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Prevalence of ADHD symptoms in patients with congenital heart disease
Author(s) -
Hansen Erlend,
Poole Tiffany A.,
Nguyen Van,
Lerner Marc,
Wigal Tim,
Shan Kevin,
Wigal Sharon B.,
Batra Anjan S.
Publication year - 2012
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/j.1442-200x.2012.03711.x
Subject(s) - medicine , attention deficit hyperactivity disorder , impulsivity , heart disease , attention deficit , pediatrics , disease , psychiatry , clinical psychology
Objective The presence of attention‐deficit–hyperactivity disorder ( ADHD ) symptoms in children with congenital heart disease ( CHD ) was investigated. Methods S wanson, N olan and P elham teacher and parent rating scales, version 4 ( SNAP‐IV ), commonly used for assessing symptoms of ADHD , were completed by parents and counselors of children who attended a CHD summer camp. Mean scores ( n = 51) were compared with two comparison groups without CHD : patients with ADHD (n = 75) and patients without ADHD (n = 41). Parent scores were also compared to previously published parent normative data. Results Patients with CHD were reported to have elevated SNAP‐IV scores by parents and counselors (11.8%). Parent ratings of inattention were significantly greater in CHD subjects when compared to the comparison group without ADHD ( P < 0.001), and similar to the ADHD ‐positive comparison group. Regarding parent ratings of hyperactivity and impulsivity, the CHD group was significantly lower than the ADHD ‐positive controls ( P = 0.024) but greater than the ADHD‐ negative controls ( P < 0.001). Conclusion ADHD symptoms are more prevalent in children with CHD . Parent ratings of inattention and hyperactivity symptoms in CHD patients are similar to ratings in children diagnosed with ADHD . There is a trend towards a greater prevalence of inattention symptoms in patients with cyanosis or single ventricle physiology.