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DSM-IV 注意缺陷多动障碍合并型和主要不伴多动障碍亚型的特征:土耳其临床样本研究

Characteristics of DSM-IV attention deficit hyperactivity disorder combined and predominantly inattentive subtypes in a Turkish clinical sample.

机构信息

Department of Child and Adolescent Psychiatry, Dr Sami Ulus Childrens' Hospital, Telsizler, Ankara, Turkey.

出版信息

Child Psychiatry Hum Dev. 2012 Aug;43(4):523-32. doi: 10.1007/s10578-012-0281-6.

Abstract

Consecutively referred subjects (N = 537) to an outpatient clinic were evaluated to compare the Attention Deficit Hyperactivity Disorder Combined (ADHD-C) and predominantly inattentive (ADHD-PI) subtypes using parent and teacher ratings and neuropsychological variables. Statistical significance was at P < 0.002 adjusted for multiple comparisons. ADHD-PI subjects were older, more likely to be female, higher socioeconomic status, had lower Child Behavior Checklist and Teacher Report Form Aggression, Delinquency and Social Problems scores, and higher Withdrawal and Competence scores, compared to ADHD-C subjects. Comorbid conduct problems were more common among ADHD-C subjects. There were no differences in terms of anxiety/depression, and neuropsychological measures. The study is unique in that it provides data on a broad range of measures from a middle income developing country with important confirmation of similar pattern of differences and similarities between ADHD-C and ADHD-PI subtypes previously reported in North American and Western European samples.

摘要

连续转介的患者(N=537)到门诊进行评估,使用家长和教师评定以及神经心理学变量来比较注意力缺陷多动障碍合并症(ADHD-C)和主要注意力不集中(ADHD-PI)亚型。经多重比较调整后,统计学意义为 P<0.002。与 ADHD-C 患者相比,ADHD-PI 患者年龄较大,女性更多,社会经济地位更高,儿童行为检查表和教师报告表攻击性、违法行为和社会问题得分更低,而退缩和能力得分更高。合并品行问题在 ADHD-C 患者中更为常见。在焦虑/抑郁和神经心理学测量方面没有差异。该研究的独特之处在于它提供了从中等收入发展中国家广泛的测量数据,重要的是确认了 ADHD-C 和 ADHD-PI 亚型在北美和西欧样本中之前报道的类似差异和相似模式。

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