Natural prognosis of childhood attention deficit and disruptive behavior disorder:comparison between two follow-ups of 4- and 8-year

ObjectiveTo explore time variations in self-healing rate and the incidence of other psychiatric disorders among the children with attention deficit and disruptive behavior disorder (ADDBD).MethodsTwo follow-up surveys at 4- and 8-year after the diagnosis of ADDBD were conducted among 182 child cases diagnosed during a study carried out between March and April 2005 in 22 primary schools in Tanghe county of Henan province.The clinical symptoms of ADDBD and other psychiatric disorders were assessed based on Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV).ResultsThe self-healing rate of attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) were both higher at the second follow-up in 2013 than those at the first-follow up in 2009 (P=0.001 and P=0.003).There were no differences in the incidence rate of other psychiatric disorders among the children with ADHD,ODD,and ADHD comorbid with ODD (P>0.05 for all) at the two follow-ups,so did the incidence rates of anxiety disorder,depression disorder,internet addiction disorder,and bipolar disorder (P>0.05 for all).ConclusionThe clinical manifestations of children with ADDBD alleviate with the course of the diseases,especially for the children with ADHD and ODD.ADDBD may predict subsequent affective disorders among child cases.