患有注意力缺陷多动障碍（ADHD）并伴有焦虑症的儿童的特征。
Characteristics of Children With ADHD and Comorbid Anxiety.
作者信息
Jarrett Matthew A, Wolff Jennifer C, Davis Thompson E, Cowart Maria J, Ollendick Thomas H
机构信息
University of Alabama, Tuscaloosa, AL, USA
Warren Alpert Medical School of Brown University, Providence, RI, USA.
出版信息
J Atten Disord. 2016 Jul;20(7):636-44. doi: 10.1177/1087054712452914. Epub 2012 Aug 3.
OBJECTIVE
The following comorbid subgroups of ADHD have been proposed: ADHD Only, ADHD + anxiety disorders (ANX), ADHD + oppositional defiant disorder/conduct disorder (ODD/CD), and ADHD + ODD/CD + ANX. The current study examined a subset of these groups.
METHOD
A total of 134 children and adolescents (M age = 9.92; range = 6-17) from a clinic-referred sample (n = 407) were grouped based on a semistructured diagnostic interview: ADHD only (n = 41), ADHD + ANX (n = 31), and ANX Only (n = 62).
RESULTS
Findings supported greater parent-reported anxiety symptoms in anxiety groups, and greater parent- and teacher-reported attention problems in ADHD groups. ADHD groups performed worse on a continuous performance test, whereas ADHD + ANX performed worse on working memory than ADHD Only. ADHD + ANX reported more physical anxiety symptoms than ADHD Only.
CONCLUSION
Comorbid anxiety should be considered in ADHD assessment and treatment.
目的
已提出注意缺陷多动障碍（ADHD）的以下共病亚组：单纯ADHD、ADHD + 焦虑症（ANX）、ADHD + 对立违抗障碍/品行障碍（ODD/CD）以及ADHD + ODD/CD + ANX。本研究对这些组中的一个子集进行了检验。
方法
从一个临床转诊样本（n = 407）中选取了134名儿童和青少年（平均年龄 = 9.92岁；范围 = 6 - 17岁），根据半结构化诊断访谈进行分组：单纯ADHD（n = 41）、ADHD + ANX（n = 31）以及单纯ANX（n = 62）。
结果
研究结果支持焦虑组中家长报告的焦虑症状更严重，ADHD组中家长和教师报告的注意力问题更严重。ADHD组在持续性操作测验中的表现更差，而ADHD + ANX组在工作记忆方面比单纯ADHD组表现更差。ADHD + ANX组报告的身体焦虑症状比单纯ADHD组更多。
结论
在ADHD的评估和治疗中应考虑共病焦虑。
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