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July2005 Vol.42 Issue:        2        Table of Contents
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Prevalence of Attention Deficit Hyperactivity Disorder Among Elementary Schools Children in Assiut City-Egypt

Hamdy N. El-Tallawy1, Wageeh A. Hassan1, Abd El-Rakeep A. El-Behary2, Ghaydaa A. Shehata1
Departments of Neurology and Psychiatry1, Psychology, Faculty of Education2, Assiut University


Objective: To estimate the prevalence of ADHD among elementary schools children in Assiut City of both sex with age ranged from 8-10.5 years, and searching out the possible risk factors responsible for ADHD. Method: we studied 1513 students, distributed geographically.  The students were subjected to the following tools; Children's Attention and Adjustment Survey (school and house forms), WISC; Diagnostic criteria of DSM-IV (APA, 1994) for ADHD, social scale assessment, and a special questionnaire for detection of risk factors of ADHD Data were collected among one academic year. Results The study revealed that the prevalence rate of ADHD was 6% among elementary schools, the subtypes were: ADHD-predominant hyperactive-impulsive type 3.3%, ADHD-combined type 2%, and ADHD-predominant inattentive type 0.7%, male to female ratio was 1.5:1.  Risk factors for ADHD were: large family size (29%), convulsion (11%), trauma to the head during the first two years of life (7.7%), isolation of the child from one or both parents for a time in inattentive subtype of ADHD (50.5%), and artificial feeding (12.1%), family History of ADHD was higher among families with ADHD than control group.  The first and last births had relation to ADHD.  Conclusion, we can conclude that the prevalence rate of ADHD among elementary school children in Assiut City, 3rd grade was 6%.  This helped us to estimate the magnitude of this problem among the elementary school children which lead to proper design of a preventive and therapeutic intervention programs; also our study revealed that ADHD was associated with many risk factors.  So dealing with these risk factors may lead to decrease the incidence and prevalence of these cases and its associated disorders.

(Egypt J. Neurol. Psychiat. Neurosurg., 2005, 42(2): 517-526).


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