Centre de Référence Narcolepsie, Unité des Troubles du Sommeil Service de Neurologie, Hôpital Gui-de-Chauliac, Montpellier, France; Inserm U1061, Montpellier, France; Université de Montpellier, Montpellier F-34000 France.
Clinique du Sommeil, Service d'Explorations Fonctionnelles du Système Nerveux, CHU de Bordeaux, Bordeaux, France; Univ. Bordeaux, SANPSY, USR 3413, Bordeaux, France; CNRS, SANPSY, USR 3413, Bordeaux, France.
Psychiatry Res. 2017 Nov;257:238-241. doi: 10.1016/j.psychres.2017.07.080. Epub 2017 Jul 31.
Recent population-based longitudinal studies concluded that most adults with attention deficit/hyperactivity disorder (ADHD) symptoms would not have a childhood history of ADHD, leading to the concept of adult-onset ADHD. In a large, well-characterized clinical population of 446 adults with a primary complaint of ADHD, we reported a low frequency of adult-onset ADHD (6.9%), being a primary isolated condition in 2.8%. They had less severe symptoms and tendencies for higher hypersomnolence disorder comorbidity than patients with typical childhood-onset ADHD. Our findings reinforce the requirement to exclude other disorders that might overlap with ADHD or mimic ADHD symptoms in adulthood onset patients.
最近基于人群的纵向研究得出结论，大多数有注意力缺陷/多动障碍（ADHD）症状的成年人没有儿童期 ADHD 病史，导致成人 ADHD 的概念。在一个由 446 名以 ADHD 为主要主诉的大型、特征明确的临床人群中，我们报告 ADHD 的成人起病频率较低（6.9%），原发性孤立性疾病为 2.8%。与典型儿童起病 ADHD 患者相比，他们的症状较轻，合并嗜睡障碍的倾向较高。我们的发现强调需要排除其他可能与 ADHD 重叠或在成年起病患者中模拟 ADHD 症状的疾病。
