Caci Hervé M, Morin Alexandre J S, Tran Antoine
*Hôpitaux Pédiatrique de Nice-CHU Lenval, Nice, France; and †Centre for Positive Psychology and Education, Australian Catholic University, Strathfield Australia.
J Nerv Ment Dis. 2014 Apr;202(4):324-32. doi: 10.1097/NMD.0000000000000126.
Validated tools are lacking in languages such as French to diagnose attention deficit hyperactivity disorder (ADHD) in adults. The Adult ADHD Symptoms Self-Report (ASRS) was filled out by 1171 parents of 900 school-aged youths in the context of the Children and Parents With ADHD and Related Disorders study. Prevalence estimates based on three scoring methods are compared (6-item screener, all 18 items, or the screener followed by the 12 remaining items). On the basis of the recommended and more conservative scoring method, the overall prevalence of ADHD symptoms is estimated to be 2.99%, without significant group differences between sexes or between younger and older adults. Potential correlates of ADHD symptoms were also examined in their relatives (children, brothers/sisters, uncles/aunts, and parents) as follows: birth order, level of education, body mass index categories, enuresis, suicide attempts, depression, and learning disabilities. Adults can be screened for ADHD symptoms using the ASRS; negative long-term outcomes should be assessed in patients' relatives too.
在法语等语言中,缺乏用于诊断成人注意力缺陷多动障碍(ADHD)的经过验证的工具。在患有ADHD及相关疾病的儿童和父母研究中,1171名900名学龄青年的父母填写了成人ADHD症状自我报告(ASRS)。比较了基于三种评分方法的患病率估计值(6项筛查、全部18项或筛查后接其余12项)。根据推荐的、更保守的评分方法,ADHD症状的总体患病率估计为2.99%,男女之间或年轻与年长成年人之间无显著组间差异。还在其亲属(儿童、兄弟姐妹、叔伯姑姨和父母)中检查了ADHD症状的潜在相关因素,如下:出生顺序、教育水平、体重指数类别、尿床、自杀未遂、抑郁症和学习障碍。可以使用ASRS对成人进行ADHD症状筛查;患者亲属的负面长期结果也应进行评估。