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在成年智力残疾者中检测注意力缺陷/多动障碍(ADHD):使用康纳斯成人ADHD评定量表(CAARS)

Detecting attention-deficit/hyperactivity disorder (ADHD) in adults with intellectual disability The use of Conners' Adult ADHD Rating Scales (CAARS).

作者信息

La Malfa G, Lassi S, Bertelli M, Pallanti S, Albertini G

机构信息

Department of Neurological and Psychiatric Sciences, University of Florence, Florence, Italy.

出版信息

Res Dev Disabil. 2008 Mar-Apr;29(2):158-64. doi: 10.1016/j.ridd.2007.02.002. Epub 2007 Apr 9.

Abstract

There is an increasing interest in the diagnosis of attention-deficit/hyperactivity disorder (ADHD) in adulthood. It is also thought that ADHD is more prevalent in the field of intellectual disability (ID) than in the general population, but there are not many experimental studies. Since ADHD diagnosis in adults is more difficult, specific rating scales correlated to the main diagnostic systems have been created but have not been applied to people with ID. This work presents an application of an ADHD screening rating scale, the Conners' Adult ADHD Rating Scales (CAARS) screening version to 46 adults with ID. The resulting prevalence of "ADHD-positive" was 19.6%. These data are in accord with results reported in the general adult literature. Our data suggest that ID and attention disorders can co-occur. Therefore, not only can ADHD be a valid psychiatric diagnosis for a child with ID but for an adult with ID as well. The CAARS can be considered a useful clinical instrument to survey ADHD in ID.

摘要

成人注意力缺陷多动障碍(ADHD)的诊断越来越受到关注。人们还认为,ADHD在智力残疾(ID)领域比在普通人群中更为普遍,但相关的实验研究并不多。由于成人ADHD的诊断更加困难,因此已经创建了与主要诊断系统相关的特定评定量表,但尚未应用于ID患者。这项工作展示了一种ADHD筛查评定量表——康纳斯成人ADHD评定量表(CAARS)筛查版在46名成年ID患者中的应用。“ADHD阳性”的患病率为19.6%。这些数据与普通成人文献报道的结果一致。我们的数据表明,ID和注意力障碍可能同时出现。因此,ADHD不仅可以作为ID儿童的有效精神疾病诊断,也可以作为ID成人的有效诊断。CAARS可被视为一种用于调查ID患者中ADHD的有用临床工具。

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