Common Comorbidities Seen in Adolescents With Attention-Deficit/Hyperactivity Disorder
Abstract
This article provides an overview of key research on significant comorbidities that occur among adolescents with attention-deficit/hyperactivity disorder, including disruptive behaviors. Such comorbidities include oppositional defiant disorder and conduct disorder, as well as depressive disorders, anxiety disorders, personality disorders, suicidality, eating disorders, sleep disorders, learning disabilities, Internet "addiction," tic disorders, new-onset pediatric epilepsy, and celiac disease.
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Adolescents' reports of their own behaviors often differ from other observers because they tend to minimize their own problematic behaviors.
“Of note, adolescents’ reports of their own behaviors often differ from other observers because they tend to minimize their own problematic behaviors43–45”
From Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents (2019) · cites this paper as [43]
Systematic review has indicated that there is a relationship between the presence of ADHD itself and suicidal attempts.
“Systematic review has indicated that there is a relationship between the presence of ADHD itself and suicidal attempts [161]”
From European guidelines on managing adverse effects of medication for ADHD (2011) · cites this paper as [161]
Cited by
Sorted by citations
Subcommittee on Attention-Deficit/Hyperactivity Disorder, S. C. O. Q. I. A. M. (2011) · Pediatrics · doi:10.1542/peds.2011-2654 · Cited by 2,185 · see citing works
Wolraich, M. L., Hagan, J. F., Allan, C., Chan, E., Davison, D., Earls, M., Evans, S. W., Flinn, S. K., Froehlich, T., Frost, J., et al. (2019) · Pediatrics · doi:10.1542/peds.2019-2528 · Cited by 1,410 · see citing works
“None.”
European guidelines on managing adverse effects of medication for ADHD
(for the European Guidelines Group), Graham, J., Banaschewski, T., Buitelaar, J., Coghill, D., Danckaerts, M., Dittmann, R. W., Döpfner, M., Hamilton, R., Hollis, C., et al. (2011) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-010-0140-6 · Cited by 374 · see citing works
“Systematic review has indicated that there is a relationship between the presence of ADHD itself and suicidal attempts [161]; so it should not automatically be assumed that any suicidal thinking or attempt is an adverse effect of medication.”
BackgroundCortese, S., Holtmann, M., Banaschewski, T., Buitelaar, J., Coghill, D., Danckaerts, M., Dittmann, R. W., Graham, J., Taylor, E., Sergeant, J., et al. (2013) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12036 · Cited by 336 · see citing works
“It should, however, not automatically be assumed that any suicidal ideation or attempt is an adverse effect of medication, since a systematic review has indicated that there is a relationship between the presence of ADHD itself and suicidal attempts (Young, 2008).”
BackgroundSleep and its importance in adolescence and in common adolescent somatic and psychiatric conditions
Brand, S., & Kirov, R. (2011) · International Journal of General Medicine · doi:10.2147/ijgm.s11557 · Cited by 296 · see citing works
“OCD and eating disorders typically begin in adolescence or young adulthood, are seen in as many as 1 in 200 children and adolescents in relation to rapidly increased psychological vulnerability during this developmental period, and are frequently coexisting with other psychiatric conditions, including ADHD, TD, anxiet…”
Yoshimasu, K., Barbaresi, W. J., Colligan, R. C., Voigt, R. G., Killian, J. M., Weaver, A. L., & Katusic, S. K. (2012) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2012.02567.x · Cited by 290 · see citing works
“The strongest association was between ADHD and ODD/CD.”
BackgroundInfluentialInternet addiction: prevalence, discriminant validity and correlates among adolescents in Hong Kong
Fu, K., Chan, W. S. C., Wong, P. W. C., & YIP, P. S. F. (2010) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.109.075002 · Cited by 260 · see citing works
Le, H. H., Hodgkins, P., Postma, M. J., Kahle, J. S., Sikirica, V., Setyawan, J., Erder, M. H., & Doshi, J. A. (2013) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-013-0477-8 · Cited by 139 · see citing works
“For example, it is well established that ADHD is commonly associated with comorbidities such as depression, anxiety, bipolar mood disorder, and conduct disorders [23, 53, 62].”
BackgroundAguiar, A., Eubig, P. A., & Schantz, S. L. (2010) · Environmental Health Perspectives · doi:10.1289/ehp.1002326 · Cited by 125 · see citing works
“…meta-analysis of seven ADHD genomewide linkage studies identified a significant signal on chromosome 16, whereas none of the individual studies was able to detect a signal at that location (Zhou et al. 2008), suggesting that combining individual studies to increase power may be a valuable approach.”
