçeği uygulanmıştır. Klinik görüşmelere ek olarak her iki gruptan Sosyodemografik Veri Formu doldurulması istenmiş, WUDÖ ile Erişkin DEB/DEHB Tanı ve Değerlendirme Ölçeği uygulanmıştır. Çalışmamızda PB tanısı alan hastaların büyük çoğunluğunu kadın hastaların oluşturmaktadır. “İşsiz olma-çalışmama” durumunun sağlıklılara göre istatistiksel olarak anlamlı şekilde fazla olduğu gözlenmiştir. Çalışma ve kontrol grubu arasında yaş ortalamaları, medeni durum ve eğitim durumlarının dağılımı açısından istatistiksel olarak anlamlı bir fark tespit edilmemiştir. PB tanısı alan hastalarda şu anki DEHB eş tanı oranı %15,4 olarak bulunmuştur. DEHB eş tanılı hastalarda DEHB alt tiplerinin grup içindeki dağılımları %60 ‘ı bileşik tip, %20’ si “ hiperaktivite ve dürtüsellik “, %20’ si “ dikkat eksikliği “ önde olan şeklinde saptanmıştır. Agorafobisi olan hastaların tamamında DEHB eş tanısı bulunmuştur. PB ile DEHB eş tanısı alan grupta panik bozukluğu olmadan DEHB tanısını alan gruba oranla daha düşük iş devamlılığı gözlenmiştir. DEHB tanılı hastalarda çalışma ve kontrol grubu arasında alkol kullanımı açısından istatistiksel bir farka rastlanmamıştır. 40 yaş üstü grupta DEHB hiç tespit edilmemiştir. Çalışmamızda PB ile DEHB eş tanı oranının sağlıklı kontrollerden yüksek olduğu, agorafobisi olan PB olgularının tamamında DEHB eş tanısının bulunduğu görülmektedir.
Comorbidity of adult attention deficit and hyperactivity disorder with panic disorder
The comorbidity of panic disorder with other psychiatric disorders is prevalent. This study aims to investigate the comorbid Attention Deficit and Hyperactivity Disorder (ADHD) with panic disorder (PD) in adults. In this study, 65 people with a diagnosis of panic disorder and 65 healthy volunteers who admitted to outpatient psychiatry clinic were included. In order to determine the disease severity and current clinical state Panic Agoraphobia Scale was used. Sociodemographic information form, Wender Utah Rating Scale (WURS) and Adult ADHD Diagnosis and Assessment Scale was used. Diagnosis of PD was significantly higher in women. Also it was observed that unemployment was statistically higher in PD group. There was no difference observed in between mean ages, marital status and education level. In patients diagnosed with panic disorder ADHD comorbidity rate was 15,4%. In comorbidity cases subgroups of ADHD was found as; 60% mixed, 20% hyperactivity and impulsivity, 20 % attention deficit dominant type showing statistical significance. In all cases with agoraphobia, it was associated with ADHD comorbidity. It was observed that PD comorbid with ADHD was associated with less work continuity than ADHD without PD comorbidity. There was no significant difference in alcohol use among ADHD diagnosed patients in both groups. ADHD diagnosis was not observed in individuals over 40 years of age. In our study, comorbidity of PD with ADHD was shown to be high. In all patients with Agoraphobia ADHD comorbidity was detected.

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