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青年男性注意力缺陷多动障碍症状、抑郁/焦虑症状与生活质量的关系

Relationship of attention-deficit-hyperactivity disorder symptoms, depressive/anxiety symptoms, and life quality in young men.

作者信息

Chao Che-Yi, Gau Susan S F, Mao Wei-Chung, Shyu Jia-Fwu, Chen Yi-Chyan, Yeh Chin-Bin

机构信息

Department of Psychiatry, Tri-Service General Hospital, Taipei, Taiwan.

出版信息

Psychiatry Clin Neurosci. 2008 Aug;62(4):421-6. doi: 10.1111/j.1440-1819.2008.01830.x.

Abstract

AIM

Attention-deficit-hyperactivity disorder (ADHD) continues to be among the most frequently missed of psychiatric diagnoses in adults because its presentation in adulthood so often mimics those of better-known disorders. The aim of the present study was to examine the relationship between ADHD symptoms, depression/anxiety symptoms, and life quality in young men.

METHODS

Nine hundred and twenty-nine draftees into the Taiwanese army completed the Adult ADHD Self-Report Scale (ASRS), the World Health Organization (WHO) Quality of Life-Brief Version, the Epworth Sleepiness Scale, the second edition of the Beck Depression Inventory, and the Beck Anxiety Scale. Based on high ASRS scores, a total of 328 adults (35.3%) were identified as having ADHD: 65 (7.0%) with definite ADHD and 263 (28.3%) with probable ADHD.

RESULTS

The 328 subjects in the ADHD group had more severe depressive, anxiety symptoms and daytime sleepiness, and had poorer quality of life than the 601 controls (all P < 0.05).

CONCLUSIONS

ADHD should be included in the differential diagnosis for young men presenting with anxiety, depression, daytime sleepiness, and poor quality of life.

摘要

目的

注意缺陷多动障碍(ADHD)仍然是成人中最常被漏诊的精神疾病之一,因为其在成年期的表现常常与其他更为人熟知的疾病相似。本研究的目的是探讨年轻男性中ADHD症状、抑郁/焦虑症状与生活质量之间的关系。

方法

929名台湾男性新兵完成了成人ADHD自陈量表(ASRS)、世界卫生组织(WHO)生活质量简表、爱泼华嗜睡量表、贝克抑郁量表第二版和贝克焦虑量表。基于ASRS高分,共328名成年人(35.3%)被确定患有ADHD:65名(7.0%)确诊为ADHD,263名(28.3%)可能患有ADHD。

结果

ADHD组的328名受试者比601名对照组有更严重的抑郁、焦虑症状和日间嗜睡,生活质量也更差(所有P<0.05)。

结论

对于出现焦虑、抑郁、日间嗜睡和生活质量差的年轻男性,ADHD应纳入鉴别诊断。

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