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注意缺陷/多动障碍影响深远:一项基于人群的成年女性自我报告ADHD的研究结果

Attention-deficit/hyperactivity disorder casts a long shadow: findings from a population-based study of adult women with self-reported ADHD.

作者信息

Fuller-Thomson E, Lewis D A, Agbeyaka S K

机构信息

Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.

出版信息

Child Care Health Dev. 2016 Nov;42(6):918-927. doi: 10.1111/cch.12380. Epub 2016 Jul 20.

DOI:10.1111/cch.12380
PMID:27439337
Abstract

BACKGROUND

To develop a sociodemographic and health profile of women with self-reported attention deficit/hyperactivity disorder (ADHD) in comparison to women without.

METHODS

Chi-square tests and logistic regression analyses were conducted on data from the nationally representative Canadian Community Health Survey-Mental Health (2012) comparing 107 women aged 20 to 39 years (inclusive) with ADHD to 3801 without ADHD. Depression, generalized anxiety disorder and substance abuse were measured using the WHO-CIDI.

RESULTS

Women with ADHD had triple the prevalence of insomnia, chronic pain, suicidal ideation, childhood sexual abuse and generalized anxiety disorder and double the prevalence of substance abuse, current smoking, depressive disorders, severe poverty and childhood physical abuse in comparison with women without ADHD (all P < 0.001). Even after adjustments for age, race, education and income, women with ADHD had substantially higher odds of a wide range of problems.

CONCLUSION

Our results suggest that women with ADHD are particularly vulnerable to early adversities, health and mental health problems.

摘要

背景

与未患有注意力缺陷多动障碍(ADHD)的女性相比,了解自我报告患有ADHD的女性的社会人口统计学和健康状况。

方法

对具有全国代表性的加拿大社区健康调查-心理健康(2012年)的数据进行卡方检验和逻辑回归分析,将107名年龄在20至39岁(含)之间患有ADHD的女性与3801名未患ADHD的女性进行比较。使用世界卫生组织复合国际诊断访谈(WHO-CIDI)来测量抑郁症、广泛性焦虑症和药物滥用情况。

结果

与未患ADHD的女性相比,患有ADHD的女性失眠、慢性疼痛、自杀意念、童年期性虐待和广泛性焦虑症的患病率增加两倍,药物滥用、当前吸烟、抑郁症、严重贫困和童年期身体虐待的患病率增加一倍(所有P < 0.001)。即使在对年龄、种族、教育程度和收入进行调整后,患有ADHD的女性出现各种问题的几率仍然显著更高。

结论

我们的结果表明,患有ADHD的女性特别容易遭受早期逆境、健康和心理健康问题。

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