Trastorno por déficit de atención e hiperactividad y su relación diagnóstica con el Trastorno por estrés postraumático infantilUna revisión sistemática

  1. Miguel Aguirre Sánchez 1
  2. Francesc Sidera-Caballero 1
  3. Carles Rostan-Sánchez 1
  4. Iban Onandia-Hinchado 2
  1. 1 Universitat de Girona. España
  2. 2 Universidad del País Vasco/Euskal Herriko Unibertsitatea
    info

    Universidad del País Vasco/Euskal Herriko Unibertsitatea

    Lejona, España

    ROR https://ror.org/000xsnr85

Journal:
Revista de Psicología Clínica con Niños y Adolescentes

ISSN: 2340-8340

Year of publication: 2022

Volume: 9

Issue: 1

Type: Article

More publications in: Revista de Psicología Clínica con Niños y Adolescentes

Abstract

Attention Deficit Hyperactivity Disorder (ADHD) is highly prevalent in both childhood and adolescence. Recently, there has been a growing interest in this disorder from a social, professional and educational perspective. Diagnostic errors in ADHD may be due to unidentified possible cases of PTSD (post-traumatic stress disorder). The main objective is to investigate the relationship between ADHD and PTSD in childhood and to analyze whether this relationship can lead to misdiagnosis. We carried out a systematic review of the scientific literature by means of specialized databases using the terms “ADHD”, “trauma”, “PTSD”, “child abuse”, “attention deficit” and with special interest in articles relating ADHD with PTSD. The different studies analyzed showed a close relationship between some symptoms of ADHD with some of the symptoms of PTSD in children and vice versa. Children who have suffered trauma often show symptoms similar to ADHD and these, in turn, overlap with PTSD. Distinguishing a diagnosis of PTSD with one of ADHD can be a complex process if we also consider that one disorder can influence the expression of the other (and vice versa). A correct differential diagnosis and an accurate assessment of every possible case of ADHD are essential to avoid false positives. The main contribution of this work is to point out the need to take into account the exploration of possible previous traumas in the clinical history within the process of evaluation and diagnosis of possible ADHD

