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ADHD Prevalence in Turkish Preschoolers: Comorbidity and Associated Factors
Ömer Başay1, Ahmet Büber1, Hande Şenol2
1School of Medicine, Habip Kızıltaş Psychiatry Hospital, Department of Child and Adolescent Psychiatry, Pamukkale University, Pamukkale/Denizli, Türkiye.
Insights
Attention-deficit/hyperactivity disorder (ADHD) affects 9.3% of Turkish preschoolers when impairment is considered. Younger parental age was linked to higher ADHD risk in this study.
Area of Science:
- Child and Adolescent Psychiatry
- Developmental Psychology
- Pediatric Neurology
Background:
- Attention-deficit/hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder impacting children globally.
- Understanding ADHD prevalence and characteristics in diverse populations, such as Turkish preschoolers, is crucial for targeted interventions.
- Previous research on ADHD in Turkish preschool-aged children is limited, necessitating further investigation.
Purpose of the Study:
- To determine the prevalence and subtypes of ADHD in Turkish preschool children.
- To identify factors associated with ADHD in this age group.
- To provide data for early detection and intervention strategies.
Main Methods:
- A two-stage cross-sectional study design was employed.
- Screening was conducted using parent and teacher forms of the Turgay DSM-IV Disruptive Disorders Screening and Rating Scale.
- Diagnostic evaluation for screen-positive children utilized the K-SADS-PL (Kiddie Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version).
Main Results:
- The prevalence of ADHD was 9.3% with impairment criteria and 13.8% without.
- The combined subtype of ADHD was the most common presentation.
- Anxiety disorder was the most frequent comorbidity, and younger maternal/paternal ages were associated with increased ADHD likelihood.
Conclusions:
- ADHD is a significant concern among Turkish preschool children, with a notable prevalence.
- The combined subtype and comorbid anxiety disorders are key features in this population.
- Early identification and intervention are essential, considering the association with parental age.
Abstract:
This two-stage cross-sectional study investigated the prevalence, subtypes, and associated factors of attention-deficit/hyperactivity disorder (ADHD) among Turkish preschool children. Preschool children attending randomly selected kindergartens in Denizli, Türkiye, were screened using parent and teacher forms of the Turgay DSM-IV Disruptive Disorders Screening and Rating Scale, and screen-positive children underwent diagnostic evaluation with the K-SADS-PL. ADHD prevalence was 9.3% when impairment criteria were applied and 13.8% without impairment criteria. The combined subtype was the most frequent presentation, and anxiety disorder was the most common comorbidity. Younger maternal and paternal ages were associated with increased ADHD likelihood. Findings suggest that ADHD is relatively common among Turkish preschool children.
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