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成人发作性睡病患者儿童期注意缺陷多动障碍症状的回顾性调查。

A retrospective survey of childhood ADHD symptomatology among adult narcoleptics.

机构信息

1University of Virginia Health System, Charlottesville, USA.

出版信息

J Atten Disord. 2013 Oct;17(7):574-82. doi: 10.1177/1087054713480033. Epub 2013 Apr 2.

Abstract

OBJECTIVE

This study examined the retrospective history of childhood ADHD symptomatology in an adult narcoleptic population (Narcolepsy Group [NG]: n = 161) compared with a control group (CG: n = 117).

METHOD

Both groups completed the Wender Utah Rating Scale (WURS), a retrospective self-report questionnaire indicating the presence of childhood ADHD symptomatology in adults.

RESULTS

Childhood ADHD symptoms were significantly greater in NG than CG (p < .001). Joint prevalence calculations of childhood ADHD symptomatology in NG were more than 8 to 15 times greater than expected. Among NG, those individuals with a greater score on the WURS, indicative of childhood ADHD symptomatology, also had shorter sleep onsets on the Multiple Sleep Latency Test, a common objective measure of sleepiness, t(97) = -7.11, p < .05.

CONCLUSION

It appears that self-reported childhood ADHD symptomatology history among adult narcoleptics is common. Future research is warranted with adult narcoleptics to elucidate the true nature of this.

摘要

目的

本研究比较了 161 例成年发作性睡病患者(发作性睡病组 [NG])和对照组(CG:117 例)的儿童注意缺陷多动障碍(ADHD)症状回顾史。

方法

两组均完成了 Wender Utah 评定量表(WURS),这是一个回顾性的自我报告问卷,用于表明成年人的儿童 ADHD 症状。

结果

NG 中的儿童 ADHD 症状明显比 CG 更严重(p<.001)。NG 中儿童 ADHD 症状的共同患病率计算结果表明,实际患病率是预期的 8 到 15 倍以上。在 NG 中,WURS 评分较高(表明存在儿童 ADHD 症状)的个体在多睡眠潜伏期试验(一种常见的嗜睡客观测量方法)中的睡眠起始时间也更短,t(97)=-7.11,p<.05。

结论

似乎成年发作性睡病患者自我报告的儿童 ADHD 症状史较为常见。未来需要对成年发作性睡病患者进行进一步研究,以阐明其真正的性质。

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