Baylor College of Medicine, Houston, TX, USA.
J Atten Disord. 2021 Jun;25(8):1120-1128. doi: 10.1177/1087054719886359. Epub 2019 Nov 9.
ADHD is common in patients with epilepsy, but adult patients with possible epilepsy are not routinely screened for ADHD. We aimed to characterize the results of two validated screening tools in the setting of an Epilepsy Monitoring Unit (EMU). This study utilized the validated Adult ADHD Self-Report Scale version 1.1 (ASRS) and Conners Continuous Performance Test, third edition (CPT-III) to screen patients who were admitted to the EMU at a Level 4 epilepsy center. Patients with epileptic seizures (ES) were compared with patients with psychogenic nonepileptic seizures (PNES). In all, 40.6% of patients screened positive using the ASRS. A significantly greater proportion of patients with PNES (63.6%) screened positive compared with patients with ES (27.8%, Fisher's exact test, = .005). Positive ASRS screens showed no significant association with positive CPT screens (chi-square test, = .146). Adult patients admitted to the EMU are at a high risk of comorbid attention deficits.
注意缺陷多动障碍在癫痫患者中很常见，但对于可能患有癫痫的成年患者，并未常规进行 ADHD 的筛查。我们旨在描述癫痫监测单元 (EMU) 中两种经过验证的筛查工具的结果。本研究使用经过验证的成人注意缺陷多动障碍自评量表第 1.1 版 (ASRS) 和康纳斯连续性能测试第三版 (CPT-III) 对 4 级癫痫中心的 EMU 住院患者进行筛查。将癫痫发作 (ES) 患者与心因性非癫痫性发作 (PNES) 患者进行比较。使用 ASRS 筛查，有 40.6%的患者呈阳性。PNES 患者（63.6%）呈阳性的比例明显高于 ES 患者（27.8%，Fisher 确切检验，=.005）。阳性 ASRS 筛查与阳性 CPT 筛查之间无显著关联（卡方检验，=.146）。入住 EMU 的成年患者存在注意力缺陷共病的高风险。
