摘要
Objective:The main aim of the current study was to determine reliable comorbidity rates of ADHD for enuretic children admitted either to non-tertiary care or to a specialized paediatric clinic,i.e.tertiary care,since previous research has failed to incorporate a possible setting effect in this comorbidity;and to use amulti-method multi-informant assessment of ADHD.Material and methods:Eighty children,aged between 6 and 12 y,admitted to non-tertiary care with enuresis and 120 children referred to tertiary care were screened for the presence of ADHD using a multi-method(diagnostic interview,questionnaires)multiinformant(parents,teachers)assessment.Results:Enuretic children from the tertiary care sample have a 3.4 times increased chance of having comorbid ADHD when compared to children with enuresis admitted to non-tertiary care,corresponding to a prevalence rate of 28%and 10%,respectively.Overall,the tertiary care sample was older,showed more daytime incontinence and revealed an increasing prevalence of ADHD with older age when compared with the non-tertiary care group.Conclusion:The prevalence rate of ADHD is increased in an enuretic population compared to community samples(3-5%).Moreover,enuretic children admitted to tertiary care show significantly higher comorbidity than non-tertiary care patients.The ADHD prevalence in the former group increases with older age,suggesting therapy resistance and a negative prognosis for enuresis in the case of comorbidity.
Objective： The main aim of the current study was to determine reliable comorbidity rates of ADHD for enuretic children admitted either to non-tertiary care or to a specialized paediatric clinic, i.e. tertiary care, since previous research has failed to incorporate a possible setting effect in this comorbidity; and to use amuhi-method muhi-informant assessment of ADHD. Material and methods： Eighty children, aged between 6 and 12 y, admitted to non-tertiary care with enuresis and 120 children referred to tertiary care were screened for the presence of ADHD using a multi-method （diagnostic interview, questionnaires） muhiinformant （parents, teachers） assessment. Results： Enuretic children from the tertiary care sample have a 3.4 times increased chance of having comorbid ADHD when compared to children with enuresis admitted to non-tertiary care, corresponding to a prevalence rate of 28% and 10%, respectively.
