饮食失调住院患者的注意力缺陷多动症状及障碍
Attention-deficit hyperactivity symptoms and disorder in eating disorder inpatients.
作者信息
Yates William R, Lund Brian C, Johnson Craig, Mitchell Jeff, McKee Patrick
机构信息
Laureate Research Center and Department of Psychiatry, University of Oklahoma College of Medicine, Tulsa, Oklahoma, USA.
出版信息
Int J Eat Disord. 2009 May;42(4):375-8. doi: 10.1002/eat.20627.
OBJECTIVE
The objective of this study was to determine the prevalence of attention-deficit hyperactivity disorder (ADHD) symptoms and a DSM-IV ADHD diagnosis in women admitted for treatment of an eating disorder.
METHOD
One hundred eighty-nine inpatient women with an eating disorder were interviewed using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) and ADHD interview from the Multi-international Psychiatric Interview (MINI).
RESULTS
Twenty-one percent of the sample reported at least six current ADHD symptoms, but the estimated prevalence rate for a diagnosis of ADHD in this population was only 5.8% (95% CI: 2.6%-9.5%). Most current ADHD inattentive symptoms appeared after childhood suggesting late-onset non-ADHD origins. Current inattention symptoms in those without a diagnosis of ADHD correlated with higher BMI (p < .0001), symptoms of bulimia nervosa and current level of depression symptoms (p = .025).
DISCUSSION
Although current ADHD symptoms were commonly endorsed in this population, clinicians should carefully examine for childhood symptom-onset of ADHD.
目的
本研究的目的是确定因饮食失调入院治疗的女性中注意力缺陷多动障碍（ADHD）症状的患病率以及DSM-IV ADHD诊断情况。
方法
使用《精神疾病诊断与统计手册》第四版轴I障碍结构化临床访谈（SCID-I）和多国际精神病学访谈（MINI）中的ADHD访谈对189名患有饮食失调的住院女性进行访谈。
结果
21%的样本报告目前至少有六种ADHD症状，但该人群中ADHD诊断的估计患病率仅为5.8%（95%置信区间：2.6%-9.5%）。大多数当前的ADHD注意力不集中症状出现在童年之后，提示为迟发性非ADHD起源。未被诊断为ADHD的人当前的注意力不集中症状与较高的体重指数（p <.0001）、神经性贪食症症状以及当前的抑郁症状水平相关（p =.025）。
讨论
尽管该人群中普遍认可当前的ADHD症状，但临床医生应仔细检查ADHD的童年症状发作情况。
Zotero 插件