Abstract
Objectives: Attention Decit Hyperactivity Disorder (ADHD) is one of the most common neuro-developmental disorders in children. Most common comorbidity is Disruptive behavior disorder (DBD) consisting of Oppositional Deant Disorder (ODD) and Conduct Disorder (CD). Family and social environmental factors may contribute to develop DBD in children with genetic vulnerability. This study was done to nd out the association of family conict and family cohesion with development of comorbid DBD in children with ADHD. Methods: This case-control, cross sectional study was done in a child Guidance clinic of R.G Kar Medical College, Kolkata. Total study population(N=154) comprises of children diagnosed as ADHD with co morbid DBD (N=53), ADHD only (N=39) and Normal children (N=62). Children fullling the inclusion and exclusion criteria were screened using Child symptom inventory (for10-12 years age) and Devereux Scales of Mental Disorders (for 13-15 years age) and then diagnosed according to DSM IV TR. Control population was collected from schools after screening out for having any psychiatric disorder (N =62). The consenting parents of the cases and control were assessed using Family Environmental scale (F.E.S). Results: Signicant differences were found in family conict and family cohesion among these 3 groups. Families of children with ADHD with co morbid DBD (ODD or CD) had signicantly higher family conict and lower cohesion than families of children with ADHD alone and control children. Conclusion: High family conict and low cohesion are associated with development of DBD in children with ADHD.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have