Akademik Veri Yönetim Sistemi
IZMIR DR BEHCET UZ COCUK HASTANESI DERGISI, cilt.7, sa.1, ss.15-21, 2017 (ESCI, TRDizin)
Objective: This study analyzed the prevelance of Attention Deficit Hyperactivity Disorder (ADHD) and frequency of medication use among preschool children in a district children hospital between January 1 and December 31, 2016. Methods: We reviewed the medical files of children who admitted to the outpatient clinics of Child and Adolescent Psychiatry within the age range of 36 to 60 months, diagnosed with preschool ADHD (PS-ADHD) according to ICD-10 criteria. Children with comorbid intellectual disability, mood disorders, anxiety disorders, autism spectrum disorders and chronic medical disorders were excluded from the study. Medical files with incomplete data were not included in the analysis. Results: The study sample consisted of 218 preschool children with ADHD. The prevalance of ADHD among preschool children was 7.8 percent Sixty-one (28%) patients had at least one comorbid disorder and the disruptive behaviour disorders (oppositional defiant and conduct disorder) were the most common diagnoses with tha rate of 32.1 percent. Treatment with psychosocial interventions was applied to 116 (53.2%) children, whereas 102 (46.8%) children were started on pharmacotherapy. Risperidone was the most prescribed medication at a rate of 98%. In children within the age group of 49-60 months greater number of comorbidities were detected and drug therapy was more frequently used compared to 36-48-month-group. The higher number of comorbid disorders was the determinative factor for drug use (p<0.05). Conclusion: Even though psychosocial treatment is the first-line treatment, additional pharmacotherapy seems to be required. The first choice of psychopharmacological agent was risperidone. Older age and higher number of comorbidities seem to predict the drug use.