Jameson Nicole D, Sheppard Brooke K, Lateef Tarannum M, Vande Voort Jennifer L, He Jian-Ping, Merikangas Kathleen Ries
National Institute of Mental Health, Bethesda, MD, USA.
National Institute of Mental Health, Bethesda, MD, USA
J Child Neurol. 2016 Oct;31(11):1282-9. doi: 10.1177/0883073816653782. Epub 2016 Jun 22.
Understanding patterns of medical comorbidity in attention-deficit/hyperactivity disorder (ADHD) may lead to better treatment of affected individuals as well as aid in etiologic study of disease. This article provides the first systematic evaluation on the medical comorbidity of ADHD in a nationally representative sample (National Comorbidity Replication Survey-Adolescent Supplement; N = 6483) using formal diagnostic criteria. Survey-weighted odds ratios adjusted for demographics, additional medical, and mental disorders were calculated for associations between ADHD and medical conditions. Models adjusted for demographics revealed significantly increased odds of allergy, asthma, enuresis, headache/migraine, and serious stomach or bowel problems. After adjusting for comorbidity, across the medical conditions, enuresis and serious stomach problems were the strongest correlates of ADHD. These findings confirm the pervasive medical comorbidity of ADHD reported in previous clinical and community-based studies. The intriguing salience of enuresis and serious stomach or bowel conditions may also provide an important clue to multisystem involvement in ADHD.
了解注意力缺陷多动障碍(ADHD)的医学共病模式可能有助于更好地治疗受影响个体,并有助于疾病的病因学研究。本文首次使用正式诊断标准,在具有全国代表性的样本(全国共病重复调查-青少年补充调查;N = 6483)中对ADHD的医学共病进行了系统评估。针对ADHD与身体疾病之间的关联,计算了经人口统计学、其他身体和精神障碍调整后的调查加权比值比。经人口统计学调整的模型显示,过敏、哮喘、遗尿、头痛/偏头痛以及严重的胃部或肠道问题的比值比显著增加。在对共病进行调整后,在所有身体疾病中,遗尿和严重的胃部问题与ADHD的相关性最强。这些发现证实了先前临床和社区研究中报道的ADHD普遍存在的医学共病情况。遗尿以及严重的胃部或肠道疾病的显著相关性也可能为ADHD的多系统受累提供重要线索。
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