Lehrereinschätzung bei Kindern mit ADHS korreliert mit der Entwicklung von Persönlichkeitsstörungen im Jugend- und jungen Erwachsenenalter
Childhood antecedents of Personality Disorders (PD) have long been neglected with the exception of conduct disorders as an antecedent of Antisocial PD. In recent years Attention-deficit / Hyperactivity Disorder (ADHD) in children is seen as a possible risk factor for the development of PD and disturbances in attentional, emotional, behavioral and relational domains in early adolescence were linked with symptoms in adulthood. However, no specific risk factors for the development of PD in children in ADHD have been identified so far. Results: 100 former patients of our outpatient clinic, who have been treated for ADHD before the age of 14, and were now at least 16 years old, could be reached by mail or phone. 34 participants could be included in this study. 9 (26,5 %) met criteria for at least one PD, 4 out these 9 met criteria for more than 1 PD. The participants who met criteria for PD at T1 showed no differences in the CBCL scores at T0, but higher Total and externalizing scores in the TRF at T0. They also showed more behavioral problems at T0 in the scale behavioral instability and there was a trend for differences in relational disturbance between the two groups. Discussion: 26,5 % met the criteria for PD, especially for Cluster B disorders. Those participants, who developed a PD, showed already as children more externalizing symptoms, behavioral problems and maybe relational problems than those, who didn’t develop a PD. Contrary to our expectations there was no difference in emotional and attentional symptoms found, which is possibly a result of our small sample size. The small sample size didn’t allow as well to differentiate between types of PD. Further studies to confirm our findings are therefore necessary. However, in the clinical work with children with ADHD those with high behavioral and relational problems should gain special attention for being at special risk to development PD as adolescents or young adults.
Erstellung / Fertigstellung
Normierte SchlagwörterAufmerksamkeitsdefizit-Syndrom [GND]
Attention deficiency disorder with hyperactivity [MeSH]
Personality disorders; In adolescence [MeSH]
Personality disorders; In infancy and childhood [MeSH]