Comorbidity of Social Anxiety Disorder and Attention Deficit Hyperactivity Disorder

Öz

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.

Anahtar Kelimeler

• Social anxiety disorder, attention deficit hyperactivity disorder, bipolar disorder

Sosyal Anksiyete Bozukluğu Dikkat Eksikliği Hiperaktivite Bozukluğu Birlikteliği

Öz

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.

Anahtar Kelimeler

• Sosyal anksiyete bozukluğu, dikkat eksikliği hiperaktivite bozukluğu, bipolar bozukluk

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