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注意缺陷多动障碍症状与普通人群成年人的幸福感。

Attention-deficit/hyperactivity disorder symptoms and happiness among adults in the general population.

机构信息

Department of Child and Adolescent Mental Health, National Institute of Mental Health, National Center of Neurology and Psychiatry (NCNP), 4-1-1 Ogawahigashi, Kodaira, Tokyo 187-8553, Japan; The Stockholm Center for Health and Social Change (SCOHOST), Södertörn University, Huddinge 141 89, Sweden.

Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Dr Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona 08830, Spain; Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Monforte de Lemos 3-5 Pabellón 11, Madrid 28029, Spain.

出版信息

Psychiatry Res. 2018 Jul;265:317-323. doi: 10.1016/j.psychres.2018.05.004. Epub 2018 May 5.

Abstract

Despite an increasing focus on the role of mood and emotions in attention-deficit/hyperactivity disorder (ADHD), as yet, there has been comparatively little research on positive emotions. To address this research gap, the current study examined the association between ADHD symptoms and happiness using data from the 2007 Adult Psychiatric Morbidity Survey. The analytic sample comprised 7274 adults aged 18 and above residing in private households in England. Information was collected on ADHD symptoms using the Adult ADHD Self-Report Scale (ASRS) Screener, while happiness was assessed with a single (3-point) measure. Multivariable ordinal logistic regression analysis and a mediation analysis were performed to examine associations. Greater ADHD symptom severity was associated with higher odds for feeling less happy. Mood instability (percentage mediated 37.1%), anxiety disorder (35.6%) and depression (29.9%) were all important mediators of the association between ADHD and happiness. Given that happiness has been linked to a number of beneficial outcomes, the results of this study highlight the importance of diagnosing ADHD in adults and also of screening for and treating any comorbid psychiatric disorders in these individuals.

摘要

尽管人们越来越关注情绪和情感在注意缺陷多动障碍(ADHD)中的作用,但迄今为止,关于积极情绪的研究相对较少。为了弥补这一研究空白,本研究利用 2007 年成人精神疾病发病率调查的数据,考察了 ADHD 症状与幸福感之间的关联。分析样本包括居住在英格兰私人住宅中的 7274 名 18 岁及以上的成年人。使用成人 ADHD 自评量表(ASRS)筛查器收集 ADHD 症状信息,而幸福感则使用单一(3 分)测量进行评估。采用多变量有序逻辑回归分析和中介分析来检验相关性。ADHD 症状严重程度越高,幸福感越低的可能性就越大。情绪不稳定(中介百分比 37.1%)、焦虑症(35.6%)和抑郁症(29.9%)都是 ADHD 与幸福感之间关联的重要中介因素。鉴于幸福感与许多有益的结果相关,本研究结果强调了在成年人中诊断 ADHD 的重要性,以及在这些人中筛查和治疗任何合并的精神疾病的重要性。

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