新西兰多动症成年样本中的精神共病情况。

Psychiatric Comorbidities in a New Zealand Sample of Adults With ADHD.

作者信息

Rucklidge Julia J, Downs-Woolley Michelle, Taylor Mairin, Brown Jason A, Harrow Sarah-Eve

机构信息

University of Canterbury, Christchurch, New Zealand

University of Canterbury, Christchurch, New Zealand.

出版信息

J Atten Disord. 2016 Dec;20(12):1030-1038. doi: 10.1177/1087054714529457. Epub 2014 Apr 17.

DOI:10.1177/1087054714529457

PMID:24743977

Abstract

OBJECTIVE

To examine the rates of psychiatric comorbidities within a New Zealand sample of adults with ADHD compared with a community control group.

METHOD

We merged six data sets to obtain a sample of 222 adults (158 ADHD, 64 controls). Comorbidities were assessed using the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders (4th ed. text rev. [DSM-IV-TR]) Axis-I disorders.

RESULTS

Both groups were equivalent in IQ, socioeconomic status, gender, education, income levels, and age. Lifetime rates of psychiatric disorders were significantly higher in the ADHD group (83%) versus the control group (52%) with higher rates of major depressive disorder (MDD; 65% vs. 36%), social phobia (31% vs. 11%), substance abuse (26% vs. 8%), and alcohol abuse (32% vs. 14%). Within the ADHD group, other than a group difference in specific phobias, there were no gender differences.

CONCLUSION

The findings are consistent with international research; adults with ADHD in New Zealand have higher rates of psychiatric disorders than the general population.

摘要

目的

比较新西兰成人注意缺陷多动障碍（ADHD）样本与社区对照组中精神疾病共病的发生率。

方法

我们合并了六个数据集，以获得一个包含222名成年人的样本（158名ADHD患者，64名对照）。使用《精神疾病诊断与统计手册》（第4版，修订本[DSM-IV-TR]）轴I障碍的结构化临床访谈来评估共病情况。

结果

两组在智商、社会经济地位、性别、教育程度、收入水平和年龄方面相当。ADHD组的终生精神疾病发生率（83%）显著高于对照组（52%），其中重度抑郁症（MDD；65%对36%）、社交恐惧症（31%对11%）、物质滥用（26%对8%）和酒精滥用（32%对14%）的发生率更高。在ADHD组中，除了特定恐惧症存在组间差异外，不存在性别差异。