Determining the Prevalence of Attention Deficit Hyperactivity Disorder (ADHD) in Patients with Bipolar Disorder Type I (BID) within Their Remission Phase

  • Azadeh Ghaffary Department of Psychiatry, Iran university medical sciences, Tehran, Iran
  • Reza Bidaki Department of Psychiatry, Rafsanjan University of medical sciences, Rafsanjan, Iran
  • Sara Hosseinpoor Department of Psychiatry, Isfahan University of medical sciences, Isfahan, Iran
Keywords: Attention deficit hyperactivity disorder (ADHD), Comorbidity, Bipolar mood disorder, Childhood, Adulthood

Abstract

Background: There have been several studies conducted on the relationship between bipolar mood disorder and attention deficit hyperactivity disorder (ADHD) during the recent years, and in most of them the rate of this association had been estimated as 22-90% and had been reported as noticeable. The goal of this study is to determine the prevalence of ADHD in patients with Bipolar mood disorder type I (BID).Materials and Methods: In this Cross-sectional study, 152 patients with BID that were referred to psychiatric clinic of Tehran psychiatric Institute for a better observation and treatment were included. Two questionnaires, Wender’s for childhood ADHD and Conner’s’ for adulthood ADHD were filled by the patients.Results: 102 patients (67%) were males and 50 were females. The average age of patients at the time of our study (with the minimum of 17 and maximum of 76) was 33.5±10.9. The prevalence of ADHD in our patients was 11.8%. 46 people (30.9%) had a history of childhood ADHD. 21 persons had adult ADHD from whom only 3 ones mentioned a history of childhood ADHD (which means 18 people of our adulthood ADHD had no history of childhood ADHD).Conclusion: Since some treatments lead to improvement of ADHD and worsening of BID, investigations on their correlations and their alternative treatments seemed to be necessary. This study showed a significant correlation between ADHD and BID, which was similar to the results of other studies in this field.

References

- Kaplan HI, Sadock BJ. Attention–deficit disorders. Synopsis of psychiatry behavioral sciences/clinical psychiatry. 10 ed. Philadelphia: Lippincott Williams & Wilkins; 2007:1206-17.

- Hechtman L. Attention–deficit disorders. In: Kaplan HI, Sadock BJ, editors. Comprehensive text-book of psychiatry. 8 ed. Philadelphia: Lippincott Williams & Wilkins; 2005:3183-98.

-Nierenberg A, Miyahara S, Spencer T, Wisniewski S, Otto M, Simon N, et al. Clinical and diagnostic implications of lifetime attention-deficit/hyperactivity disorder comorbidity in adults with bipolar disorder. Biol Psychiatry.2005;57: 1467-73

-Singh MK, DelBello MP, Kowatch RA, Strakowski SM. Co-occurrence of bipolar and attention-deficit hyperactivity disorders in children. Bipolar Disord. 2006;8(6):710-20.

-Hamrin V, Bailey K. Gabapentin and methylphenidate treatment of a preadolescent with attention deficit hyperactivity disorder and bipolar disorder. J Child Adolesc Psychopharmacol. 2001;11(3):301-9.

-Henin A, Biederman J, Mick E, Hirshefeld-Becker D, Sachs G, Wu Y, Leslie Yan, Jacqueline O, Nierenberg AA. Childhood antecedent disorders to bipolar disorder in adults. Journal of Affective Disorders.2007;99:51-57.

-Wilens T, Biederman J, Wozniak J, Gunawardene S, Wong J, Monuteaux M. Can adults with attention-deficit/hyperactivity disorder be distinguished from a sample of clinically referred adults. Biological Psychiatry.2003;54:1-8

-Scheffer RE. Concurrent ADHD and bipolar disorder. Curr Psychiatry Rep. 2007;9(5):415-9.

- Wilens TE, Dodson W. A clinical perspective of attention-deficit/hyperactivity disorder into adulthood. J Clin Psychiatry. 2004;65:1301–13.

- Robertson HA, Kutcher SP, Lagace DC. No evidence of Attentional deficits in stabilized Bipolar youth relative to unipolar and control comparators. Bipolar Disord. 2003;5(5):330-9.

- Sachs GS, Baldassano CF, Truman CJ, Guille C. Comorbidity of attention deficit hyperactivity disorder with early- and late-onset bipolar disorder. Am J Psychiatry. 2000;157:466–68.

-Winokur W, Coryell J, Endicott, Akiskal H. Futher distinctions between manic-depressive illness and primary depressive disorder. Am J Psychiatry.1993;150: 1176-1181.

Published
2013-11-22
How to Cite
Ghaffary, A., Bidaki, R., & Hosseinpoor, S. (2013). Determining the Prevalence of Attention Deficit Hyperactivity Disorder (ADHD) in Patients with Bipolar Disorder Type I (BID) within Their Remission Phase. Galen Medical Journal, 2(4), 174-178. https://doi.org/10.31661/gmj.v2i4.45
Section
Short Communication