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多动症症状在整个生命周期中的表现:基于瑞典65至80岁人群样本,比较温德量表、巴克利量表及《精神疾病诊断与统计手册》第四版标准所捕捉到的症状

ADHD symptoms across the lifespan: a comparison of symptoms captured by the Wender and Barkley Scales and DSM-IV criteria in a population-based Swedish sample aged 65 to 80.

作者信息

Guldberg-Kjär Taina, Johansson Boo

机构信息

University of Gothenburg, Sweden

University of Gothenburg, Sweden.

出版信息

J Atten Disord. 2015 May;19(5):390-404. doi: 10.1177/1087054713514853. Epub 2013 Dec 19.

Abstract

OBJECTIVE

The aim was to compare different scales capturing ADHD symptoms for older individuals' self-reports about childhood and current ADHD symptomatology. An additional aim was relating these results to the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) ADHD criteria.

METHOD

The 25-item Wender Utah Rating Scale (WURS) administered in a population-based sample of 1,599 individuals aged 65 to 80. Two subsamples each with 30 individuals were randomly drawn based on their Wender Utah Rating Scale (WURS) scores, and studied using the Wender Riktad ADHD Symtom Skala (WRASS), interview assessed Barkley Scales, and DSM-IV ADHD criteria.

RESULTS

Higher WURS and WRASS scores were related to higher Barkley Childhood and Current Symptoms Scales Scores. Also, reporting more symptoms on these scales was related to meeting DSM-IV criteria for childhood and current ADHD.

CONCLUSION

The results support significant persistence of ADHD symptoms when using different scales designed for the capture of childhood and current ADHD symptomatology. Further studies of ADHD in a lifespan perspective are encouraged.

摘要

目的

本研究旨在比较不同量表在老年人自我报告童年期及当前注意缺陷多动障碍(ADHD)症状时的应用情况。另一目的是将这些结果与《精神疾病诊断与统计手册》(第4版;DSM-IV)的ADHD诊断标准相关联。

方法

对1599名年龄在65至80岁的人群进行基于人群样本的25项温德犹他评定量表(WURS)测试。根据温德犹他评定量表(WURS)得分,随机抽取两个各含30人的子样本,并使用温德瑞典ADHD症状量表(WRASS)、访谈评估的巴克利量表以及DSM-IV ADHD诊断标准进行研究。

结果

较高的WURS和WRASS得分与较高的巴克利童年期及当前症状量表得分相关。此外,在这些量表上报告更多症状与符合DSM-IV童年期及当前ADHD诊断标准相关。

结论

研究结果支持在使用不同量表来评估童年期及当前ADHD症状时,ADHD症状具有显著的持续性。鼓励从生命周期角度对ADHD进行进一步研究。

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