Department of Psychiatry, Hospital Universitari Vall d'Hebron, CIBERSAM, Universitat Autònoma de Barcelona, Barcelona, Catalonia, Spain.
Psychiatry Res. 2012 Jun 30;198(1):130-4. doi: 10.1016/j.psychres.2011.11.006. Epub 2012 Mar 3.
Attention-deficit/hyperactivity disorder (ADHD) is one of the most frequently diagnosed disorders in childhood affecting around 3% to 5% of adults worldwide. Most of the studies have been carried out using the Five Factor Model (FFM). Given the value and importance of describing adult ADHD in terms of general personality structure for a better conceptualization of this disorder, this study contributes adding new data on an Alternative Five Factor Model (AFFM) of personality. The aim of the present study is twofold: To assess the personality profile of adults with ADHD under the AFFM perspective, and to test the discriminant validity of the Zuckerman-Kuhlman Personality Questionnaire (ZKPQ) in differentiating ADHD subjects vs. normal range controls. A sample of 217 adults (64% male) meeting ADHD diagnosis (DSM-IV) was paired by age and sex with 434 normal-range controls. Logistic regression analysis showed that high scores on Neuroticism-Anxiety, Impulsivity and General Activity, and low on Work Activity were the most powerful predictors of being endorsed with an ADHD diagnosis. Results may suggest refinements in the personality assessment of ADHD as it seems that the ZKPQ provides more specific subscales for the description and conceptualization of this disorder.
注意缺陷多动障碍(ADHD)是儿童期最常见的诊断障碍之一,影响着全球 3%至 5%的成年人。大多数研究都是使用五因素模型(FFM)进行的。鉴于用一般人格结构来描述成人 ADHD 的价值和重要性,以便更好地理解这种障碍,本研究通过添加人格的替代五因素模型(AFFM)的新数据做出了贡献。本研究的目的有两个:从 AFFM 角度评估 ADHD 成人的人格特征,并测试 Zuckerman-Kuhlman 人格问卷(ZKPQ)在区分 ADHD 患者与正常范围对照方面的判别效度。一个符合 ADHD 诊断(DSM-IV)的 217 名成年人(64%为男性)样本按年龄和性别与 434 名正常范围对照相匹配。逻辑回归分析显示,神经质-焦虑、冲动和一般活动得分高,工作活动得分低是被诊断为 ADHD 的最强预测因素。结果可能表明对 ADHD 的人格评估进行了改进,因为 ZKPQ 似乎为描述和概念化这种障碍提供了更具体的分量表。