De Forensische Zorgspecialisten, Utrecht, The Netherlands.
Radboud University Nijmegen, The Netherlands.
J Atten Disord. 2020 Jul;24(9):1203-1214. doi: 10.1177/1087054715587099. Epub 2016 Jul 27.
To date, treatment programs for adult domestic violence (DV) or intimate partner violence (IPV) have had minimal impact. To make treatment more effective, programs should be adjusted to psychopathology of the offender. As emotional lability and poor emotional self-regulation and self-control are common features of ADHD, it may play a pivotal role as a predictor for adult DV/IPV. This systematic review synthesizes the available evidence for childhood and/or adult ADHD being a risk factor for DV/IPV. Four case control studies and three cohort studies were included in the review. Although three case control studies showed positive associations between childhood and/or adult ADHD and adult DV/IPV, two did insufficiently control for the presence of comorbid Conduct Disorder (CD) or Antisocial Personality Disorder (ASPD). Cohort studies identified hyperactive, impulsive, and inattention symptoms as risk factors for adult IPV. CD and ASPD were regarded as mediators in three studies.
迄今为止，针对成人家庭暴力（DV）或亲密伴侣暴力（IPV）的治疗方案收效甚微。为了提高治疗效果，应当根据施害者的精神病理学对治疗方案进行调整。情绪不稳定以及情绪自我调节和自我控制能力差是 ADHD 的常见特征，因此，它可能是成人 DV/IPV 的一个重要预测因素。本系统综述综合了有关儿童和/或成人 ADHD 是 DV/IPV 风险因素的现有证据。本综述纳入了四项病例对照研究和三项队列研究。尽管三项病例对照研究显示儿童和/或成人 ADHD 与成人 DV/IPV 之间存在正相关，但其中两项研究对共病品行障碍（CD）或反社会人格障碍（ASPD）的存在未进行充分控制。队列研究确定了多动、冲动和注意力不集中症状是成人 IPV 的风险因素。CD 和 ASPD 在三项研究中被视为中介因素。