Backgroundvan de Loo-Neus, G. H. H., Rommelse, N., & Buitelaar, J. K. (2011) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2011.03.008 · Cited by 98 · see citing works
“One should recognize that ADHD on itself, regardless of its treatment, is a risk factor for suicidal attempts (Young, 2008).”
BackgroundAttention-Deficit/Hyperactivity Disorder
Leung, A. K. C., & Hon, K. E. (2016) · Advances in Pediatrics · doi:10.1016/j.yapd.2016.04.017 · Cited by 69 · see citing works
Sander, C., Arns, M., Olbrich, S., & Hegerl, U. (2010) · Clinical Neurophysiology · doi:10.1016/j.clinph.2010.03.021 · Cited by 64 · see citing works
“Children with ADHD have a high risk of developing comorbid affective substance abuse disorders (Bukstein, 2008; Daviss, 2008; Young, 2008) and ADHD is associated with impairments in educational, neuropsychological and social functioning.”
Kumar, N., Kumar, A., Mahto, S. K., Kandpal, M., Deshpande, S. N., & Tanwar, P. (2019) · General Psychiatry · doi:10.1136/gpsych-2018-100001 · Cited by 48 · see citing works
Castelli, M., Federici, M., Rossi, S., Chiara, V. D., Napolitano, F., Studer, V., Motta, C., Sacchetti, L., Romano, R., Musella, A., et al. (2011) · European Journal of Neuroscience · doi:10.1111/j.1460-9568.2011.07876.x · Cited by 28 · see citing works
“…processes (Rossi et al., 2009, 2010), suggesting that the loss of CB1R(GABA) function seen in DAT-CI mice might play a role in the hyperactive phenotype of experimental and human ADHD, and also in the anxiety and depression often accompanying ADHD (Cormier, 2008; Klassen et al., 2010; Young, 2008).”
BackgroundAtomoxetine in the treatment of attention deficit hyperactivity disorder and suicidal ideation
Capuano, A., Scavone, C., Rafaniello, C., Arcieri, R., Rossi, F., & Panei, P. (2014) · Expert Opinion on Drug Safety · doi:10.1517/14740338.2014.941804 · Cited by 22 · see citing works
“85% of patients with ADHD have at least one psychiatric comorbidity, and approximately 60% have at least two [4]; in particular, almost 40% of patients with ADHD have an oppositional defiant disorder (ODD) as comorbidity [5].”
BackgroundChang, C., Chang, Y., Cheng, H., & Tzang, R. (2020) · The International Journal of Neuropsychopharmacology · doi:10.1093/ijnp/pyaa010 · Cited by 20 · see citing works
“Despite many previous studies reporting IGD comorbid with various mental disorders (Young, 2008), depression and anxiety, higher degrees of impulsiveness and anger/aggression, higher levels of distress, poorer quality of life, and impaired inhibition response (Lim et al., 2016), the research on…”
BackgroundYoshimasu, K., Barbaresi, W. J., Colligan, R. C., Voigt, R. G., Weaver, A. L., & Katusic, S. K. (2016) · PLoS ONE · doi:10.1371/journal.pone.0157488 · Cited by 20 · see citing works
Çakmak, F. H. (2017) · Northern Clinics of Istanbul · doi:10.14744/nci.2017.92668 · Cited by 18 · see citing works
Feedback May Harm: Role of Feedback in Probabilistic Decision Making of Adolescents with ADHD
Pollak, Y., & Shoham, R. (2015) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-015-0016-9 · Cited by 18 · see citing works
“ADHD (Young 2008), their existence in the study sample was tracked and controlled for, and their relationship”
BackgroundTreatment of Attention-Deficit/Hyperactivity Disorder
Pierce, K. (2011) · Pediatric Annals · doi:10.3928/00904481-20111007-06 · Cited by 11 · see citing works
Development and Validation Study of the Internet Overuse Screening Questionnaire
Lee, H.-K., Lee, H. W., Han, J. H., Park, S., Ju, S.-J., Choi, K. W., Lee, J. H., & Jeon, H. J. (2018) · Psychiatry Investigation · doi:10.30773/pi.2017.09.27.2 · Cited by 7 · see citing works
Preventing and Combating Internet Addiction: A Concept Review
Shek, D. T. L., Yu, L., & Busiol, D. (2015) · Quality of life in Asia · doi:10.1007/978-981-287-582-2_6 · Cited by 3 · see citing works
Attention deficit hyperactivity disorder: concomitant diseases with an emphasis on epilepsy
Пылаева, О. А., Shatenshtein, A. A., & Мukhin, К. Y. (2018) · Russian Journal of Child Neurology · doi:10.17650/2073-8803-2018-13-3-57-74 · Cited by 2 · see citing works
“Сочетание СдвГ и эпилепсии В современной литературе описано частое сочетание СДВГ и эпилепсии; некоторые авторы рассматривают СДВГ как сопутствующее заболевание у пациентов с эпилепсией, другие, напротив, расценивают эпилепсию как сопутствующее заболевание у больных СДВГ [16, 79, 83, 84, 91].”
