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Urinary catecholamines in attention-deficit hyperactivity disorder with and without comorbid anxiety.
Pliszka, S R; Maas, J W; Javors, M A; Rogeness, G A; Baker, J.
Afiliación
  • Pliszka SR; Department of Psychiatry, University of Texas Health Science Center at San Antonio 78284-7792.
J Am Acad Child Adolesc Psychiatry ; 33(8): 1165-73, 1994 Oct.
Article en En | MEDLINE | ID: mdl-7982867
OBJECTIVE: To determine whether there are differences in noradrenergic or adrenergic functioning in children with attention-deficit hyperactivity disorder (ADHD) with and without anxiety. METHOD: ADHD children with and without a comorbid overanxious (ANX) disorder were compared to each other and to normal controls in terms of 2-hour urinary excretion of norepinephrine (NE), epinephrine (EPI), and their metabolites. All subjects performed a fixed series of mentally stressful tasks during the collection period. RESULTS: Children with ADHD, regardless of comorbid anxiety, excreted more normetanephrine (NMN), the chief extracellular metabolite of NE, than controls, as well as more vanillylmandelic acid. Children with ADHD alone had lower NE/NMN and EPI/metanephrine ratios compared to controls. Children with ADHD/ANX excreted more EPI than ADHD children without anxiety. CONCLUSIONS: Children with ADHD may have a higher tonic activity of the noradrenergic system than controls, while children with comorbid ADHD/ANX may be differentiated from those with ADHD alone by higher adrenergic activity.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de Ansiedad / Trastorno por Déficit de Atención con Hiperactividad / Epinefrina / Norepinefrina Límite: Child / Female / Humans / Male Idioma: En Revista: J Am Acad Child Adolesc Psychiatry Asunto de la revista: PEDIATRIA / PSIQUIATRIA Año: 1994 Tipo del documento: Article Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de Ansiedad / Trastorno por Déficit de Atención con Hiperactividad / Epinefrina / Norepinefrina Límite: Child / Female / Humans / Male Idioma: En Revista: J Am Acad Child Adolesc Psychiatry Asunto de la revista: PEDIATRIA / PSIQUIATRIA Año: 1994 Tipo del documento: Article Pais de publicación: Estados Unidos