Bibliographic References

  • Barkley, R. A., & Murphy, K. R. (2006). Attention-deficit hyperactivity disorder: A clinical workbook. Guilford Press. Benjumea, P., Mojarro, M. (1993). Trastornos hipercinéticos: estudio epidemiológico en doble fase de una población sevillana. Anales de Psiquiatría, 17(6), 265-270.
  • Biederman, J., Milberger, S., Faraone, S. V., Kiely, K., Guite, J., Mick, E., Ablon, J. S., Warburton, R., Reed, E., & Davis, S. G. (1995). Impact of adversity on functioning and comorbidity in children with attention-deficit hyperactivity disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 34(11), 1495-1503. https://doi.org/10.1097/00004583- 199511000-00017
  • Biederman, J., Petty, C. R., Spencer, T. J., Woodworth, K. Y., Bhide, P., Zhu, J., & Faraone, S. V. (2013). Examining the nature of the comorbidity between pediatric attention deficit/hyperactivity disorder and post-traumatic stress disorder: ADHD and PTSD. Acta Psychiatrica Scandinavica, 128(1), 78-87. https://doi.org/10.1111/acps.12011
  • Bremness, A., & Polzin, W. (2014). Commentary: Developmental Trauma Disorder: A Missed Opportunity in DSM V. Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal De l’Academie Canadienne De Psychiatrie De L’enfant Et De L’adolescent, 23(2), 142-145.
  • Breslau, N., Lucia, V. C., & Alvarado, G. F. (2006). Intelligence and Other Predisposing Factors in Exposure to Trauma and Posttraumatic Stress Disorder: A Follow-up Study at Age 17 Years. Archives of General Psychiatry, 63(11), 1238. https://doi.org/10.1001/archpsyc.63.11.1238
  • Briscoe-Smith, A. M., & Hinshaw, S. P. (2006). Linkages between child abuse and attention-deficit/hyperactivity disorder in girls: Behavioral and social correlates. Child Abuse & Neglect, 30(11), 1239-1255. https://doi. org/10.1016/j.chiabu.2006.04.008
  • Brown, N. M., Brown, S. N., Briggs, R. D., Germán, M., Belamarich, P. F., & Oyeku, S. O. (2017). Associations Between Adverse Childhood Experiences and ADHD Diagnosis and Severity. Academic Pediatrics, 17(4), 349-355. https://doi.org/10.1016/j.acap.2016.08.013
  • Cardo, E., Servera, M., & Llobera, J. (2007). [Estimation of the prevalence of attention deficit hyperactivity disorder among the standard population on the island of Majorca]. Revista De Neurología, 44(1), 10-14.
  • Carrion, V. G., Weems, C. F., Ray, R., & Reiss, A. L. (2002). Toward an Empirical Definition of Pediatric PTSD: The Phenomenology of PTSD Symptoms in Youth. Journal of the American Academy of Child & Adolescent Psychiatry, 41(2), 166-173. https://doi.org/10.1097/00004583-200202000-00010
  • Catalá-López, F., Peiró, S., Ridao, M., Sanfélix-Gimeno, G., Gènova-Maleras, R., & Catalá, M. A. (2012). Prevalence of attention deficit hyperactivity disorder among children and adolescents in Spain: A systematic review and meta-analysis of epidemiological studies. BMC Psychiatry, 12, 168. https://doi.org/10.1186/1471-244X-12-168
  • Cengel-Kültür, E., Cuhadaroğlu-Cetin, F., & Gökler, B. (2007). Demographic and clinical features of child abuse and neglect cases. The Turkish Journal of Pediatrics, 49(3), 256-262.
  • Conway, F., Oster, M., & Szymanski, K. (2011). ADHD and Complex Trauma: A Descriptive Study of Hospitalized Children in an Urban Psychiatric Hospital. Journal of Infant, Child, and Adolescent Psychotherapy, 10(1), 60-72. https://doi.org/10.1080/15289168.2011.575707
  • Cornellà Canals, J., & Juárez López, J. R. (2014). Sintomatología del trastorno por déficit de atención con hiperactividad y su relación con el maltrato infantil: Predictor y consecuencia. Anales de Pediatría, 81(6), 398.e1-398. e5. https://doi.org/10.1016/j.anpedi.2014.05.022
  • Cotuono, A. J. (1993). The diagnosis of attention deficit hyperactivity disorder (ADHD) in community mental health centers: Where and when. Psychology in the Schools, 30(4), 338-344. https://doi.org/10.1002/1520- 6807(199310)30:43.0.CO;2-S
  • D’Andrea, W., Ford, J., Stolbach, B., Spinazzola, J., & van der Kolk, B. A. (2012). Understanding interpersonal trauma in children: Why we need a developmentally appropriate trauma diagnosis. American Journal of Orthopsychiatry, 82(2), 187-200. https://doi.org/10.1111/j.1939-0025.2012.01154.x
