University of Strasbourg, Strasbourg, France; INSERM U1114, Strasbourg, France.
INSERM U1114, Strasbourg, France; Psychiatry Department, University Hospital of Strasbourg, Strasbourg, France.
Psychiatry Res. 2021 Jul;301:113988. doi: 10.1016/j.psychres.2021.113988. Epub 2021 May 9.
Adults with ADHD experience mental restlessness, akin to racing thoughts, but data on this symptom in ADHD remain scarce. Our study aims at investigating self-reported racing thoughts in adults with ADHD, and its relationship with affective dysregulation and insomnia. We were also interested in whether racing thoughts may aid differential diagnosis with bipolar disorder (BD). 182 adults with ADHD, 30 ADHD+BD, 31 hypomanic BD, and 20 euthymic BD patients completed the Racing and Crowded Thoughts Questionnaire (RCTQ). ADHD, anxiety, insomnia and depression symptoms, as well as affective temperament were also assessed in ADHD and ADHD+BD subjects. Results show that RCTQ scores were higher in ADHD compared to hypomania and euthymia and were associated with cyclothymic traits and anxiety. Moreover, in ADHD and ADHD+BD, racing thoughts increased in the evening and at bedtime and were associated with insomnia severity. In conclusion, self-reported racing thoughts are a neglected but an intrinsic feature of adult ADHD that is particularly related to cyclothymia and anxiety, but cannot differentiate ADHD and BD.
成人 ADHD 患者会出现精神不安，类似于思维奔逸，但 ADHD 患者的这种症状数据仍然很少。我们的研究旨在调查成人 ADHD 患者自述的思维奔逸，并研究其与情感失调和失眠的关系。我们还关注思维奔逸是否有助于与双相情感障碍（BD）进行鉴别诊断。182 名 ADHD 患者、30 名 ADHD+BD、31 名轻躁狂 BD 和 20 名心境稳定 BD 患者完成了 Racing and Crowded Thoughts Questionnaire（RCTQ）。在 ADHD 和 ADHD+BD 患者中还评估了 ADHD、焦虑、失眠和抑郁症状以及情感气质。结果表明，与轻躁狂和心境稳定相比，ADHD 患者的 RCTQ 评分更高，且与环性特质和焦虑相关。此外，在 ADHD 和 ADHD+BD 中，思维奔逸在晚上和睡前增加，且与失眠严重程度相关。总之，自述思维奔逸是成人 ADHD 的一个被忽视但内在的特征，与环性特质和焦虑特别相关，但不能区分 ADHD 和 BD。
