Comorbidity of attention Deficit Hyperactivity Disorder and Post-Traumatic Stress Disorder
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Attention Deficit Hyperactivity Disorder (ADHD) and Post-Traumatic Stress Disorder (PTSD) show a high degree of comorbidity in traumatized children. Two hypotheses may help explain this relationship: children with ADHD are at higher risk for trauma due to their impulsivity, dangerous behaviors, and parents who may have a genetic predisposition for impairment of their own impulse control; and hyperarousal induced by severe trauma and manifested by hypervigilance and poor concentration may impair attention to create an ADHD-like syndrome. Four illustrative cases are presented, and implications for treatment are discussed.
Key WordsAttention Deficit Hyperactivity Disorder Post-Traumatic Stress Disorder comorbidity hyperarousal treatment
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- American Psychiatric Association (1980).Diagnostic and statistical manual of mental disorders. (3rd ed.). Washington, DC: American Psychiatric Association Press.Google Scholar
- American Psychiatric Association (1987).Diagnostic and statistical manual of mental disorders (3rd ed., revised). Washington, DC: American Psychiatric Association Press.Google Scholar
- Barkley, R. A. (1990).Attention deficit hyperactivity disorder, New York: Guilford Press.Google Scholar
- Bourne, P. G. (1970). Military psychiatry and the Vietnam experience.American Journal of Psychiatry, 127, 123–130.Google Scholar
- Guyton, A. C. (1976):Textbook of medical physiology. Philadelphia: W. B. Saunders.Google Scholar
- Hunt, R. D., Lau, S. R., & Ryu, J. (1991). Alternative therapies for ADHD. In L. Greenhill & B. Osman (Eds.),Ritalin: Theory and patient management (pp. 75–95). New York: Mary Ann Liebert, Inc.Google Scholar
- Lahey, B. B., Schaughency, E. A., Hynd, G. W., Carlson, C. L., & Nieves, N. (1987). Attention deficit disorder with and without hyperactivity: Comparison of behavioral characteristics of clinic-referred children.Journal of the American Academy of Child and Adolescent Psychiatry, 26, 718–723.PubMedGoogle Scholar
- Munir, K., Biederman, J., & Knee, D. (1987). Psychiatric comorbidity in patients with attention deficit disorder: A controlled study.Journal of the American Academy of Childrand Adolescent Psychiatry, 26, 844–848.Google Scholar
- Ornitz, E. M. (1991). Developmental aspects of neurophysiology. In M. Lewis (Ed.),Child and adolescent psychiatry: A comprehensive textbook (p. 38–50). Baltimore, MD: Williams and Wilkins.Google Scholar
- Peterson, K. C., Prout, M. F., & Schwarz, R. A. (1991).Post-traumatic stress disorder. New York: Plenum Press.Google Scholar
- Zametkin, A. J. (1989). The neurobiology of attention deficit hyperactivity disorder: A synopsis.Psychiatric Annals, 19, 584–586.Google Scholar