  • Dalianis-Karambatzakis, M. (1994). Children in turmoil during the Greek Civil War, 1946–49: Today’s adults. Stockholm: Karolinska Institutet.
  • Danielson, M. L., Bitsko, R. H., Ghandour, R. M., Holbrook, J. R., Kogan, M. D., & Blumberg, S. J. (2018). Prevalence of Parent-Reported ADHD Diagnosis and Associated Treatment Among U.S. Children and Adolescents, 2016. Journal of Clinical Child and Adolescent Psychology: The Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53, 47(2), 199-212. https://doi.org/10. 1080/15374416.2017.1417860
  • Daud, A., & Rydelius, P.-A. (2009). Comorbidity/overlapping between ADHD and PTSD in relation to IQ among children of traumatized/non-traumatized parents. Journal of Attention Disorders, 13(2), 188-196. https://doi. org/10.1177/1087054708326271
  • Davidovitch, M., Koren, G., Fund, N., Shrem, M., & Porath, A. (2017). Challenges in defining the rates of ADHD diagnosis and treatment: Trends over the last decade. BMC Pediatrics, 17(1), 218. https://doi.org/10.1186/ s12887-017-0971-0
  • De Brito, S. A., Viding, E., Sebastian, C. L., Kelly, P. A., Mechelli, A., Maris, H., & McCrory, E. J. (2013). Reduced orbitofrontal and temporal grey matter in a community sample of maltreated children. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 54(1), 105-112. https:// doi.org/10.1111/j.1469-7610.2012.02597.x
  • Desgranges, K., Desgranges, L., & Karsky, K. (1995). Attention deficit disorder: Problems with preconceived diagnosis. Child & Adolescent Social Work Journal, 12(1), 3-17. https://doi.org/10.1007/BF01876136
  • Duñó-Ambròs, L. (2015). TDAH infantil y metilfenidato: predictores clínicos de respuesta al tratamiento. Universitat Autònoma de Barcelona. Tesis doctoral.
  • Evans, W. N., Morrill, M. S., & Parente, S. T. (2010). Measuring inappropriate medical diagnosis and treatment in survey data: The case of ADHD among school-age children. Journal of Health Economics, 29(5), 657-673. https://doi.org/10.1016/j.jhealeco.2010.07.005
  • Famularo, R., Fenton, T., Kinscherff, R., & Augustyn, M. (1996). Psychiatric comorbidity in childhood post traumatic stress disorder. Child Abuse & Neglect, 20(10), 953-961. https://doi.org/10.1016/0145-2134(96)00084-1
  • Ford, J. D., Racusin, R., Ellis, C. G., Daviss, W. B., Reiser, J., Fleischer, A., & Thomas, J. (2000). Child maltreatment, other trauma exposure, and posttraumatic symptomatology among children with oppositional defiant and attention deficit hyperactivity disorders. Child Maltreatment, 5(3), 205-217. https://doi.org/10.1177/1077559500005003001
  • Fuller-Thomson, E., Mehta, R., & Valeo, A. (2014). Establishing a Link Between Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder and Childhood Physical Abuse. Journal of Aggression, Maltreatment & Trauma, 23(2), 188-198. https://doi.org/10.1080/10926771.2014.873510
  • García, J.J., Domínguez, J. (2012) ¿Existe un sobrediagnóstico del trastorno de déficit de atención e hiperactividad (TDAH)? Evidencias en Pediatría Vol 8(51), 1-5.
  • Gibbons, B. (2020). Using Child-Centered Play Therapy as an Intervention to Reassess ADHD Diagnoses and Trauma in Children: A Literature Review.
  • Hanbury, L. (2017). ADHD, trauma and neglect: How do we prevent children who are in the child protection system from being misdiagnosed with ADHD?. Childrens Research Digest, 4(2), 24.
  • Handler, M. W., & DuPaul, G. J. (2005). Assessment of ADHD: Differences Across Psychology Specialty Areas. Journal of Attention Disorders, 9(2), 402-412. https://doi.org/10.1177/1087054705278762
  • Jabour, R. A. (2015). How to Differentiate ADHD from PTSD in Children: Clinicians Perspectives. Retrieved from Sophia, the St. Catherine University repository website: https://sophia.stkate.edu/msw_papers/467
  • Jonson-Reid, M., Presnall, N., Drake, B., Fox, L., Bierut, L., Reich, W., Kane, P., Todd, R. D., & Constantino, J. N. (2010). Effects of child maltreatment and inherited liability on antisocial development: An official records study. Journal of the American Academy of Child and Adolescent Psychiatry, 49(4), 321-332; quiz 431.
  • Kelly, P. A., Viding, E., Wallace, G. L., Schaer, M., De Brito, S. A., Robustelli, B., & McCrory, E. J. (2013). Cortical thickness, surface area, and gyrification abnormalities in children exposed to maltreatment: Neural markers of vulnerability? Biological Psychiatry, 74(11), 845-852. https://doi. org/10.1016/j.biopsych.2013.06.020
