Sosyal Anksiyete Bozukluğu Dikkat Eksikliği Hiperaktivite Bozukluğu Birlikteliği

Ahmet Koyuncu; Zerrin Binbay

doi:10.5455/cap.20130726020101

Comorbidity of Social Anxiety Disorder and Attention Deficit Hyperactivity Disorder

Year 2014, Volume: 6 Issue: 1, 10 - 21, 06.11.2014

Ahmet Koyuncu Zerrin Binbay

https://doi.org/10.5455/cap.20130726020101

Abstract

Despite high rates of reported comorbidity in patients with social anxiety disorder, attention deficit hyperactivity disorder comorbidity was not evaluated in these studies. Studies, investigating the prevalence of adult attention deficit hyperactivity disorder (ADHD) comorbidity in social anxiety disorder are limited and little is known about it. The reason for this may be the fact that, ADHD have been seen as a childhood disease over a period of time. In the prospective studies ,it is reported that ADHD is often observed in the adulthood and effects persist . On the other hand, studies on attention deficit hyperactivity disorder, higher rates of social anxiety disorder comorbidity have been reported. The presence of comorbid anxiety disorder increases the risk of impulsive feature in ADHD, causes problems in functionality, impaired compliance and resistance to the treatment. The aim of this article is to investigate the the status of social anxiety disorder and ADHD comorbidity and to discuss the hypothesis of antidepressant-associated hypomanic shift due to antidepressant treatment in social anxiety disorder patients.

Keywords

Social anxiety disorder, attention deficit hyperactivity disorder, bipolar disorder

References

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Koyuncu A. Sosyal fobiklerde dikkat sorunları ve hiperaktivite . İstanbul, Liman Yayınları, 2012. Ahmet Koyuncu, Uzm. Dr., Batı Bahat Hastanesi, Küçükçekmece, İstanbul; Zerrin Binbay, Uzm. Dr., Kanuni Sultan Süleyman Hastanesi, İstanbul Yazışma Adresi/Correspondence: Ahmet Koyuncu, Batı Bahat Hastanesi, Küçükçekmece, İstanbul, Turkey. E-mail: ahmet_koyu@hotmail.com Yazar bu makale ile ilgili herhangi bir çıkar çatışması bildirmemiştir. The author reported no conflict of interest related to this article. Çevrimiçi adresi / Available online at: www.cappsy.org/archives/vol6/no1/ Çevrimiçi yayım / Published online 26 Temmuz/July 26, 2013; doi: 10.5455/cap.20130726020101

Sosyal Anksiyete Bozukluğu Dikkat Eksikliği Hiperaktivite Bozukluğu Birlikteliği

Year 2014, Volume: 6 Issue: 1, 10 - 21, 06.11.2014

Ahmet Koyuncu Zerrin Binbay

https://doi.org/10.5455/cap.20130726020101

Abstract

Sosyal anksiyete bozukluğu hastalarında yüksek oranlarda eştanı varlığı bildirilmesine rağmen, bu çalışmalarda dikkat eksikliği hiperaktivite bozukluğu (DEHB) eştanısı çok araştırılmamıştır. Sosyal anksiyete bozukluğu hastalarında erişkin DEHB eştanı sıklığını araştıran özgül çalışmalar kısıtlıdır ve çok az şey bilinmektedir. Bunun nedeni ise uzun dönem boyunca DEHB'nin bir çocukluk dönemi hastalığı olarak görülmesi olabilir. Yapılan ileriye yönelik çalışmalarda DEHB'nin sıklıkla erişkinliktede sürdüğü, etkilerini devam ettirdiği gözlenmiştir. Diğer yandan bakıldığında ise, DEHB çalışmalarında, sosyal anksiyete bozukluğu yüksek oranlarda görülen bir anksiyete bozukluğu eştanısı olarak bildirilmektedir. Anksiyete bozukluğu eştanısı, DEHB'nin dürtüsel özelliğini arttırır, işlevselliğin daha çok bozulmasına ve tedavi uyumunu bozarak direnç oluşmasına neden olabilir. Bu yazının amacı sosyal anksiyete bozukluğu ve DEHB eştanı durumunu kapsamlı olarak incelemek ve sosyal anksiyete bozukluğu hastalarında tedavi esnasında ortaya çıkan antidepresana bağlı hipomanik kayma ile ilgili bir hipotezimizi tartışmaktır.

