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成人注意缺陷多动障碍:意大利精神科门诊患者样本中的患病率及临床相关因素。

Adult ADHD: Prevalence and Clinical Correlates in a Sample of Italian Psychiatric Outpatients.

机构信息

University of Brescia, Italy.

Spedali Civili Hospital, Brescia, Italy.

出版信息

J Atten Disord. 2021 Feb;25(4):530-539. doi: 10.1177/1087054718819824. Epub 2018 Dec 20.

Abstract

ADHD remains a largely underdiagnosed disorder in Europe and especially in Italy. Aims of the present study were to assess the prevalence of ADHD and its clinical and demographic correlates in a large sample of Italian outpatients. 634 outpatients accessing psychiatric services were assessed with the Mini-International Neuropsychiatric Interview (MINI) Plus V. 5.0.0 interview and the Adult ADHD self-report Scale Symptoms Checklist (ASRS)-V 1.1 Short Form. Patients positive to the ASRS-V 1.1 were assessed with the Diagnostic Interview for ADHD in Adults (DIVA) 2.0. Of the total patients' sample, 81 (12.8%) were positive on the ASRS-V 1.1. After performing the DIVA 2.0, 44 patients (6.9%) met the criteria for Adult ADHD. Significant clinical and demographic differences between ADHD positive and negative groups were found. The prevalence and correlates of ADHD comorbidity in our outpatient psychiatric population were comparable to those found in other high-income countries. Considering the prevalence of ADHD and its impact on functioning, implementing specific knowledge on this subject is needed.

摘要

注意缺陷多动障碍(ADHD)在欧洲,尤其是意大利,仍然存在大量未被诊断的情况。本研究的目的是评估意大利大量门诊患者中 ADHD 的流行率及其临床和人口统计学相关性。634 名接受精神科服务的门诊患者使用 Mini-International Neuropsychiatric Interview (MINI) Plus V.5.0.0 访谈和成人注意缺陷多动障碍自评量表症状清单(ASRS-V1.1 短表)进行评估。对 ASRS-V1.1 呈阳性的患者使用成人注意缺陷多动障碍诊断访谈表(DIVA)2.0 进行评估。在总患者样本中,81 名(12.8%)对 ASRS-V1.1 呈阳性。在执行 DIVA 2.0 后,44 名患者(6.9%)符合成人 ADHD 的标准。在 ADHD 阳性和阴性组之间发现了显著的临床和人口统计学差异。在我们的门诊精神科人群中,ADHD 的患病率及其对功能的影响与其他高收入国家相当。考虑到 ADHD 的流行率及其对功能的影响,需要针对这一主题开展特定的知识教育。

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