  • Koenen, K. C., Moffitt, T. E., Poulton, R., Martin, J., & Caspi, A. (2007). Early childhood factors associated with the development of post-traumatic stress disorder: Results from a longitudinal birth cohort. Psychological Medicine, 37(2), 181-192. https://doi.org/10.1017/S0033291706009019
  • Lieberman, A. F., Chu, A., Van Horn, P., & Harris, W. W. (2011). Trauma in early childhood: Empirical evidence and clinical implications. Development and Psychopathology, 23(2), 397-410. https://doi.org/10.1017/ S0954579411000137
  • Lipschitz, D. S., Morgan, C. A., & Southwick, S. M. (2002). Neurobiological Disturbances in Youth with Childhood Trauma and in Youth with Conduct Disorder. Journal of Aggression, Maltreatment & Trauma, 6(1), 149-174. https://doi.org/10.1300/J146v06n01_08
  • Littman, E. B. (2009). Toward an understanding of the ADHD-trauma connection. Sexual Abuse, 20, 359-378.
  • Lugo-Candelas, C., Corbeil, T., Wall, M., Posner, J., Bird, H., Canino, G., Fisher, P. W., Suglia, S. F., & Duarte, C. S. (2021). ADHD and risk for subsequent adverse childhood experiences: Understanding the cycle of adversity. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 62(8), 971-978. https://doi.org/10.1111/jcpp.13352
  • McLeer, S. V., Callaghan, M., Henry, D., & Wallen, J. (1994). Psychiatric Disorders in Sexually Abused Children. Journal of the American Academy of Child & Adolescent Psychiatry, 33(3), 313-319. https://doi. org/10.1097/00004583-199403000-00003
  • Mitchell, J. T., Sibley, M. H., Hinshaw, S. P., Kennedy, T. M., Chronis-Tuscano, A., Arnold, L. E., Swanson, J. M., Hechtman, L. T., Molina, B. S. G., Caye, A., Tamm, L., Owens, E. B., Roy, A., Weisner, T. S., Murray, D. W., & Jensen, P. S. (2021). A Qualitative Analysis of Contextual Factors Relevant to Suspected Late-Onset ADHD. Journal of Attention Disorders, 25(5), 724-735. https://doi.org/10.1177/1087054719837743
  • Morán-Sánchez, I., Navarro-Mateu, F., Robles Sánchez, F., & de Concepción Salesa, A. (2008). Validez del diagnóstico clínico de trastorno por déficit de atención con hiperactividad en las derivaciones de pediatría a la consulta de psiquiatría infantil. Atención Primaria, 40(1), 29-33. https://doi. org/10.1157/13114322
  • Music, G. (2014). Top down and bottom up: Trauma, executive functioning, emotional regulation, the brain and child psychotherapy. Journal of Child Psychotherapy, 40(1), 3-19. https://doi.org/10.1080/00754 17X.2014.883125
  • Oswald, S. H., Fegert, J. M., & Goldbeck, L. (2010). Posttraumatic stress symptoms in foster children following maltreatment and neglect. Verhaltenstherapie, 20(1), 37-44.
  • Pallanti, S., & Salerno, L. (2020). Adult ADHD in Trauma-and Stressor-Related Disorders. In The Burden of Adult ADHD in Comorbid Psychiatric and Neurological Disorders (pp. 201-215). Springer.
  • Perry, B. D. (2006). Fear and learning: Trauma-related factors in the adult education process. New Directions for Adult and Continuing Education, 2006(110), 21-27. https://doi.org/10.1002/ace.215
  • Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015). Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of child psychology and psychiatry, and allied disciplines, 56(3), 345–365. https://doi. org/10.1111/jcpp.12381
  • Rivas-Juesas, C., de Dios, J. G., Benac-Prefaci, M., & Colomer-Revuelta, J. (2017). Análisis de los factores ligados al diagnóstico del trastorno por déficit de atención e hiperactividad en la infancia. Neurología, 32(7), 431- 439. https://doi.org/10.1016/j.nrl.2016.01.006
  • Romero Pérez, J. F., Lavigne Cerván, R., Díaz Podadera, M. T., Gallardo Fortes, E., Niño Sánchez-Guisande, C., Niño Sánchez-Guisande, P., ... & Rodríguez Domínguez, R. (2005). Dificultades en el Aprendizaje: Unificación de Criterios Diagnósticos. I. Definición, Características y tipos. Consejería de Educación. Junta de Andalucía.
  • Rucklidge, J. J., Brown, D. L., Crawford, S., & Kaplan, B. J. (2006). Retrospective reports of childhood trauma in adults with ADHD. Journal of Attention Disorders, 9(4), 631-641. https://doi.org/10.1177/1087054705283892
