Hanson Jennifer A, Haub Mark D, Walker Jennifer J, Johnston Daniel T, Goff Briana S Nelson, Dretsch Michael N
Department of Human Nutrition, Kansas State University, 212 Justin Hall, Manhattan, KS 66506, USA.
Mil Med. 2012 Jun;177(6):655-62. doi: 10.7205/milmed-d-11-00340.
To explore the relationship between adult attention deficit hyperactivity disorder (ADHD) subtypes and neuropsychological functioning among U.S. soldiers.
Deploying soldiers (N = 260) completed the World Health Organization Adult ADHD Self-Report Scale (ASRS) Screener. Cognitive tests, a deployment health-history questionnaire, and the post-traumatic stress disorder (PTSD) Checklist-Military Version were completed by subsamples of available participants.
The prevalence of positive ASRS screens was 10.4%. ASRS scores were correlated with PTSD avoidance (n = 63, p = 0.37, p = 0.003), hyperarousal (n = 63, p = 0.25, p = 0.047), and total PTSD scores (n = 62, p = 0.33, p = 0.009); and all six moods (e.g., anger, anxiety) scale scores (n = 110; p = -0.37 to 0.43). ASRS was also correlated with scores on the match-to-sample (n = 110, p = -0.23, p = 0.014) and emotional Stroop (n = 108, p = -0.23, p = 0.016) tasks. In addition, a differential pattern between subtypes of ADHD was noted with regard to cognitive functioning, mood, and combat stress symptomatology.
Although the results are preliminary given the sample size, the prevalence and comorbidities of ADHD appear to be similar among military and nonmilitary populations.
探讨美国士兵中成人注意力缺陷多动障碍（ADHD）亚型与神经心理功能之间的关系。
部署中的士兵（N = 260）完成了世界卫生组织成人ADHD自我报告量表（ASRS）筛查。认知测试、部署健康史问卷和创伤后应激障碍（PTSD）检查表-军事版由部分可参与的受试者完成。
ASRS筛查呈阳性的患病率为10.4%。ASRS评分与PTSD回避（n = 63，p = 0.37，p = 0.003）、过度觉醒（n = 63，p = 0.25，p = 0.047）以及PTSD总分（n = 62，p = 0.33，p = 0.009）相关；与所有六种情绪（如愤怒、焦虑）量表评分（n = 110；p = -0.37至0.43）也相关。ASRS还与样本匹配任务（n = 110，p = -0.23，p = 0.014）和情绪斯特鲁普任务（n = 108，p = -0.23，p = 0.016）的得分相关。此外，在认知功能、情绪和战斗应激症状方面，注意到ADHD亚型之间存在差异模式。
尽管鉴于样本量结果是初步的，但ADHD在军人和非军人人群中的患病率和共病情况似乎相似。
