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J Korean Soc Matern Child Health > Volume 20(3); 2016 > Article
Journal of The Korean Society of Maternal and Child Health 2016;20(3):272-283.
DOI: https://doi.org/10.21896/jksmch.2016.20.3.272    Published online September 30, 2016.
A Study on the Comparison of Behavioral Problems in Community-dwelling Children and Adolescents with Newly Diagnosed ADHD and Children and Adolescent with Epilepsy
Hee Yeon Choi1, Eui Jung Kim2
1Ewha Womans University, Korea
2Department of Psychiatry, School of Medicine, Ewha Womans University, Korea
일 지역사회에서 새로 진단받은 주의력결핍 과잉행동장애 소아청소년과 뇌전증 환아의 행동문제 비교 연구
최희연1, 김의정2
1이화여자대학교
2이화여자대학교 의학전문대학원 정신건강의학교실
Correspondence:  Eui Jung Kim,
Email: christie@ewha.ac.kr
Abstract
Purpose
Attention-deficit/hyperactivity disorder (ADHD) is a common childhood illness, which frequently presents with various comorbid emotional, social, and behavioral problems. Yet, children with epilepsy also experience significant behavioral problems. In this study, we compared behavioral problems of 124 children and adolescents with newly diagnosed ADHD and 40 youths with epilepsy, aged 6~17 years.
Methods
Among 1,576 urban community children and adolescents, the ADHD rating scale, the Comprehensive Attention Test, and a psychiatric interview were used to diagnose ADHD. In addition, we used the mother’s rating on the Korean Child Behavior Checklist (K-CBCL) to assess the presence of behavioral problems.
Results
Compared to the epilepsy group, the ADHD group had lower IQ scores (100.29±13.47 vs. 108.61±15.04, p=0.007). In addition, the ADHD group had higher total K-CBCL scores (66.44± 10.32 vs. 50.68±8.97, p<0.001) as well as higher scores on all eight subscales of the K-CBCL than the epilepsy group. Sixty-five participants (52.4%) in the ADHD group showed significant behavioral problems (t score ≥64) compared to 7.5% of epilepsy group. After controlling for IQ, using an analysis of covariance, the ADHD group showed significantly higher total scores on the K-CBCL and all its subscales (p<0.001) than the epilepsy group, except on the somatic complaints subscale (p=0.275).
Conclusion
Children with newly diagnosed ADHD suffer from various behavioral problems; therefore, the early assessment of and interventions for comorbid behavioral problems should be conducted for optimal management of childhood ADHD.
Key Words: behavioral problems, Attention deficit and hyperactivity disorder, epilepsy, children, adolescents
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