Soendergaard Helle Moeller, Thomsen Per Hove, Pedersen Pernille, Pedersen Erik, Poulsen Agnethe Elkjaer, Nielsen Jette Moeskjaer, Winther Lars, Henriksen Anne, Rungoe Berit, Soegaard Hans Joergen
Psychiatric Research Unit West, Regional Psychiatric Services West, 7400 Herning, Denmark.
Dan Med J. 2015 Mar;62(3).
No Danish studies examining functional impairments in a naturalistic sample of clinically referred adults with attention-deficit/hyperactivity disorder (ADHD) are available. Our study aimed to examine educational and occupational outcomes and risk-taking behaviour in a Danish clinical sample of adults with ADHD.
Naturalistic, cross-sectional study of 155 ADHD adults consecutively referred to a Danish ADHD clinic from 2010 to 2011.
A total of 51% had primary/lower secondary school only as their highest education, and 65% were not self-supporting at the time of their assessment. Criminal behaviour was found in more than 50%, suspension of driving licence in 16% and risk-taking sexual behaviour in 37-51%. Co-morbidity did not significantly increase the odds for a low educational level or of risk-taking behaviours. Having a personality disorder (PD) increased occupational vulnerability. Male gender and ADHD-C (combined type) were significantly associated with criminality and suspension of driving licence. Patients with substance use disorders and PD had non-significantly increased odds for risk-taking behaviours.
Functional impairments were evident in this Danish sample of adults with ADHD. Most of our findings could not be accounted for by co-morbidity, underlining the importance of targeting treatment at ADHD itself.
This research was funded by The Psychiatric Research Foundation of the Central Denmark Region.
not relevant.
目前尚无丹麦的研究对临床转诊的患有注意力缺陷多动障碍（ADHD）的成年人自然样本中的功能损害情况进行调查。我们的研究旨在调查丹麦患有ADHD的成年临床样本的教育和职业成果以及冒险行为。
对2010年至2011年连续转诊至丹麦ADHD诊所的155名ADHD成年人进行自然主义横断面研究。
共有51%的人最高学历仅为小学/初中，65%的人在评估时没有自立能力。超过50%的人有犯罪行为，16%的人驾照被吊销，37%-51%的人有冒险性行为。共病并未显著增加低教育水平或冒险行为的几率。患有精神障碍（PD）会增加职业脆弱性。男性和ADHD-C（混合型）与犯罪和驾照吊销显著相关。患有物质使用障碍和PD的患者冒险行为的几率虽有增加但不显著。
在这个丹麦ADHD成年样本中，功能损害很明显。我们的大多数研究结果不能用共病来解释，这突出了针对ADHD本身进行治疗的重要性。
本研究由丹麦中部地区精神疾病研究基金会资助。
不相关。
