Prevalence of attention deficit hyperactivity disorder symptoms in patients with schizophrenia

I Arican, N Bass, K Neelam, K Wolfe, A McQuillin, G Giaroli

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Abstract

OBJECTIVE: To investigate the frequency of childhood and adult attention deficit hyperactivity disorder (ADHD) symptoms in a cohort of patients with schizophrenia (SCZ).

METHODS: A systematic review was conducted to evaluate existing evidence. Two self-report questionnaires were used to investigate adult ADHD and childhood ADHD symptoms in 126 patients with ICD-10 diagnoses of SCZ.

RESULTS: Five studies were included in the systematic review, with the prevalence of childhood and adult ADHD in SCZ subjects ranging between 17-57% and 10-47% respectively. Within our cohort, 47% of patients reported positive screening for ADHD symptoms either in childhood or adulthood. 23% reported symptomatology consistent with both childhood and adult ADHD.

CONCLUSIONS: We demonstrate a greater presence of ADHD symptomatology in SCZ compared to that reported for ADHD in the general population. Our findings highlight the importance of improved clinical assessment and treatment considerations in a subgroup of patients with SCZ.

Original languageEnglish
Pages (from-to)89-96
Number of pages8
JournalActa Psychiatrica Scandinavica
Volume139
Issue number1
Early online date18 Dec 2018
DOIs
Publication statusPublished - Jan 2019

Keywords

  • Adolescent
  • Adult
  • Aged
  • Attention Deficit Disorder with Hyperactivity/diagnosis
  • Cognitive Dysfunction/diagnosis
  • Cohort Studies
  • Comorbidity
  • Female
  • Humans
  • Male
  • Mass Screening/methods
  • Middle Aged
  • Prevalence
  • Schizophrenia/diagnosis
  • Self Report/standards
  • Surveys and Questionnaires/standards
  • Young Adult

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