William S. Middleton Memorial Veterans Hospital, Madison, WI 53705, USA.
J Atten Disord. 2012 May;16(4):333-8. doi: 10.1177/1087054711398886. Epub 2011 Dec 15.
Little data exist about ADHD in late life. While evaluating patients' memory problems, the memory clinic staff has periodically identified ADHD in previously undiagnosed older adults. The authors conducted a survey to assess the extent to which other memory clinics view ADHD as a relevant clinical issue.
The authors developed and sent a questionnaire to memory clinics in the United States to determine the extent to which they identified patients with ADHD and the extent to which they took it into consideration.
Approximately one half of the memory clinics that responded reported seeing ADHD patients, either identifying previously diagnosed cases and/or newly diagnosing ADHD themselves. One fifth of clinics reported screening regularly for ADHD, and few clinics described accessing collateral informants to establish the diagnosis.
This article suggests that U.S. memory clinics may not adequately identify and address ADHD in the context of late-life cognitive disorders.
关于老年人注意缺陷多动障碍（ADHD）的数据很少。在评估患者的记忆问题时，记忆诊所的工作人员定期在以前未被诊断出的老年人群中发现 ADHD。作者进行了一项调查，以评估其他记忆诊所如何看待 ADHD 作为一个相关的临床问题。
作者开发并向美国的记忆诊所发送了一份问卷，以确定他们识别出 ADHD 患者的程度，以及他们考虑 ADHD 的程度。
大约一半做出回应的记忆诊所报告称看到过 ADHD 患者，要么是识别出之前诊断过的病例，要么是自己新诊断出 ADHD。五分之一的诊所报告称定期筛查 ADHD，很少有诊所描述如何获取辅助信息来确定诊断。
本文表明，美国记忆诊所可能没有充分识别和解决老年认知障碍患者中的 ADHD 问题。
