Effect of Chronic Rhinitis Treatment in Children with Attention-Deficit/Hyperactivity Disorder
Issued Date
2023-10-01
Resource Type
eISSN
15367312
Scopus ID
2-s2.0-85173582382
Pubmed ID
37555722
Journal Title
Journal of developmental and behavioral pediatrics : JDBP
Volume
44
Issue
8
Start Page
e511
End Page
e518
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of developmental and behavioral pediatrics : JDBP Vol.44 No.8 (2023) , e511-e518
Suggested Citation
Suntiwes R., Chirdkiatgumchai V., Roongpraiwan R., Kuptanon T., Kiatrungrit K., Manuyakorn W. Effect of Chronic Rhinitis Treatment in Children with Attention-Deficit/Hyperactivity Disorder. Journal of developmental and behavioral pediatrics : JDBP Vol.44 No.8 (2023) , e511-e518. e518. doi:10.1097/DBP.0000000000001206 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/90570
Title
Effect of Chronic Rhinitis Treatment in Children with Attention-Deficit/Hyperactivity Disorder
Author's Affiliation
Other Contributor(s)
Abstract
OBJECTIVE: The purpose of this study is to examine the effect of chronic rhinitis treatment on attention-deficit/hyperactivity disorder (ADHD) symptoms in children with ADHD. METHODS: Children and adolescents with ADHD were screened for chronic rhinitis symptoms. Participants with positive chronic rhinitis screening underwent the skin prick test and received rhinitis treatment for 3 months. All participants were evaluated using the parent's and teacher's Vanderbilt ADHD rating scales, total nasal symptom score, and Quality of Life Questionnaire (OSA-18) for pediatric obstructive sleep apnea at pretreatment and posttreatment. RESULTS: Overall, 140 children and adolescents with ADHD were enrolled and screened for chronic rhinitis. Fifty-four children and adolescents with positive screening results underwent the skin prick test and received rhinitis treatment. After 3 months of treatment, inattentive, hyperactive/impulsive, and total ADHD symptom scores were significantly decreased as reported by parents ( p = 0.031 to <0.001) and teachers ( p = 0.001 to <0.001) compared with those before treatment. A subgroup analysis also showed improvement in ADHD symptoms as reported by parents and teachers in the allergic and nonallergic rhinitis groups. Pearson's correlation coefficient analyses showed positive correlations between improvement in the ADHD symptom scores reported by parents and improvement in the quality of life related to sleep problems from the OSA-18 questionnaire (r = 0.377-0.387). CONCLUSION: Treating chronic rhinitis can improve ADHD symptoms in children and adolescents with ADHD. Pediatricians should be aware of and treat chronic rhinitis to maximize ADHD symptom control.