title: Association between ADHD symptoms and anxiety symptoms in Taiwanese adolescents.
abstract: OBJECTIVE
  The aims of this cross-sectional study were to examine the association between significant ADHD symptoms and the four domains of anxiety symptoms on the Taiwanese version of Multidimensional Anxiety Scale for Children (MASC-T) and to examine the moderating effects of sociodemographic characteristics on this association among Taiwanese adolescents in the community.
  
  
  METHODS
  A total of 4,716 adolescents in Grades 7 through 12 in southern Taiwan completed the MASC-T, the ADHD Self-Rated Scale, the Mandarin Chinese version of the Center for Epidemiological Studies Depression Scale, the Rosenberg Self-Esteem Scale, and a questionnaire about sociodemographic characteristics. Multiple regression analysis was used to examine both the association of significant ADHD symptoms with four domains of anxiety symptoms on the MASC-T and the moderating effects of sociodemographic characteristics on this association.
  
  
  RESULTS
  The adolescents with significant ADHD symptoms had more severe total anxiety symptoms, physical symptoms, social anxiety symptoms, and separation/panic symptoms for three domains of the MASC-T but less harm avoidance than did those without significant ADHD symptoms. Age, gender, and low self-esteem had moderating effects on the association between significant ADHD symptoms and anxiety symptoms for some domains of the MASC-T.
  
  
  CONCLUSIONS
  The results of this study suggest a significant association between significant ADHD symptoms and the severity of anxiety symptoms in adolescents. Clinicians must evaluate anxiety symptoms among adolescents with ADHD and arrange comprehensive treatment programs.
authors.affiliation: Department of Psychiatry, Kaohsiung Medical University Hospital, Taiwan.
authors.forename: Tai-Ling
authors.initials: TL
authors.lastname: Liu
authors.affiliation: Department of Psychiatry, Kaohsiung Medical University Hospital, Taiwan.
authors.forename: Pinchen
authors.initials: P
authors.lastname: Yang
authors.affiliation: Department of Psychiatry, Kaohsiung Medical University Hospital, Taiwan.
authors.forename: Chih-Hung
authors.initials: CH
authors.lastname: Ko
authors.affiliation: Department of Psychiatry, Kaohsiung Medical University Hospital, Taiwan.
authors.forename: Ju-Yu
authors.initials: JY
authors.lastname: Yen
authors.affiliation: Department of Psychiatry, Kaohsiung Medical University Hospital, Taiwan chfaye@cc.kmu.edu.tw.
authors.forename: Cheng-Fang
authors.initials: CF
authors.lastname: Yen
mesh_terms: D000293:Adolescent; D001007:Anxiety / Q000175:diagnosis* / Q000208:ethnology; D001008:Anxiety Disorders / Q000175:diagnosis* / Q000208:ethnology; D044466:Asian People; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis / Q000208:ethnology*; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D011569:Psychiatric Status Rating Scales; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013624:Taiwan / Q000453:epidemiology