Sprafkin Joyce, Gadow Kenneth D, Weiss Margaret D, Schneider Jayne, Nolan Edith E
Department of Psychiatry and Behavioral Science, State University of New York at Stony Brook, NY 11794-8790, USA.
J Atten Disord. 2007 Sep;11(2):114-24. doi: 10.1177/1087054707299402. Epub 2007 May 9.
To compare psychiatric comorbidity between the three symptom subtypes of Attention-Deficit/Hyperactivity Disorder (ADHD), Inattentive (I), Hyperactive-Impulsive (H), and Combined (C), in adults.
A clinic sample (N = 487) and a nonreferred community sample (N = 900) completed a DSM-IV-referenced rating scale and a questionnaire (social, educational, occupational, and treatment variables). Participants were assigned to one of four groups: ADHD:I, ADHD:H, ADHD:C, and NONE.
All three ADHD symptom groups reported more severe comorbid symptoms than the NONE group; the ADHD:C and NONE groups were the most and least severe, respectively; and there were clear differences between the ADHD:I and ADHD:H groups. The pattern of group differences was similar in both samples.
ADHD symptom subtypes in adults are associated with distinct clinical correlates. The diversity of self-reported psychopathology in adults who meet symptom criteria for ADHD highlights the importance of conducting broad-based evaluations.
比较成人注意力缺陷多动障碍（ADHD）三种症状亚型，即注意力不集中型（I）、多动冲动型（H）和混合型（C）之间的精神共病情况。
一个临床样本（N = 487）和一个非转介社区样本（N = 900）完成了一份参照《精神疾病诊断与统计手册》第四版（DSM-IV）的评定量表和一份问卷（社会、教育、职业和治疗变量）。参与者被分为四组之一：ADHD:I组、ADHD:H组、ADHD:C组和无ADHD组。
所有三个ADHD症状组报告的共病症状均比无ADHD组更严重；ADHD:C组和无ADHD组分别是最严重和最不严重的；ADHD:I组和ADHD:H组之间存在明显差异。两组样本中组间差异模式相似。
成人ADHD症状亚型与不同的临床相关因素有关。符合ADHD症状标准的成人自我报告的精神病理学多样性凸显了进行广泛评估的重要性。
