Chao Che-Yi, Gau Susan S F, Mao Wei-Chung, Shyu Jia-Fwu, Chen Yi-Chyan, Yeh Chin-Bin
Department of Psychiatry, Tri-Service General Hospital, Taipei, Taiwan.
Psychiatry Clin Neurosci. 2008 Aug;62(4):421-6. doi: 10.1111/j.1440-1819.2008.01830.x.
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.
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.
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).
ADHD should be included in the differential diagnosis for young men presenting with anxiety, depression, daytime sleepiness, and poor quality of life.
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。
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。
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)。
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。