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Prevalence of Anxiety Disorders in Hong Kong Chinese Children With ADHD
Caroline K S Shea1, Marshall M C Lee1, Kelly Y C Lai2
11 Alice Ho Miu Ling Nethersole Hospital, Tai Po, Hong Kong.
Objective:
This study examined the prevalence and correlates of anxiety disorders in Chinese children with ADHD.
Method:
Overall, 120 children with ADHD aged 6 to 12 years were recruited, and the parent version of computerized Diagnostic Interview Schedule for Children-Version 4 was administrated to their primary caretakers.
Results:
The prevalence rate of anxiety disorders was 27.5%, which is consistent with the reports of previous Asian and Western studies. Among the children with ADHD and anxiety disorders, more than 50% of them also had comorbid oppositional defiant disorder or conduct disorder (ODD/CD), which yielded an adjusted odds ratio of 3.0 in multivariable analysis for anxiety disorder, with comorbid ODD/CD. In addition, anxiety disorders were positively associated with inattention symptoms in children with both disorders.
Conclusion:
Clinicians should perform screening and careful assessment for anxiety symptoms in children with ADHD, particularly those suffering from comorbid ODD/CD.
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