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 ...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.展开更多
文摘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.
