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成人注意力缺陷多动障碍患者的人格特质与共病情况

Personality Traits and Comorbidity in Adults With ADHD.

作者信息

Instanes Johanne Telnes, Haavik Jan, Halmøy Anne

机构信息

University of Bergen, Norway

University of Bergen, Norway Haukeland University Hospital, Bergen, Norway.

出版信息

J Atten Disord. 2016 Oct;20(10):845-54. doi: 10.1177/1087054713511986. Epub 2013 Nov 22.

Abstract

OBJECTIVE

To assess personality traits using the Temperament and Character Inventory (TCI) in a group of 63 previously diagnosed ADHD patients and 68 population controls and investigate the impact of common comorbid psychiatric disorders on these personality measures.

METHOD

Psychiatric comorbidity was assessed with the Mini International Neuropsychiatric Interview Plus and personality traits by the TCI.

RESULTS

The patient group had significantly higher scores on the TCI dimensions Harm avoidance and Novelty seeking compared with the control group. However, when adjusting for comorbid anxiety and depressive disorder, the ADHD group no longer showed higher Harm avoidance than the control group. The difference in Novelty seeking between the patient and control groups was correlated with lifetime diagnosis of antisocial personality disorder (ASPD).

CONCLUSION

It is important to take comorbid psychiatric disorders into account while investigating personality traits in ADHD.

摘要

目的

使用气质与性格问卷(TCI)评估63名先前诊断为注意力缺陷多动障碍(ADHD)的患者和68名正常对照人群的人格特质,并研究常见共病精神障碍对这些人格测量指标的影响。

方法

使用迷你国际神经精神访谈升级版评估精神共病情况,并用TCI评估人格特质。

结果

与对照组相比,患者组在TCI的回避伤害和寻求新奇维度上得分显著更高。然而,在对共病焦虑和抑郁障碍进行校正后,ADHD组在回避伤害维度上不再高于对照组。患者组和对照组在寻求新奇维度上的差异与反社会人格障碍(ASPD)的终生诊断相关。

结论

在研究ADHD患者的人格特质时,考虑共病精神障碍很重要。

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