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ADHD 与强迫症共病的临床特征。

The Clinical Characteristics of ADHD and Obsessive-Compulsive Disorder Comorbidity.

机构信息

Karsıyaka State Hospital, Izmir, Turkey.

Aydin State Hospital, Aydin, Turkey.

出版信息

J Atten Disord. 2020 Oct;24(12):1757-1763. doi: 10.1177/1087054716669226. Epub 2016 Sep 21.

Abstract

To investigate the clinical implications of obsessive-compulsive disorder (OCD) and ADHD comorbidity in adults. The OCD patients who had and had no diagnosis of adulthood ADHD were compared in terms of several demographic and clinical variables. The mean number of obsessions and compulsions; hoarding, symmetry, and miscellaneous obsessions; ordering/arranging and hoarding compulsions; total, attentional, and motor subscale scores of Barratt Impulsivity Scale (BIS)-11 were more frequent among the patients with OCD-ADHD. The mean age of onset was more likely to be earlier in ADHD-OCD group than in OCD group. Impulsivity, symmetry obsessions, and hoarding compulsions strongly predicted the coexistence between ADHD and OCD. OCD-ADHD comorbidity in adults seemed to be associated with an earlier onset of OCD, with the predominance of impulsivity, and with a different obsessive-compulsive symptom (OC) profile from OCD patients without a diagnosis of ADHD.

摘要

探讨成人强迫症(OCD)和注意缺陷多动障碍(ADHD)共病的临床意义。将伴有和不伴有成人 ADHD 诊断的 OCD 患者在几个人口统计学和临床变量方面进行了比较。强迫症伴有 ADHD 的患者的强迫观念和强迫行为的平均数量、囤积、对称和杂项强迫观念、排序/整理和囤积强迫行为、Barratt 冲动量表(BIS)-11 的总、注意和运动分量表评分更频繁。ADHD-OCD 组的发病年龄更有可能早于 OCD 组。冲动、对称强迫观念和囤积强迫行为强烈预测 ADHD 和 OCD 的共存。成人 OCD-ADHD 共病似乎与 OCD 发病较早、冲动性较强以及与未诊断为 ADHD 的 OCD 患者不同的强迫症状(OC)特征有关。

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