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Mihic, A. (2010) · QSpace (Queen's University Library) · Cited by 2 · see citing works
Manesh, S. H., & Alikhademi, A. (2017) · International Journal of Psychological Studies · doi:10.5539/ijps.v9n2p48 · Cited by 1 · see citing works
Evaluating and Treating ADHD in Primary Care Settings with Updated AAP Guidelines
Chankalal, R., & Daily, R. S. (2014) · Kansas Journal of Medicine · doi:10.17161/kjm.v7i3.11499 · Cited by 1 · see citing works
Pınar, Z. V., Çimen, İ. D., Tarakçıoğlu, M. C., & Gündoğdu, Ö. Y. (2022) · Çocuk ve Gençlik Ruh Sağlığı Dergisi / Turkish Journal of Child and Adolescent Mental Health · doi:10.4274/tjcamh.galenos.2021.44154 · Cited by 2 · see citing works
Field survey of support groups for people with neurodevelopmental disorders in Japan
Hamatani, S., & Mizuno, Y. (2024) · Psychiatry and Clinical Neurosciences · doi:10.1002/pcn5.70028 · Cited by 2 · see citing works
ATTENTION DEFICIT HYPERACTIVITY DISORDER: COMORBIDITIES, EMPHASIS ON CONCURRENCE WITH EPILEPSY
Пылаева, О. А., Shatenshtein, A. A., Dorofeeva, M. Y., et al. (2015) · Russian Journal of Child Neurology · doi:10.17650/2073-8803-2015-10-2-59-71 · Cited by 1 · see citing works
Adverse effects of stimulant medications in children and adolescents: focus on drug abuse
Greydanus, D. E., Cates, K. W., & Sadigh, N. (2019) · International Journal of Adolescent Medicine and Health · doi:10.1515/ijamh-2019-0175 · Cited by 1 · see citing works
van de Loo-Neus, G. H. H., Rommelse, N. N. J., & Buitelaar, J. K. (2011) · Psiquiatría Biológica · doi:10.1016/j.psiq.2011.10.008
Trouble Déficit de l’Attention/Hyperactivité et Technologies de l’Information et de la Communication
Bioulac, S. (2016) · Psychotropes · doi:10.3917/psyt.214.0055
correlates among adolescents in Hong Kong Internet addiction: prevalence, discriminant validity and
Fu, K., Chan, W. S. C., Wong, P. W. C., & Yip, P. S. F. (2011)
ADHD Comorbidities with Depression, Anxiety, and Suicide
Sadek, J. R. (2016) · Springer eBooks · doi:10.1007/978-3-319-39794-8_4
Endocannabinoidsystem und Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung im Erwachsenenalter
Brunkhorst-Kanaan, N., & Kittel‐Schneider, S. (2019) · Nervenheilkunde · doi:10.1055/a-0957-6708
- Authors
- Young, J.
- Affiliations
- Rochester Center for Behavioral Medicine (US)
- Corresponding author
- Young, Joel
- Venue
- AM:STARs: ADHD/Learning Disorders, Vol. 19, No. 2
- Publisher
- American Academy of Pediatrics
- Published
- 2008-08-01
- Volume
- 19
- Issue
- 2
- Pages
- 216-228
- OpenAlex
- W2140185808
- Cited by
- 36
- References
- 0
- Citations by year
- 2024: 1 · 2022: 1 · 2020: 1 · 2019: 4 · 2018: 2 · 2017: 2 · 2016: 5 · 2015: 3 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 16.42
- Type
- book chapter
- Language
- en
- Open access
- closed
- Locations
- American Academy of Pediatrics eBooks (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Keywords
- attention deficit hyperactivity disorder, adolescents, comorbidities, disruptive behavior disorders, oppositional defiant disorder, conduct disorder, depressive disorders, anxiety disorders, personality disorders, suicidality, eating disorders, sleep disorders, learning disabilities, internet addiction, tic disorders, pediatric epilepsy, celiac disease
- MeSH terms
- Contraindications, Adolescent, Central Nervous System Stimulants, Antidepressive Agents, Feeding and Eating Disorders, Attention Deficit Disorder with Hyperactivity, Mental Disorders, Bipolar Disorder, Depressive Disorder, Humans, Personality Disorders, Sleep Wake Disorders, Suicide
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