Sobanski Esther
Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, J 5, 68159, Mannheim, Germany.
Eur Arch Psychiatry Clin Neurosci. 2006 Sep;256 Suppl 1:i26-31. doi: 10.1007/s00406-006-1004-4.
Attention-deficit/hyperactivity disorder (ADHD) is a chronic, lifelong disorder with childhood-onset, which seriously impairs the affected adults in a variety of daily living functions like educational and occupational functioning, partnership and parenting. ADHD is associated with a high percentage of comorbid psychiatric disorders in every lifespan. In adulthood between 65-89% of all patients with ADHD suffer from one or more additional psychiatric disorders, above all mood and anxiety disorders, substance use disorders and personality disorders, which complicates the clinical picture in terms of diagnostics, treatment and outcome issues. The present overview provides information of comorbid psychiatric disorders in adults with ADHD, underlying associations and clinical implications.
注意力缺陷多动障碍(ADHD)是一种始于童年的慢性终身疾病,严重损害成年患者的各种日常生活功能,如教育和职业功能、人际关系及养育子女等方面。ADHD在各个年龄段都与高比例的共病精神障碍相关。在成年期,65%至89%的ADHD患者患有一种或多种其他精神障碍,尤其是情绪和焦虑障碍、物质使用障碍及人格障碍,这在诊断、治疗和预后问题方面使临床情况变得复杂。本综述提供了有关成年ADHD患者共病精神障碍、潜在关联及临床意义的信息。