Keywords

Sosyal anksiyete bozukluğu, dikkat eksikliği hiperaktivite bozukluğu, bipolar bozukluk

References

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Kessler RC, McGonagle KA, Zhao S, Nelson CB, Hughes M, Eshleman S et al. Lifetime and 12- month prevalence of DSM-IIIR psychiatric disorders in the United States. Arch Gen Psychiatry 1994; 51:8-19.
Koyuncu A, Binbay Z, Özyıldırım İ, Ertekin E. Sosyal anksiyete bozukluğunda başlangıç yaşının klinik gidiş üzerine etkisi. Klinik Psikiyatri Dergisi 2012; 15:111-120.
Stein MB. An epidemiologic perspective on social anxiety disorder. J Clin Psychiatry 2006; 67 suppl(12): 3-8.
Acarturk C, de Graaf R, van Straten A, Have MT, Cuijpers P. Social phobia and number of social fears, and their association with comorbidity, health-related quality of life and help seeking: a population-based study. Soc Psychiatry Psychiatr Epidemiol 2008; 43:273-279.
Ohayon MM, Schatzberg AF. Social phobia and depression: prevalence and comorbidity. J Psychosom Res 2010; 68:235– 2
Binbay Z, Koyuncu A. Sosyal anksiyete bozukluğu ve duygudurum bozuklukları birlikteliği. Psikiyatride Güncel Yaklaşımlar 2012; 4:1-13.
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Erşan EE, Doğan O, Doğan S, Sümer H. The distribution of symptoms of attention deficit/ hyperactivity disorder and oppositional defiant disorder in school age children in Turkey. Eur Child Adolesc Psychiatry 2004; 13:354-361.
Akgün GM, Tufan AE, Yurteri N, Erdoğan A. Dikkat eksikliği hiperaktivite bozukluğunun genetik boyutu. Psikiyatride Güncel Yaklaşımlar 2011; 3:15-48.
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Kessler RC, Stang P, Wittchen HU, Stein M, Walters EE. Lifetime comorbidities between social phobia and mood disorders in the US national comorbidity survey. Psychol Med 1999; 29:555–567.
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Chartier MJ, Walker JR, Stein MB. Considering comorbidity in social phobia. Soc Psychiatry Psychiatr Epidemiol 2003; 38:728-734.
Ruscio AM, Brown TA, Chiu WT, Sareen J, Stein MB, Kessler RC. Social fears and social phobia in the USA: results from the National Comorbidity Survey Replication. Psychol Med 2008; 38:15–28.
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Mancini C, Van Ameringen M, Oakman JM, Figueiredo D. Childhood attention deficit /hyperactivity disorder in adults with anxiety disorders. Psychol Med 1999; 29:515-525.
Mannuzza S, Klein RG, Bessler A, Malloy P, LaPadula M. Adult outcome of hyperactive boys: educational achievement, occupational rank, and psychiatric status. Arch Gen Psychiatry 1993; 50: 565-576.
Rasmussen P, Gillberg C. Natural outcome of ADHD with developmental coordination disorder at age 22 years: a controlled, longitudinal, community-based study. J Am Acad Child Adolesc Psychiatry 2000; 39:1424-1431.
Biederman J, Petty CR, Evans M, Small J, Faraone SV. How persistent is ADHD? a controlled 10-year follow-up study of boys with ADHD. Psychiatry Res 2010; 177:299-304.
Biederman J, Petty CR, Clarke A, Lomedico A, Faraone SV. Predictors of persistent ADHD: an 11-year follow-up study.J Psychiatr Res 2011; 45:150-155.
Kavakcı Ö. Erişkin dikkat eksikliği/hiperaktivite bozukluğunun epidemiyolojisi. Türkiye Klinikleri Psikiyatri Özel Dergisi 2012; 5:8-13.
Tuğlu C, Şahin ÖÖ. Erişkin dikkat eksikliği hiperaktivite bozukluğu: nörobiyoloji, tanı sorunları ve klinik özellikler . Psikiyatride Güncel Yaklaşımlar 2010; 2:75-116.
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Koyuncu A. Sosyal fobiklerde dikkat sorunları ve hiperaktivite . İstanbul, Liman Yayınları, 2012. Ahmet Koyuncu, Uzm. Dr., Batı Bahat Hastanesi, Küçükçekmece, İstanbul; Zerrin Binbay, Uzm. Dr., Kanuni Sultan Süleyman Hastanesi, İstanbul Yazışma Adresi/Correspondence: Ahmet Koyuncu, Batı Bahat Hastanesi, Küçükçekmece, İstanbul, Turkey. E-mail: ahmet_koyu@hotmail.com Yazar bu makale ile ilgili herhangi bir çıkar çatışması bildirmemiştir. The author reported no conflict of interest related to this article. Çevrimiçi adresi / Available online at: www.cappsy.org/archives/vol6/no1/ Çevrimiçi yayım / Published online 26 Temmuz/July 26, 2013; doi: 10.5455/cap.20130726020101

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Primary Language	Turkish
Journal Section	Review
Authors	Ahmet Koyuncu This is me Zerrin Binbay This is me
Publication Date	November 6, 2014
Published in Issue	Year 2014 Volume: 6 Issue: 1

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AMA	Koyuncu A, Binbay Z. Sosyal Anksiyete Bozukluğu Dikkat Eksikliği Hiperaktivite Bozukluğu Birlikteliği. Psikiyatride Güncel Yaklaşımlar - Current Approaches in Psychiatry. March 2014;6(1):10-21. doi:10.5455/cap.20130726020101

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