Comorbidities in Developmental Disorders – Chapter 4: Comorbidity in Neurodevelopmental Disorders (ebook)
Chapter 4 of the book – Comorbidity in Neurodevelopmental Disorders: The Case of Attention-Deficit–Hyperactivity Disorder
Most children with the symptoms of attention-defi cit–hyperactivity disorder (ADHD) show signs of other diagnoses as well. This has been the conclusion of several reviews – see, for instance, Gillberg et al. (2004) – and it is the starting point for this one. The frequency of associated problems has given rise to uncertainty and confusion in the treatment of ADHD. Complex cases may not have the ADHD component recognised or may have it treated in ways that miss the other conditions. Families can be confused if the children receive multiple labels, especially when they seem contradictory.
About the complete book
In the last decade the term ’comorbidity’ has gained popularity in the field of paediatric neurodisability, with the increasing recognition that many conditions are rarely present in isolation. Within this field, the term is often used to refer to the co-occurrence of conditions more frequently than would be expected by chance, which can include instances where one condition causes the other, where they share a common cause (for example, genetic), or where they are in fact manifestations of a single condition. Whether it is valid to use the term ’comorbidity’ in all these situations, and how precisely it should be used, is something that the contributors to this book grapple with in their own fields of interest. The contributors, all world experts in their fields, also discuss what we can learn from the presence of comorbidities, however defined, about the aetiology and treatment of neurodevelopmental disabilities. In particular, they demonstrate how our increasing understanding of the mechanisms underlying the common association of many ‘comorbidities’ is helping us to understand the natural history of these conditions and improve our management of them.
Paediatricians, paediatric neurologists, child psychiatrists, neurodevelopmentalists, and physical, occupational and speech therapists working with children with developmental disabilities.
Clinics in Developmental Medicine No. 187