Greenfield B, Hechtman L, Weiss G
McGill University, Montreal, Quebec.
Can J Psychiatry. 1988 Aug;33(6):505-8. doi: 10.1177/070674378803300612.
This prospective study explored the association of continuing symptoms of the hyperactive syndrome with adult outcome. A fifteen year follow-up compared 61 hyperactive subjects and 41 matched controls. Outcome measures examined included continuing symptoms of the hyperactive syndrome, antisocial behaviour, substance use, and emotional difficulties. Two subgroups of the hyperactive population were identified. Those hyperactive subjects with moderate or severe continuing symptoms were characterized by significant emotional difficulties, alcohol use, and antisocial behaviour. By contrast, hyperactive subjects with none or only mild continuing symptoms at follow-up did not have other difficulties in psychosocial functioning, and were, in addition, similar to the control group in many respects. The importance of continuing symptoms in determining the adult outcome of children with a diagnosis of ADDH is discussed. Accordingly, the need for comprehensive early, and ongoing interventions is emphasized.
这项前瞻性研究探讨了多动综合征的持续症状与成人预后的关联。一项为期15年的随访对61名多动受试者和41名匹配的对照组进行了比较。所检查的结果指标包括多动综合征的持续症状、反社会行为、物质使用和情绪障碍。确定了多动人群的两个亚组。那些有中度或重度持续症状的多动受试者的特征是存在明显的情绪障碍、饮酒和反社会行为。相比之下，随访时没有或只有轻度持续症状的多动受试者在心理社会功能方面没有其他困难，而且在许多方面与对照组相似。讨论了持续症状在确定被诊断为注意力缺陷多动障碍（ADHD）儿童的成人预后中的重要性。因此，强调了全面早期和持续干预的必要性。
