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2023

ANUÁRIO DO HOSPITAL
DONA ESTEFÂNIA

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WHAT IS THE CONTIBUTION OF ATTACHMENT AS A PREDISPOSING FACTOR TO ADHD? A THEORETICAL REVIEW

Catarina Garcia Ribeiro1; Rosario Lineros Linero2; Lara Martin-Garcia3; Juan Lull-Carmona4; Juan Ortiz-Guerra5

1- Médico Interno, Especialidade de Pedopsiquiatria, Área da Mulher, Criança e Adolescente, Hospital Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa.
2- Médico Interno, Departamento de Psiquiatria, Hospital Juan Ramón Jiménez, Huelva, Espanha.
3- Médico Interno, Departamento de Psiquiatria, Benito Menni Complex Assistencial em Salut Mental, Sant Boi de Llobregat, Espanha.
4- Médico Interno, Departamento de Psiquiatria, Hospital Arnaude Vilanova, Valencia, Espanha.
5- Médico Especialista, Departamento de Psiquiatria Infanto-Juvenil Hospital Sant Joan de Déu, Barcelona, Espanha.

- Reunião internacional: publicação sob a forma de póster e apresentação em inglês em discussão de póster no 7th World Congress on ADHD, Lisboa.

Introdução: Since the development of Attachment Theory of John Bowlby, systematic research on the patterns of attachment has occurred in a slow rhythm. In the last decade, a numerous of publications about institutionalized children and attachment occurred. However, few studies have been published as to the patterns of attachment in clinical general population (where there is a lower risk for negligence and Attachment Disorders as described in DSM-5/ ICD-11) and its association with child psychopathology, specifically ADHD.
Objetivos: The aim of this study is to do a non-systematic bibliographic review of the possible association between attachment difficulties and ADHD in school age children.
Métodos: Review of literature was performed using Medline, Cochrane, Pubmed and UpToDate databases with the keywords “ADHD”, ”Child Psychiatry”, “Attachment Disorders”, “Insecure Attachment”.
Resultados: Most of the studies that have been performed make the hypothetic connection between difficulties in attachment and ADHD. Major factors that justify the difficulty of making a clear association between attachment and ADHD were identified. Factors as the ambiguous criteria of patterns of attachment classification, the difficulty of having a homogenous and reliable scale to classify attachment competences, differences in studies which consider ADHD full criteria or ADHD- like symptoms.
Conclusões: Prospective studies in Child and Adolescent Psychiatry, specifically in attachment difficulties and ADHD, are needed.

Palavras Chave: Attachment Disorders, ADHD, psychopathology, Child Psychiatry.