Tan Oguz, Metin Baris, Metin Sinem
Department of Psychology, Uskudar University, Istanbul, Turkey.
Neuropsychiatry Research Health and Practice Center, Uskudar University, Bagdat St. Nu:109/A Feneryolu, 34724, Istanbul, Turkey.
Atten Defic Hyperact Disord. 2016 Sep;8(3):131-8. doi: 10.1007/s12402-016-0196-3. Epub 2016 Apr 7.
Obsessive-compulsive disorder (OCD) and attention-deficit and hyperactivity disorder (ADHD) frequently coexist. To understand whether childhood ADHD can increase the risk of OCD in adulthood and whether it influences the phenomenology of OCD, we investigated the symptoms of ADHD during childhood in obsessive-compulsive adults who had never been diagnosed as ADHD. Adults with OCD (n = 83) were given the Wender Utah Rating Scale (WURS), Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Barratt Impulsiveness Scale-11 (BIS-11), Hamilton Depression Rating Scale-17 (HDRS-17) and Beck Anxiety Inventory (BAI). The prevalence of childhood ADHD symptoms was 40.9 % (n = 34) and that of adult ADHD was 16.9 % (n = 14). Patients with childhood ADHD symptoms had an earlier onset of OCD, higher scores of the BAI and BIS-11. The scores of the Y-BOCS and HDRS-17 did not differ between those having and not having childhood ADHD symptoms. Childhood history of ADHD symptoms is common in adult OCD patients who have never been diagnosed as ADHD. Childhood ADHD symptoms are associated with an earlier age of OCD, more severe anxiety and higher impulsiveness. Even remitted ADHD may be a risk factor for OCD in later life.
强迫症(OCD)与注意力缺陷多动障碍(ADHD)常并存。为了解儿童期ADHD是否会增加成年期患OCD的风险,以及它是否会影响OCD的临床表现,我们调查了从未被诊断为ADHD的强迫障碍成年患者儿童期的ADHD症状。对83名OCD成年患者进行了温德尔犹他评定量表(WURS)、耶鲁-布朗强迫量表(Y-BOCS)、巴拉特冲动性量表-11(BIS-11)、汉密尔顿抑郁评定量表-17(HDRS-17)和贝克焦虑量表(BAI)评估。儿童期ADHD症状的患病率为40.9%(n = 34),成年期ADHD的患病率为16.9%(n = 14)。有儿童期ADHD症状的患者OCD起病更早,BAI和BIS-11得分更高。有和没有儿童期ADHD症状的患者Y-BOCS和HDRS-17得分无差异。在从未被诊断为ADHD的成年OCD患者中,儿童期ADHD症状病史很常见。儿童期ADHD症状与OCD发病年龄更早、焦虑更严重和冲动性更高有关。即使是缓解期的ADHD也可能是后期生活中患OCD的一个危险因素。