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儿童注意缺陷多动障碍患者成年后情绪不稳定性症状的影响。

The Impact of Emotional Lability Symptoms During Childhood in Adults With ADHD.

机构信息

1 Hospital Universitari Vall d'Hebron, CIBERSAM, Barcelona, Spain.

2 Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, Spain.

出版信息

J Atten Disord. 2018 Apr;22(6):581-590. doi: 10.1177/1087054717719534. Epub 2017 Jul 31.

Abstract

OBJECTIVE

To determine whether emotional lability (EL) in adult ADHD patients can already be identified during their childhood and the extent to which this childhood symptomatology can predict EL in adulthood.

METHOD

Seven hundred eighteen adults with ADHD were examined. EL in adulthood was assessed using the Conners' Adult ADHD Rating Scales (CAARS). According to Conners' definition of EL, seven items from the Wender Utah Rating Scale (WURS) were used to determine this symptomatology in childhood.

RESULTS

EL was identified in 31.1% of the participants, and 29.6% of this subgroup reported EL symptoms in childhood. Childhood EL was the strongest predictor of these symptoms in adulthood (odds ratio [OR] = 6.18). ADHD subtype, female sex, family history of ADHD, psychiatric comorbidities, and physical abuse were also related to EL development/persistence.

CONCLUSION

Screening for EL symptoms in children with ADHD is important, as they are the strongest predictor of this symptomatology in adulthood.

摘要

目的

确定成年 ADHD 患者的情绪不稳定(EL)是否在儿童期就能识别,以及这种儿童期症状在多大程度上可以预测成年期的 EL。

方法

对 718 名成年 ADHD 患者进行了检查。使用 Conners 成人 ADHD 评定量表(CAARS)评定成年 EL。根据 Conners 对 EL 的定义,使用 Wender Utah 评定量表(WURS)的七个项目来确定儿童期的这种症状。

结果

31.1%的参与者存在 EL,其中 29.6%的亚组在儿童期报告有 EL 症状。儿童期 EL 是成年期这些症状的最强预测因素(优势比[OR] = 6.18)。ADHD 亚型、女性、ADHD 家族史、精神共病和身体虐待也与 EL 发展/持续存在有关。

结论

对 ADHD 儿童进行 EL 症状筛查很重要,因为它们是成年期出现这种症状的最强预测因素。

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