Institute of Health Sciences, University of Oulu, Oulu, Finland.
Acta Paediatr. 2013 Nov;102(11):1100-3. doi: 10.1111/apa.12383. Epub 2013 Aug 30.
To evaluate the psychiatric hospitalization among adolescents diagnosed with disruptive behaviour disorders (DBD) and/or attention deficit hyperactivity disorder (ADHD).
The sample (N = 457) was drawn from the Northern Finland Birth Cohort 1986. Four groups were formed, based on the K-SADS-PL diagnostic interview procedure: adolescents with DBD (n = 44), ADHD (n = 91), comorbid DBD and ADHD (n = 72) and without either DBD or ADHD (n = 250). Information from the Finnish Hospital Discharge Register (FHDR) was used to evaluate the psychiatric hospitalization among the study subjects.
When compared with no diagnosis group, the adolescents with behavioural disorders had an increased risk (adjusted odds ratios: DBD = 4.4, ADHD = 2.2, comorbid DBD & ADHD = 5.6) of having also psychiatric disorder in the FHDR. The onset age of the psychiatric disorders in the FHDR (medians: DBD = 14.9, ADHD = 7.5 and DBD & ADHD = 15.3 years) and the combined length of hospitalization (medians: 25, 50 and 26 days, respectively) differed among adolescents with behavioural disorders compared with those with no diagnosis (median age 12.1 years and length of hospitalization 4 days).
Adolescents diagnosed with DBD (with and without ADHD) are at high risk of undergoing psychiatric hospitalization during their life.
评估被诊断为行为障碍障碍（DBD）和/或注意缺陷多动障碍（ADHD）的青少年的精神住院情况。
该样本（N=457）来自于芬兰 1986 年出生队列研究。根据 K-SADS-PL 诊断访谈程序，将青少年分为 4 组：DBD 组（n=44）、ADHD 组（n=91）、DBD 和 ADHD 共病组（n=72）和无 DBD 或 ADHD 组（n=250）。使用芬兰住院患者登记处（FHDR）的信息来评估研究对象的精神住院情况。
与无诊断组相比，行为障碍青少年在 FHDR 中有更高的精神障碍风险（调整后的优势比：DBD=4.4，ADHD=2.2，DBD 和 ADHD 共病=5.6）。FHDR 中精神障碍的发病年龄（中位数：DBD=14.9，ADHD=7.5，DBD 和 ADHD 共病=15.3 岁）和联合住院时间（中位数：25、50 和 26 天）在行为障碍青少年与无诊断组之间存在差异（中位数年龄 12.1 岁，住院时间 4 天）。
被诊断为 DBD（伴或不伴 ADHD）的青少年在其一生中患有精神住院的风险很高。
