Continuity/discontinuity in hyperkinetic disorders in adulthood

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Published

2010-03-01

How to Cite

Mojarro Práxedes, M. D., & Benjumea Pino, P. (2010). Continuity/discontinuity in hyperkinetic disorders in adulthood. Revista De Psiquiatría Infanto-Juvenil, 27(1), 25–32. Retrieved from https://aepnya.eu/index.php/revistaaepnya/article/view/119

Issue

Vol. 27 No. 1 (2010)

Section

Orginial article

Authors

  • M D Mojarro Práxedes Departamento de Psiquiatría. Universidad de Sevilla
  • P Benjumea Pino Departamento de Psiquiatría. Universidad de Sevilla

Keywords:

Hyperkinetic disorder, ADHD, conduct disorder, continuity, persistence

Abstract

Aim. Hyperkinetic disorder, a psychiatric childhoodonset disorder, has its place in the adult nosology due to the high rates of persistence of the disorder. In various studies, 34-70% of patients continue to suffer some form of the disorder in adulthood, and high rates of psychiatric comorbidity and persistence of neuropsychological disorders present since childhood. The objectives of this study were to analyze the continuity of hyperkinetic disorder in adulthood in a sample of children with the disorder after 13 years of monitoring; and to evaluate their psychopathology and neurocognitive disorders. Methodology. The sample consisted of 21 patients from an initial group of 45 who met criteria for hyperkinetic disorder (ICD-10) 13 years ago, and re-assessed after this time. The study protocol administered was: Questionnaire CBCL, General Health Questionnaire (GHQ, 28-item version), Bender visual motor Test, Benton Visual Retention Test, and CPT (Continuous Performance Test). Results. In this follow-up study, 16 subjects (76.9%) continue to present the hyperkinetic disorder in adolescence/adulthood. While there is a neurocognitive improvement, deficits persist into adulthood as evidenced by the Benton Visual Retention Test. It is noteworthy that no subject has psychiatric comorbidity (some of them had suffered at some point in their life depressive and anxious symptoms, without fulfilling diagnostic criteria). Some symptoms in childhood hyperactive (sustained attention, distractibility), behavioral (aggression toward objects and to people) and affective areas (mood, phobias and hypochondriasis) are associated with symptoms of anxiety-depression in adulthood. Likewise, deficits in attentional measures in childhood (false positive CPT) and memory (number of errors on the Benton Test, scores on the Rey figure) are related to neurocognitive deficits and psychopathology in adults. Conclusions. In our sample there is a continuity of hyperkinetic disorder to adulthood, with manifestations of the disorder and slight neurocognitive disorders. Furthermore, psychiatric comorbidity is absent, so the prognosis in this sample is not as negative as the majority of the studies. This could be due to the lack of association with conduct disorder or other psychiatric disorders in childhood, and to the regular psychiatric reviews and psychopharmacological treatment followed until adulthood.

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