Comorbidity of Attention Deficit/Hyperactivity Disorder in Children with Epilepsy in TASH,2024
No Thumbnail Available
Date
2025-02-15
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Background: Children with epilepsy frequently have comorbidities; about half of kids have at least one condition. The psychiatric condition known as attention deficit hyperactivity disorder (ADHD) is typified by hyperactivity and inattention that are out of proportion to the child's developmental stage. ADHD has a significant impact on the clinical results, psychosocial characteristics, and quality of life of children with epilepsy. In clinical practice, comorbid ADHD is still not well acknowledged. Comorbid ADHD must be identified and treated early in order to improve prognosis and lower the chance of negative long-term neurodevelopmental effects
Objectives: To investigate the comorbidity of ADHD among children diagnosed with epilepsy in TASH. Methods: This is a prospective cross-sectional study which Is carried out in TASH, pediatric neurology clinic on children fulfilling the inclusion criteria between October 2024 and January 2025.Children with epilepsy 3 to 18 years of age with duration of epilepsy more than 6 months duration were included in the study. Patients were selected by convenient sampling method. The trained data collectors filled the pre structured questionnaire and Diagnostic and Statistics Manual of mental disorders V text revision is used to diagnose ADHD. Results: 205 children were enrolled in the study. From these 121 patients (59%) has ADHD. Among the subtypes 49.8% had inattentive type while 40.1 % has hyperactive/impulsive type. In this study age of the children, presence of seizure in the last 6months and ASM were an association with ADHD by bivariate logistic regression. The multivariate logistic regression found that the odds of children age 1-5 years and 6-10 years had 3.4 and 2.5 times increase the risk of ADHD compared to age >=10 years respectively (AOR=3.4, 95%CI=1.34, 8.68 & AOR=2.5, 95%CI=1.17, 5.19). The odds of children having seizure in the last 6months had 4.2 times increase risk ADHD compared to those of its opposite compartment (AOR=4.2, 95%CI=2.14, 8.41) and study participants who use polytherapy were 2.4 times increase its risk of ADHD compared to monotherapy (AOR=2.4, 95%CI=1.21, 4.82).
Conclusion: There is high prevalence of ADHD 59% among children with epilepsy in TASH pediatric neurology clinic. Yet, those who are having follow up at psychiatric clinic are 36 (29%). This shows under diagnosis of ADHD in children with epilepsy.
Description
Keywords
Deficit/Hyperactivity Disorder