  • Sanderud, K., Murphy, S., & Elklit, A. (2016). Child maltreatment and ADHD symptoms in a sample of young adults. European Journal of Psychotraumatology, 7, 32061. https://doi.org/10.3402/ejpt.v7.32061
  • Schilpzand, E. J., Sciberras, E., Alisic, E., Efron, D., Hazell, P., Jongeling, B., Anderson, V., & Nicholson, J. M. (2018). Trauma exposure in children with and without ADHD: Prevalence and functional impairment in a community-based study of 6-8-year-old Australian children. European Child & Adolescent Psychiatry, 27(6), 811-819. https://doi.org/10.1007/ s00787-017-1067-y
  • Schneider, H., & Eisenberg, D. (2006). Who receives a diagnosis of attention-deficit/ hyperactivity disorder in the United States elementary school population? Pediatrics, 117(4), e601-609. https://doi.org/10.1542/ peds.2005-1308
  • Sciutto, M. J., & Eisenberg, M. (2007). Evaluating the evidence for and against the overdiagnosis of ADHD. Journal of Attention Disorders, 11(2), 106- 113. https://doi.org/10.1177/1087054707300094
  • Siegfried, C. B., & Blackshear, K. (2016). Is it ADHD or child traumatic stress? A guide for Clinicians. National Child Traumatic Stress Network (NCTSN).
  • Soma, Y., Nakamura, K., Oyama, M., Tsuchiya, Y., & Yamamoto, M. (2009). Prevalence of attention-deficit/hyperactivity disorder (ADHD) symptoms in preschool children: Discrepancy between parent and teacher evaluations. Environmental Health and Preventive Medicine, 14(2), 150-154. https://doi.org/10.1007/s12199-008-0075-4
  • Sugaya, L., Hasin, D. S., Olfson, M., Lin, K.-H., Grant, B. F., & Blanco, C. (2012). Child physical abuse and adult mental health: A national study. Journal of Traumatic Stress, 25(4), 384-392. https://doi.org/10.1002/jts.21719
  • Syed Arshad Husain, Allwood, M. A., & Bell, D. J. (2008). The Relationship Between PTSD Symptoms and Attention Problems in Children Exposed to the Bosnian War. Journal of Emotional and Behavioral Disorders, 16(1), 52-62. https://doi.org/10.1177/1063426607310847
  • Szymanski, K., Sapanski, L., & Conway, F. (2011). Trauma and ADHD – Association or Diagnostic Confusion? A Clinical Perspective. Journal of Infant, Child, and Adolescent Psychotherapy, 10(1), 51-59. https://doi.org/10.1080 /15289168.2011.575704
  • Thomas, R., Sanders, S., Doust, J., Beller, E., & Glasziou, P. (2015). Prevalence of attention-deficit/hyperactivity disorder: A systematic review and meta-analysis. Pediatrics, 135(4), e994-1001. https://doi.org/10.1542/ peds.2014-3482
  • Tizón, J. (2016). Informe Salud Mental de niños y adolescentes: diagnóstico y tratamiento a debate. Recuperado de: https://drive.google.com/file/ d/0B-4TYgiO0Sg7MHppa0o5UzJDLXM/view
  • Trujillo, D.S., & López, L.C.T. (2018). Sobrediagnóstico del Trastorno por Déficit de Atención e Hiperactividad: producto contextual o afinidad clínica. Revista Electrónica Psyconex, 10(16), 1-15.
  • Ulloa Flores, R. E., & Navarro Machuca, I. G. (2011). Estudio descriptivo de la prevalencia y tipos de maltrato en adolescentes con psicopatología. Salud mental, 34(3), 219-225.
  • Visser, S. N., Danielson, M. L., Bitsko, R. H., Holbrook, J. R., Kogan, M. D., Ghandour, R. M., Perou, R., & Blumberg, S. J. (2014). Trends in the parent-report of health care provider-diagnosed and medicated attention-deficit/hyperactivity disorder: United States, 2003-2011. Journal of the American Academy of Child and Adolescent Psychiatry, 53(1), 34-46.e2. https://doi.org/10.1016/j.jaac.2013.09.001
  • Wasserman, R. C., Kelleher, K. J., Bocian, A., Baker, A., Childs, G. E., Indacochea, F., Stulp, C., & Gardner, W. P. (1999). Identification of attentional and hyperactivity problems in primary care: A report from pediatric research in office settings and the ambulatory sentinel practice network. Pediatrics, 103(3), E38. https://doi.org/10.1542/peds.103.3.e38
  • Weinstein, D., Staffelbach, D., & Biaggio, M. (2000). Attention-deficit hyperactivity disorder and posttraumatic stress disorder: Differential diagnosis in childhood sexual abuse. Clinical Psychology Review, 20(3), 359-378. https://doi.org/10.1016/s0272-7358(98)00107-x
  • Welch, H. G. S. L., & Woloshin, S. (2011). Overdiagnosed: Making people sick in the pursuit of health. Beacon Press