Uppsala University, Sweden.
UiT The Arctic University of Norway, Norway.
J Atten Disord. 2020 May;24(7):1070-1077. doi: 10.1177/1087054715584052. Epub 2015 Apr 29.
To test the previously suggested hypothesis that those with comorbid ADHD and Conduct Disorder (CD) diagnoses differ from other antisocially involved youth in terms of higher rates of violent behavior, impulsiveness, and psychopathic traits. Three hundred eighty juvenile incarcerated delinquents from Northern Russia were assessed by means of semi-structured psychiatric interview and by student and teacher self-reports. The study has demonstrated higher rates of psychiatric disorders and of comorbidity, as well as more complicated substance abuse and disruptive behaviors in those with combined ADHD-CD diagnosis, as compared with CD only, ADHD only, and no CD no ADHD groups. The results regarding psychopathic traits were inconclusive. The group with combined ADHD-CD diagnosis is more severely disturbed, both as concerns psychiatric comorbidity and more severe aggressive and disruptive behaviors. However, there is only limited evidence supporting a higher prevalence of psychopathic traits in this group.
为了验证先前提出的假设，即患有共病注意缺陷多动障碍（ADHD）和品行障碍（CD）的患者与其他涉及反社会行为的年轻人在暴力行为、冲动和精神病态特征方面存在更高的发生率差异。研究人员对来自俄罗斯北部的 380 名被监禁的少年犯进行了半结构化精神病学访谈，并通过学生和教师的自我报告进行评估。研究表明，与仅患有 CD、仅患有 ADHD 以及既无 CD 也无 ADHD 的患者相比，患有 ADHD-CD 共病的患者的精神障碍发生率和共病率更高，以及更复杂的物质滥用和破坏性行为。关于精神病态特征的结果尚无定论。与其他组别相比，患有 ADHD-CD 共病的患者受到的干扰更严重，不仅在精神障碍共病方面，而且在更严重的攻击和破坏性行为方面也是如此。然而，仅有有限的证据支持该组患者存在更高的精神病态特征患病率。
