0021-7557/$ - see front matter © 2013 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.
J Pediatr (Rio J). 2013;89(2):124−130
☆Please, cite this article as: Reinhardt MC, Reinhardt CA. Attention deficit-hyperactivity disorder, comorbidities, and risk situations.
J Pediatr (Rio J). 2013;89:124−30.
* Corresponding author.
E-mail: firstname.lastname@example.org (M.C. Reinhart).
Attention deficit-hyperactivity disorder, comorbidities,
and risk situations☆
Marcelo C. Reinhardta,*, Caciane A.U. Reinhardtb
aMSc in Psychiatry. Child and Adolescent Psychiatrist Specialist, Universidade Federal do Rio Grande do Sul,
Porto Alegre, RS, Brazil. General Psychiatrist and Physician, Universidade Federal de Pelotas, Pelotas, RS, Brazil
bCognitive-Behavior Therapy Specialist, Instituto Catarinense de Terapia Cognitiva, Florianópolis, SC, Brazil.
Psychologist, Universidade do Vale do Itajaí, Itajaí, SC, Brazil
Received 19 September 2012; accepted 31 October 2012
Objective: Attention deficit/hyperactivity disorder (ADHD) is highly prevalent, and its
symptoms often represent a significant public health problem; thus, the aim of this study
was to verify emergency situations caused by certain comorbidities, or by exposing the
patient to a higher risk of accidents.
Data source: A literature search was carried out in the PubMed database between the
years 1992 and 2012, using the key words “adhd”, “urgency”, “comorbidity”, “substance
disorder”, “alcohol”, “eating disorder”, “suicide”, “trauma”, “abuse”, “crime”,
“internet”, “videogame”, “bullying”, and their combinations. The selection considered
the most relevant articles according to the scope of the proposed topic, performed in a
Data synthesis: Several situations were observed in which ADHD is the most relevant
psychiatric diagnosis in relation to its urgency, such as the risk of accidents, suicide
risk and addition, exposure to violence, or risk of internet abuse or sexual abuse; or
when ADHD is the most prevalent comorbidity and is also correlated with emergency
situations, such as in bipolar and eating disorders.
Conclusions: The results show several comorbidities and risk situations involving the
diagnosis of ADHD, thus reinforcing the importance of their identification for the
adequate treatment of this disorder.
© 2013 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda.
All rights reserved.
130 Reinhardt MC & Reinhardt CA
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