PMID- 30463795 OWN - NLM STAT- MEDLINE DCOM- 20191230 LR - 20210518 IS - 2341-2879 (Electronic) IS - 2341-2879 (Linking) VI - 90 IP - 6 DP - 2019 Jun TI - [Assessment of comorbidity and social anxiety in adolescents with attention deficit hyperactivity disorder: the SELFIE study]. PG - 349-361 LID - S1695-4033(18)30369-2 [pii] LID - 10.1016/j.anpedi.2018.07.014 [doi] AB - INTRODUCTION: Attention-deficit/hyperactivity disorder (ADHD) and its comorbidities have an impact on the social anxiety of children and adolescents, but there are practically no studies addressing this topic in adolescence. Our objective was to assess the degree of social anxiety and to analyse the presence of psychiatric comorbidities (PSCs) in adolescents with ADHD. METHODOLOGY: We conducted a cross-sectional observational study in patients aged 12 to 18 years with a confirmed diagnosis of ADHD (DSM-5). We collected data on the presence and type of PSCs and assessed social anxiety by means of the Social Anxiety Scale for Adolescents (SAS-A). RESULTS: Forty-six child and adolescent psychiatrists and paediatric neurologists participated in the study and recruited 234 patients. Of the total patients, 68.8% (159) were male and 31.2% (72) female, with a mean age in the sample of 14.9 years (95% CI, 14.6-15.1). The type of ADHD was combined type (C) in 51.7% (121), predominantly inattentive (PI) in 37.2% (87), and predominantly hyperactive-impulsive (PH) in 9% (21). Of all patients, 97.9% (229) received pharmacological therapy: 78.6% (184) methylphenidate, 15% (35) lisdexamfetamine and 4.3% (10) atomoxetine.We found PSCs in 50.4% of the patients (118), of which the most frequent were learning and communication disorders (20.1%, n=47) and anxiety disorders (19.2%, n=45). The patients scored significantly higher in the SAS-A compared to reference values in the healthy population. The scores in the SAS-A were less favourable in adolescents with the PI type compared to those with the PH type (P=.015). The presence of a comorbid anxiety disorder was associated with worst scores in SAS-A (P<.001) showing an increased social anxiety. CONCLUSION: Adolescents with ADHD classified as PI and those with comorbid anxiety had a higher degree of social anxiety as measured by the SAS-A. This psychological aspect must be identified and controlled in adolescents with ADHD to promote their social adaptation. CI - Copyright (c) 2018 Asociacion Espanola de Pediatria. Publicado por Elsevier Espana, S.L.U. All rights reserved. FAU - Mardomingo Sanz, Maria Jesus AU - Mardomingo Sanz MJ AD - Seccion de Psiquiatria y Psicologia Infantil, Hospital General Universitario Gregorio Maranon, Universidad Complutense, Madrid, Espana. FAU - Sancho Mateo, Carlos AU - Sancho Mateo C AD - Departamento Medico, Laboratorios Farmaceuticos ROVI, Madrid, Espana. FAU - Soler Lopez, Begona AU - Soler Lopez B AD - Departamento Medico, E-C-BIO, S.L. , Las Rozas, Madrid, Espana. Electronic address: bsoler@ecbio.net. CN - en representacion del grupo de investigacion del estudio SELFIE CN - Anexo 1. Grupo de estudio SELFIE LA - spa PT - Journal Article PT - Observational Study TT - Evaluacion de la comorbilidad y la ansiedad social en adolescentes con trastorno por deficit de atencion con hiperactividad: Estudio SELFIE. DEP - 20181118 PL - Spain TA - An Pediatr (Engl Ed) JT - Anales de pediatria JID - 101765626 SB - IM MH - Adolescent MH - Anxiety/*complications/epidemiology MH - Attention Deficit Disorder with Hyperactivity/*complications/psychology MH - Child MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male OTO - NOTNLM OT - Adolescentes OT - Adolescents OT - Ansiedad social OT - Attention-deficit hyperactivity disorder OT - Comorbilidad psiquiatrica OT - Psychiatric comorbidity OT - Social anxiety OT - Trastorno por deficit de atencion con hiperactividad FIR - Alcindor Huelva, Patricia IR - Alcindor Huelva P FIR - Artiles Perez, Luis IR - Artiles Perez L FIR - Bastardas Sardan, Joan IR - Bastardas Sardan J FIR - Blanco Barca, Oscar IR - Blanco Barca O FIR - Casal Pena, Cristina IR - Casal Pena C FIR - Casas Rivero, Jose IR - Casas Rivero J FIR - de Burgos Marin, Rafael IR - de Burgos Marin R FIR - de Santos Moreno, Teresa IR - de Santos Moreno T FIR - Duran Forteza, Oscar IR - Duran Forteza O FIR - Fernandez Jaen, Alberto IR - Fernandez Jaen A FIR - Filippidis Semino, Ingrid IR - Filippidis Semino I FIR - Fraguas Herraez, David IR - Fraguas Herraez D FIR - Garcia Sanchez, Fidel J IR - Garcia Sanchez FJ FIR - Garcia Tellez, Jorge Miguel IR - Garcia Tellez JM FIR - Gomez Sanchez, Jose Antonio IR - Gomez Sanchez JA FIR - Gomez Vicente, Balma IR - Gomez Vicente B FIR - Hernandez Martinez, Montserrat IR - Hernandez Martinez M FIR - Huertas Paton, Abigail IR - Huertas Paton A FIR - Joga Elvira, Maria Luisa IR - Joga Elvira ML FIR - Lara Cabeza, Francisco Jose IR - Lara Cabeza FJ FIR - Luna Ibanez, Maria Jesus IR - Luna Ibanez MJ FIR - Madruga Garrido, Marcos IR - Madruga Garrido M FIR - Malaga Dieguez, Ignacio IR - Malaga Dieguez I FIR - Matos Spohring, Claudia IR - Matos Spohring C FIR - Mayoral Moyano, Sacramento IR - Mayoral Moyano S FIR - Mazaira Castro, Jose A IR - Mazaira Castro JA FIR - Migliorelli Toppi, Ricardo Alberto IR - Migliorelli Toppi RA FIR - Montoliu Tamarit, Leonor IR - Montoliu Tamarit L FIR - Muro Romero, Jose Juan IR - Muro Romero JJ FIR - Ortega Garcia, Enrique IR - Ortega Garcia E FIR - Ortiz de Zarate Aguirresarube, Carmen IR - Ortiz de Zarate Aguirresarube C FIR - Pablos Sanchez, Tamara IR - Pablos Sanchez T FIR - Pavon Puey, Alfonso IR - Pavon Puey A FIR - Paya Gonzalez, Beatriz IR - Paya Gonzalez B FIR - Pelaez, Jose Carlos IR - Pelaez JC FIR - Perez Eguiagaray, Ivan IR - Perez Eguiagaray I FIR - Pineiro Dieguez, Benjamin IR - Pineiro Dieguez B FIR - Rodriguez Arrebola, Eloy IR - Rodriguez Arrebola E FIR - Rodriguez Sacristan Cascajo, Andres IR - Rodriguez Sacristan Cascajo A FIR - Romero Escobar, Helena IR - Romero Escobar H FIR - Royo Moya, Javier IR - Royo Moya J FIR - Ruiz Lozano, Maria Jose IR - Ruiz Lozano MJ FIR - Salmeron Ruiz, Maria Angustias IR - Salmeron Ruiz MA FIR - Sanchez Garcia Del Castillo, Carmen IR - Sanchez Garcia Del Castillo C FIR - Sole Montserrat, Joaquin Maria IR - Sole Montserrat JM FIR - Vacas Moreira, Rosario IR - Vacas Moreira R FIR - Valverde Gomez, Magdalena IR - Valverde Gomez M EDAT- 2018/11/23 06:00 MHDA- 2019/12/31 06:00 CRDT- 2018/11/23 06:00 PHST- 2018/02/24 00:00 [received] PHST- 2018/07/03 00:00 [revised] PHST- 2018/07/05 00:00 [accepted] PHST- 2018/11/23 06:00 [pubmed] PHST- 2019/12/31 06:00 [medline] PHST- 2018/11/23 06:00 [entrez] AID - S1695-4033(18)30369-2 [pii] AID - 10.1016/j.anpedi.2018.07.014 [doi] PST - ppublish SO - An Pediatr (Engl Ed). 2019 Jun;90(6):349-361. doi: 10.1016/j.anpedi.2018.07.014. Epub 2018 Nov 18.