注意缺陷多动障碍儿童成年后：多模态治疗 18 年后的随访。
Children with Attention-Deficit/Hyperactivity Disorder Grown Up: An 18-Year Follow-Up after Multimodal Treatment.
机构信息
Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Faculty of Medicine and University Hospital Cologne, School for Child and Adolescent Cognitive Behavior Therapy (AKiP), University of Cologne, Cologne, Germany.
出版信息
J Atten Disord. 2021 Nov;25(13):1801-1817. doi: 10.1177/1087054720948133. Epub 2020 Aug 10.
OBJECTIVE
ADHD treatment has positive effects on behavioral symptoms and psychosocial functioning, but studies that follow children treated for ADHD into adulthood are rare.
METHOD
This follow-up study assessed symptom severity and functional outcomes of adults ( = 70) who had received individualized ADHD treatment in the Cologne Adaptive Multimodal Treatment (CAMT) Study at ages 6 to 10 years.
RESULTS
Despite symptomatic improvement, participants reported poorer educational and occupational outcomes than expected (e.g., currently unemployed: 17%). They had also been in contact with the justice system more often than expected (e.g., lifetime convictions: 33%) and were impaired on health-related outcomes (e.g., substance use problems: 15%). Several social outcomes were favorable (e.g., long-term relationship/married: 63%).
CONCLUSION
Compared to the general population or norm samples, CAMT participants had a higher relative risk () of functional impairments, demonstrating the need for continued support for a substantial proportion of the young adults.
目的
ADHD 治疗对行为症状和社会心理功能有积极影响，但很少有研究跟踪接受 ADHD 治疗的儿童进入成年期。
方法
本随访研究评估了在年龄为 6 至 10 岁时接受科隆适应性综合治疗（CAMT）研究个体化 ADHD 治疗的 70 名成年人的症状严重程度和功能结局。
结果
尽管症状有所改善，但参与者报告的教育和职业结果不如预期（例如，目前失业：17%）。他们也比预期更频繁地接触司法系统（例如，终身定罪：33%），并且在健康相关结果上存在障碍（例如，药物使用问题：15%）。一些社会结果是有利的（例如，长期关系/已婚：63%）。
结论
与普通人群或常模样本相比，CAMT 参与者的功能障碍相对风险（）更高，这表明需要继续为相当一部分年轻人提供支持。
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