Profiles, comorbidity and their relationship to treatment of 191 children with AD/HD and their families

Thompson, Margaret J.J., Brooke, Xavier M., West, Carolyn A., Johnson, Helen R., Bumby, Emily J., Brodrick, Paul, Pepe, Gloria, Laver-Bradbury, Cathy and Scott, Nicky (2004) Profiles, comorbidity and their relationship to treatment of 191 children with AD/HD and their families. European Child & Adolescent Psychiatry, 13 (4), 234-242. (doi:10.1007/s00787-004-0380-4).

Abstract

Background: This study was set up to re-audit our use of a protocol for the assessment and treatment for children on psycho-stimulant medication within a community clinic for children with Attention Deficit/Hyperactive Disorder (AD/HD) and to examine the profile of children and their families referred to the clinic in order to consider their assessment and treatment needs. Method: A questionnaire based on results from previous studies was completed for 191 patients from a case note audit, and by questioning clinicians. Key areas examined were symptomatology and child and family variables, which included learning difficulties, medical problems, psychosocial factors and side-effects of medication. Results: The protocol was used appropriately with the majority of children. Children with AD/HD referred to the clinic often presented with co-morbid psychopathology, e. g. conduct disorder, low self-esteem, and frequently experienced family and psychosocial difficulties. Conclusions: Protocols in clinics are useful as this should maintain good practice and allow on-going monitoring, but they need precise use. Also, as many children with AD/HD present with co-morbid psychopathology and complicated family dynamics to Child and Adolescent Mental Health Services, this will influence assessment and treatment needs and require increased resources.

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