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丹麦临床转诊成年样本中年龄、性别和亚型与注意力缺陷多动障碍症状及相关共病的关联

Associations of Age, Gender, and Subtypes With ADHD Symptoms and Related Comorbidity in a Danish Sample of Clinically Referred Adults.

作者信息

Soendergaard Helle Moeller, Thomsen Per Hove, Pedersen Erik, Pedersen Pernille, Poulsen Agnethe Elkjaer, Winther Lars, Nielsen Jette Moeskjaer, Henriksen Anne, Rungoe Berit, Soegaard Hans Joergen

机构信息

Psychiatric Research Unit West, Regional Psychiatric Services West, Herning, Denmark

Aarhus University Hospital Risskov, Denmark.

出版信息

J Atten Disord. 2016 Nov;20(11):925-933. doi: 10.1177/1087054713517544. Epub 2014 Jan 10.

Abstract

OBJECTIVE

The aim was to examine associations of age and gender with ADHD subtypes and subsequently to examine associations of age, gender, and subtypes with comorbid psychiatric disorders.

METHOD

Odds ratios were calculated and logistic regression performed using information from a clinical sample of 155 ADHD adults referred to a Danish specialized ADHD unit from 2010 to 2011.

RESULTS

A majority of men (65%) was found in the sample. Most patients were subtyped ADHD combined (78%), followed by ADHD inattentive (18%), and ADHD hyperactive-impulsive (4%). No significant differences were found in gender and age across subtypes. Current comorbid disorders were found in 57% of the ADHD patients. Significantly more comorbidity was found in the ADHD combined type and in patients ≥25 years. Significantly more men had substance use disorders and significantly more women had personality disorders.

CONCLUSION

When assessing adult ADHD patients' age, gender, subtype, and related comorbid symptom profiles should be taken into account.

摘要

目的

本研究旨在探讨年龄和性别与注意缺陷多动障碍(ADHD)亚型之间的关联,随后考察年龄、性别和亚型与共病精神障碍之间的关联。

方法

利用2010年至2011年转诊至丹麦一家专门的ADHD治疗机构的155名ADHD成年患者的临床样本信息,计算比值比并进行逻辑回归分析。

结果

样本中大多数为男性(65%)。大多数患者被归类为ADHD混合型(78%),其次是注意力不集中型ADHD(18%)和多动冲动型ADHD(4%)。各亚型在性别和年龄上无显著差异。57%的ADHD患者存在共病障碍。ADHD混合型和年龄≥25岁的患者共病情况显著更多。男性物质使用障碍的发生率显著更高,女性人格障碍的发生率显著更高。

结论

在评估成年ADHD患者时,应考虑其年龄、性别、亚型及相关共病症状特征。

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