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

Creative Commons License

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

Klinik Psikiyatri Dergisi, cilt.26, sa.3, ss.177-185, 2023 (ESCI) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 26 Sayı: 3
  • Basım Tarihi: 2023
  • Doi Numarası: 10.5505/kpd.2023.23500
  • Dergi Adı: Klinik Psikiyatri Dergisi
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, Psycinfo, Directory of Open Access Journals, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.177-185
  • Anahtar Kelimeler: attention deficit hyperactivity disorder, methylphenidate, Sluggish cognitive tempo, treatment duration, treatment response
  • Recep Tayyip Erdoğan Üniversitesi Adresli: Hayır

Özet

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.