Philipp-Wiegmann Florence, Retz-Junginger Petra, Retz Wolfgang, Rösler Michael
Institute for Forensic Psychology and Psychiatry, Saarland University Hospital, 66421, Homburg, Saar, Germany.
Department of Forensic Psychiatry, University Medical Centre Mainz, Mainz, Germany.
Eur Arch Psychiatry Clin Neurosci. 2016 Jun;266(4):367-71. doi: 10.1007/s00406-015-0644-7. Epub 2015 Oct 5.
The aim of the study was to explore whether the individual burden of ADHD is the same in the elderly as in younger ages even though the symptomatological impact of ADHD seems to remain stable over the lifespan. To assess ADHD symptoms and ADHD-associated problems in daily life, standardised questionnaires were conducted. To assess the subjectively experienced course of disease over the lifespan, all participants were interviewed regarding symptoms of ADHD in childhood as well as before and after the fiftieth year of life. In the sample of 296 respondents with a mean age of 69.55 years, 11 fulfilled the criteria of adult ADHD. Retrospectively, the ADHD subjects reported negative impacts due to ADHD-associated behaviour over the life span. These impairments remained stable over time with 18 % of subjects reporting impairments in family life, 46 % in social relationships, 18 % in dealing with money, and 36 % in organisation of daily life in the presence. Thus, the ADHD subjects reported problems with stability over time caused by low self-confidence, being quick-tempered, and due to defiantness. Although this is pilot study, our results reflect the burden of ADHD not only in young and middle adulthood, but also in seniority. The findings indicate the lifelong impact of ADHD as the explored seniors with ADHD reported the negative impact of ADHD remaining stable over the lifespan.
该研究的目的是探讨尽管注意缺陷多动障碍（ADHD）的症状学影响在整个生命周期似乎保持稳定，但ADHD在老年人中的个体负担是否与年轻人相同。为了评估ADHD症状及日常生活中与ADHD相关的问题，采用了标准化问卷。为了评估个体主观体验到的疾病病程，所有参与者都接受了关于童年期以及50岁前后ADHD症状的访谈。在296名平均年龄为69.55岁的受访者样本中，11人符合成人ADHD的标准。回顾性来看，ADHD受试者报告了ADHD相关行为在其一生中造成的负面影响。随着时间推移，这些损害保持稳定，18%的受试者报告在家庭生活方面有损害，46%在社会关系方面，18%在金钱处理方面，36%在当前日常生活安排方面。因此，ADHD受试者报告称，由于自信心低、脾气暴躁和违抗行为，随着时间推移存在稳定性问题。尽管这是一项试点研究，但我们的结果反映了ADHD不仅在青年和中年时期，而且在老年时期的负担。研究结果表明ADHD的影响是终身的，因为被研究的患有ADHD的老年人报告称ADHD的负面影响在其一生中保持稳定。
