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Psychiatric comorbidity in adult attention deficit hyperactivity disorder: findings from multiplex families.成人注意力缺陷多动障碍中的精神共病:来自多重家庭的研究结果。
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Diagnosis and evaluation of adults with attention-deficit/hyperactivity disorder.成人注意力缺陷/多动障碍的诊断与评估
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呈现 ADHD 症状、亚型和共病障碍在临床转介的 ADHD 成年患者中。

Presenting ADHD symptoms, subtypes, and comorbid disorders in clinically referred adults with ADHD.

机构信息

Pediatric Psychopharmacology Unit, Massachusetts General Hospital, YAW 6A, 55 Fruit Street, Boston, MA 02114, USA.

出版信息

J Clin Psychiatry. 2009 Nov;70(11):1557-62. doi: 10.4088/JCP.08m04785pur.

DOI:10.4088/JCP.08m04785pur
PMID:20031097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2948439/
Abstract

OBJECTIVE

Despite the increasing presentation of attention-deficit/hyperactivity disorder (ADHD) in adults, many practitioners remain reluctant to assess individuals for ADHD, in part related to the relative lack of data on the presenting symptoms of ADHD in adulthood. Comorbidity among adults with ADHD is also of great interest due to the high rates of psychiatric comorbidity, which can lead to a more persistent ADHD among adults.

METHOD

We assessed 107 adults with ADHD of both sexes (51% female; mean +/- SD of 37 +/- 10.4 years) using structured diagnostic interviews. Using DSM-IV symptoms, we determined DSM-IV subtypes. The study was conducted from 1998 to 2003.

RESULTS

Inattentive symptoms were most frequently endorsed (> 90%) in adults with ADHD. Using current symptoms, 62% of adults had the combined subtype, 31% the inattentive only subtype, and 7% the hyperactive/impulsive only subtype. Adults with the combined subtype had relatively more psychiatric comorbidity compared to those with the predominately inattentive subtype. Women were similar to men in the presentation of ADHD.

CONCLUSION

Adults with ADHD have prominent inattentive symptoms of ADHD, necessitating careful questioning of these symptoms when evaluating these individuals.

摘要

目的

尽管注意缺陷多动障碍(ADHD)在成年患者中的表现日益增多,但许多临床医生仍不愿对其进行评估,部分原因是关于成年期 ADHD 表现症状的数据相对较少。此外,ADHD 成年患者的共病现象也很有意思,因为共病的精神疾病发病率很高,这可能导致成年 ADHD 患者的病情更为持续。

方法

我们使用结构化诊断访谈对 107 名男女(51%为女性;平均年龄 +/- 标准差为 37 +/- 10.4 岁)ADHD 成年患者进行了评估。根据 DSM-IV 症状,我们确定了 DSM-IV 亚型。研究于 1998 年至 2003 年进行。

结果

注意力不集中症状在 ADHD 成年患者中最常被认可(> 90%)。使用当前症状,62%的成年患者为混合型,31%为单纯注意力不集中型,7%为单纯多动/冲动型。与以注意力不集中为主的亚型相比,混合型亚型的成年患者具有相对更多的精神共病。女性在 ADHD 的表现上与男性相似。

结论

ADHD 成年患者具有明显的 ADHD 注意力不集中症状,在评估这些患者时,需要仔细询问这些症状。