Prevalence and Risk Factors for Disruptive Behavior Disorders in Children with ADHD

Document Type : Original Article

Authors

Pediatrics, Faculty of Medicine – Assiut University, Assiut, Egypt.

Abstract

Background: Attention-deficit hyperactivity disorder (ADHD), along with coexisting disruptive behavior disorders (DBD), can complicate diagnosis and treatment and worsen the prognosis. The current study aimed to detect the prevalence and risk factors for the development of disruptive behavior in ADHD children. This was an observational cross-sectional study that included all the patients with ADHD diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders (fifth edition) (DSM-5) at Assiut University Children's Hospital through the period from September 2021 to September 2022. Results: The prevalence rate of disruptive behavior in ADHD cases in the current study represented (7.5%) of the total participants. During the multivariate analysis of all the explanatory variables of ADHD, it was found that Age (3-12), sex (male factor), child education (primary school or lower), and socio-economic status of the family (low by wealth index) were associated with disruptive behavior with statistical significance (p > 0.001). Conclusion: According to the findings, the prevalence rate of disruptive behavior in ADHD cases in the current study represented (7.5%) of the total participants. Age (3-12), sex (male factor), child education (primary school or lower), and socio-economic status of the family (low by wealth index) were associated with disruptive behavior with statistical significance. 

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