Comorbidity of Allergic and Autoimmune Diseases Among Patients With ADHD: A Nationwide Population-Based Study

被引:75
作者
Chen, Mu-Hong [1 ]
Su, Tung-Ping [1 ,2 ]
Chen, Ying-Sheue [1 ]
Hsu, Ju-Wei [1 ]
Huang, Kai-Lin [1 ,2 ]
Chang, Wen-Han [1 ]
Chen, Tzeng-Ji [3 ,4 ]
Bai, Ya-Mei [1 ,2 ]
机构
[1] Taipei Vet Gen Hosp, Dept Psychiat, Taipei, Taiwan
[2] Natl Yang Ming Univ, Dept Psychiat, Coll Med, Taipei, Taiwan
[3] Taipei Vet Gen Hosp, Dept Family Med, Taipei, Taiwan
[4] Natl Yang Ming Univ, Inst Hosp & Hlth Care Adm, Taipei, Taiwan
关键词
ADHD; allergy; autoimmune diseases; comorbidity; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; DEFICIT HYPERACTIVITY DISORDER; INFLAMMATORY-BOWEL-DISEASE; THYROID-FUNCTION; HLA-DR; PSYCHIATRIC COMORBIDITY; MENTAL-DISORDERS; CHILDHOOD ASTHMA; ATOPIC ECZEMA; ASSOCIATION;
D O I
10.1177/1087054712474686
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040206 [发展心理学];
摘要
Objective: Patients with ADHD have been suggested to have increased risks of allergic diseases but without consistent results, and limited studies about the association between ADHD and autoimmune diseases were noted in the literature. Method: Utilizing the Taiwan National Health Insurance Research Database, ADHD patients were identified and compared with age- and gender-matched controls (1:4). Results: In all, 8,201 participants were identified as having ADHD, and an increased prevalence of allergic diseases, including asthma (odds ratio [OR] = 1.53), allergic rhinitis (OR = 1.59), atopic dermatitis (OR = 1.53), and urticaria (OR = 1.39), compared with the control group. Although the comorbidity of autoimmune diseases with ADHD was low, ADHD patients had a significantly greater prevalence of ankylosing spondylitis (OR = 2.78), ulcerative colitis (OR = 2.31), and autoimmune thyroid disease (OR = 2.53) than the controls. Conclusion: Our results supported the association between ADHD and allergic/autoimmune diseases. The further studies will be required to clarify the underlying mechanisms.
引用
收藏
页码:219 / 227
页数:9
相关论文
共 68 条
[1]
Allergic airway inflammation [J].
Agrawal, DK ;
Bharadwaj, A .
CURRENT ALLERGY AND ASTHMA REPORTS, 2005, 5 (02) :142-148
[2]
Serum titres of anti-glutamic acid decarboxylase-65 and anti-IA-2 autoantibodies are associated with different immunoregulatory milieu in newly diagnosed type 1 diabetes patients [J].
Andrade Lima Gabbay, M. ;
Sato, M. N. ;
Duarte, A. J. S. ;
Dib, S. A. .
CLINICAL AND EXPERIMENTAL IMMUNOLOGY, 2012, 168 (01) :60-67
[3]
Involvement of IL-6 in the pathogenesis of inflammatory bowel disease and colon cancer [J].
Atreya, R ;
Neurath, MF .
CLINICAL REVIEWS IN ALLERGY & IMMUNOLOGY, 2005, 28 (03) :187-195
[4]
INVESTIGATION ON THE POSSIBLE RELATIONSHIP EXISTING BETWEEN THE HLA-DR GENE AND ATTENTION DEFICIT HYPERACTIVITY DISORDER AND/OR MENTAL RETARDATION [J].
Aureli, A. ;
Sebastiani, P. ;
Del Beato, T. ;
Marimpietri, A. ;
Melillo, V. ;
Sechi, E. ;
Di Loreto, S. .
INTERNATIONAL JOURNAL OF IMMUNOPATHOLOGY AND PHARMACOLOGY, 2008, 21 (04) :985-991
[5]
Co-existence of ADHD, autoimmune hypothyroidism and pituitary macroadenoma presenting in a behaviour clinic: a case report and brief review of the literature [J].
Banerjee, Jayanta ;
Bhojani, Sheetal ;
Emcy, Naina .
JOURNAL OF PEDIATRIC ENDOCRINOLOGY & METABOLISM, 2011, 24 (3-4) :229-231
[6]
Child and adolescent mental disorders: the magnitude of the problem across the globe [J].
Belfer, Myron L. .
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY, 2008, 49 (03) :226-236
[7]
Mechanisms of disease: Atopic dermatitis [J].
Bieber, Thomas .
NEW ENGLAND JOURNAL OF MEDICINE, 2008, 358 (14) :1483-1494
[8]
ASSOCIATIONS BETWEEN CHILDHOOD ASTHMA AND ADHD - ISSUES OF PSYCHIATRIC COMORBIDITY AND FAMILIALITY [J].
BIEDERMAN, J ;
MILBERGER, S ;
FARAONE, SV ;
GUITE, J ;
WARBURTON, R .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1994, 33 (06) :842-848
[9]
Twin study on transplacental-acquired antibodies and attention deficit/hyperactivity disorder - A pilot study [J].
Bilenberg, Niels ;
Hougaard, David ;
Norgaard-Pedersen, Bent ;
Nordenbaek, Claudia Maria ;
Olsen, Jorn .
JOURNAL OF NEUROIMMUNOLOGY, 2011, 236 (1-2) :72-75
[10]
Developmental and behavioral comorbidities of asthma in children [J].
Blackman, James A. ;
Gurka, Matthew J. .
JOURNAL OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS, 2007, 28 (02) :92-99