Does the coexistence of attention deficit hyperactivity disorder and sluggish cognitive tempo affect the treatment response in children?

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Yektaş Ç., Tufan A. E., Karakaya E. S. K., Yazıcı M., Sarıgedik E.

Klinik Psikiyatri Dergisi, vol.26, no.3, pp.177-185, 2023 (ESCI) identifier

  • Publication Type: Article / Article
  • Volume: 26 Issue: 3
  • Publication Date: 2023
  • Doi Number: 10.5505/kpd.2023.23500
  • Journal Name: Klinik Psikiyatri Dergisi
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, Psycinfo, Directory of Open Access Journals, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.177-185
  • Keywords: attention deficit hyperactivity disorder, methylphenidate, Sluggish cognitive tempo, treatment duration, treatment response
  • Recep Tayyip Erdoğan University Affiliated: No

Abstract

Objective: We aimed to evaluate treatment response in children with sluggish cognitive tempo and attention deficit/ hyperactivity disorder. Method: Child Behavior Checklist and Barkley Child Attention Scale were used to define SCT symptoms. Parents and teachers completed Turgay DSM-IV-Based Screening Scale for Disruptive Behavior disorders, severity and improvement were eva-luated via Clinical Global Impressions Scale- Severity and CGI- Improvement. Methylphenidate responses were evaluated retrospectively by patient charts. Results: SCT + ADHD group was rated as more inattentive by their parents while teachers rated children with ADHD as more hyperactive/ impulsive (p<0,01; p<0,01, respectively). Symptom reduction was significantly greater for teacher rated hyperactivity/ impulsivity in the ADHD group and children with SCT+ ADHD were still rated as more inattentive by their parents after treatment. The sole predictor of treatment response in the SCT+ ADHD group was treatment duration (p=0.012). Discussion: Longer treatment duration seemed to be more effective in the SCT group.