Kwak Young-Sook, Jung Young-Eun, Kim Moon-Doo
Department of Psychiatry, School of Medicine, Jeju National University, Jeju, South Korea.
Neuropsychiatr Dis Treat. 2015 Mar 23;11:797-802. doi: 10.2147/NDT.S80785. eCollection 2015.
Attention-deficit hyperactivity disorder (ADHD) persists into adulthood in a high proportion of cases, causing social difficulties and affective problems. We evaluated the prevalence of symptoms of ADHD and the correlates thereof in Korean college students.
A total of 2,172 college students, stratified to reflect geographical differences, were asked to complete self-report questionnaires on ADHD symptoms, depression, and related factors.
ADHD symptoms were found in 7.6% of college students. Univariate analysis revealed that younger students had higher rates of ADHD symptoms than did older students. We found significant associations between ADHD symptoms and problematic alcohol use, depression, and lifetime suicidal behavior. Multivariate analysis revealed that ADHD symptoms in adults were significantly associated with depression (odds ratio [OR] =4.69; 95% confidence interval [CI] 3.23-6.80; P<0.001) and overweight or obesity (OR =1.50; 95% CI 1.02-2.22; P=0.040), after controlling for sex and age.
These results have implications in terms of the mental health interventions required to assess problems such as depression, alcohol use, obesity, and suicidality in young adults with ADHD symptoms.
注意力缺陷多动障碍(ADHD)在很大比例的病例中会持续到成年期,导致社交困难和情感问题。我们评估了韩国大学生中ADHD症状的患病率及其相关因素。
总共2172名大学生,根据地理差异进行分层,被要求完成关于ADHD症状、抑郁及相关因素的自我报告问卷。
7.6%的大学生存在ADHD症状。单因素分析显示,较年轻的学生ADHD症状发生率高于年长学生。我们发现ADHD症状与有问题的饮酒行为、抑郁及终生自杀行为之间存在显著关联。多因素分析显示,在控制性别和年龄后,成年人的ADHD症状与抑郁(优势比[OR]=4.69;95%置信区间[CI]3.23 - 6.80;P<0.001)以及超重或肥胖(OR =1.50;95%CI 1.02 - 2.22;P=0.040)显著相关。
这些结果对于评估有ADHD症状的年轻人中抑郁、饮酒、肥胖和自杀倾向等问题所需的心理健康干预具有启示意义。