Hong Ji Sun, Lee Young Sik, Hong Minha, Kim Bongseog, Joung Yoo Sook, Yoo Hanik K, Kim Eui-Jung, Lee Soyoung Irene, Bhang Soo Young, Lee Seung Yup, Bahn Geon Ho, Han Doug Hyun
Chung-Ang University College of Medicine, Seoul, Republic of Korea.
Hanyang University College of Medicine, Seoul, Republic of Korea.
J Atten Disord. 2022 Feb;26(3):391-407. doi: 10.1177/1087054720978548. Epub 2021 Jan 20.
There is an updated conceptualization of whole-lifespan attention-deficit hyperactivity disorder (ADHD), promoted by awareness of probable persistence of impairment into adulthood. We investigated cognition trajectories from adolescence to mid-adulthood in ADHD.
Data of 240 patients with ADHD and 244 healthy controls (HCs) were obtained; clinical symptoms and neuropsychological functions were assessed using the various tests.
Compared to HCs, patients with ADHD except 35 to 44 age interval showed lower full scale intelligence quotient. They showed decreased verbal comprehensive scores except in the 35 to 44 age interval and working memory scores in all intervals. In the Comprehensive Attention Test, patients with ADHD showed increased working memory error frequencies except in the 15 to 17 age interval and divided attention omission error in all intervals.
Adults with ADHD showed deficits not in simple attention but in complex attention, including divided attention and working memory.
随着对注意力缺陷多动障碍（ADHD）可能持续到成年期的认识不断提高，出现了对全生命周期ADHD的更新概念。我们研究了ADHD患者从青少年到中年期的认知轨迹。
获取了240例ADHD患者和244例健康对照（HCs）的数据；使用各种测试评估临床症状和神经心理功能。
与HCs相比，除35至44岁年龄区间外，ADHD患者的全量表智商较低。除35至44岁年龄区间外，他们的言语综合得分降低，且在所有年龄区间的工作记忆得分均降低。在综合注意力测试中，除15至17岁年龄区间外，ADHD患者的工作记忆错误频率增加，且在所有年龄区间的分散注意力遗漏错误均增加。
患有ADHD的成年人表现出的缺陷不在于简单注意力，而在于复杂注意力，包括分散注意力和工作记忆。
