Anxiety in children with attention-deficit/hyperactivity disorder

Sciberras, Emma, Lycett, Kate, Efron, Daryl, Mensah, Fiona, Gerner, Bibi and Hiscock, Harriet 2014, Anxiety in children with attention-deficit/hyperactivity disorder, Pediatrics, vol. 133, no. 5, pp. 801-808, doi: 10.1542/peds.2013-3686.

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Title Anxiety in children with attention-deficit/hyperactivity disorder
Author(s) Sciberras, EmmaORCID iD for Sciberras, Emma
Lycett, Kate
Efron, Daryl
Mensah, Fiona
Gerner, Bibi
Hiscock, Harriet
Journal name Pediatrics
Volume number 133
Issue number 5
Start page 801
End page 808
Total pages 8
Publisher American Academy of Pediatrics
Place of publication Elk Grove Village, Ill.
Publication date 2014-05
ISSN 0031-4005
Keyword(s) anxiety disorders
attention-deficit/hyperactivity disorder
internalizing disorders
quality of life
Attention Deficit Disorder with Hyperactivity
Behavior Therapy
Child Behavior Disorders
Cohort Studies
Cross-Sectional Studies
Peer Group
Sleep Wake Disorders
Summary OBJECTIVES: Although anxiety is common in children with attention-deficit/hyperactivity disorder (ADHD), it is unclear how anxiety influences the lives of these children. This study examined the association between anxiety comorbidities and functioning by comparing children with ADHD and no, 1, or ≥2 anxiety comorbidities. Differential associations were examined by current ADHD presentation (subtype). METHODS: Children with diagnostically confirmed ADHD (N = 392; 5-13 years) were recruited via 21 pediatrician practices across Victoria, Australia. Anxiety was assessed by using the Anxiety Disorders Interview Schedule for Children-IV. Functional measures included parent-reported: quality of life (QoL; Pediatric Quality of Life Inventory 4.0), behavior and peer problems (Strengths and Difficulties Questionnaire), daily functioning (Daily Parent Rating of Evening and Morning Behavior), and school attendance. Teacher-reported behavior and peer problems (Strengths and Difficulties Questionnaire) were also examined. Linear and logistic regression controlled for ADHD severity, medication use, comorbidities, and demographic factors. RESULTS: Children with ≥2 anxiety comorbidities (n = 143; 39%) had poorer QoL (effect size: -0.8) and more difficulties with behavior (effect size: 0.4) and daily functioning (effect size: 0.3) than children without anxiety (n = 132; 36%). Poorer functioning was not observed for children with 1 anxiety comorbidity (n = 95; 26%). Two or more anxiety comorbidities were associated with poorer functioning for children with both ADHD-Inattentive and ADHD-Combined presentation. CONCLUSIONS: Children with ADHD demonstrate poorer QoL, daily functioning and behavior when ≥2 anxiety comorbidities are present. Future research should examine whether treating anxiety in children with ADHD improves functional outcomes.
Language eng
DOI 10.1542/peds.2013-3686
Field of Research 170106 Health, Clinical and Counselling Psychology
Socio Economic Objective 920410 Mental Health
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2014, American Academy of Pediatrics
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Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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