Division of Psychological Medicine and Clinical Neurosciences, MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, UK.
MRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
J Atten Disord. 2022 Apr;26(6):822-830. doi: 10.1177/10870547211025612. Epub 2021 Jun 24.
ADHD symptoms typically decline with age, but less is known about whether the presentation of specific ADHD symptoms differs across development. This study aimed to examine the frequency and associated impairment of specific ADHD symptoms in childhood, adolescence, and young adulthood.
A prospective, longitudinal cohort, the Avon Longitudinal Study of Parents and Children, was utilized ( = 2,327). ADHD symptoms and impairment were assessed using the Development and Well Being Assessment at ages 7, 15, and 25.
Specific ADHD symptom frequencies and their associated impairment varied across development for the majority of symptoms, although was one of the most commonly reported symptoms at each age, and was consistently associated with high levels of impairment.
These findings suggest differences in the presentations of ADHD symptoms across development: current understanding of how ADHD presents in childhood/adolescence may not be generalizable to young adulthood.
注意力缺陷多动障碍（ADHD）的症状通常会随着年龄的增长而减轻，但对于特定 ADHD 症状在不同年龄段的表现方式知之甚少。本研究旨在探讨特定 ADHD 症状在儿童期、青少年期和青年期的发生频率及其相关损害。
利用前瞻性纵向队列研究——阿冯纵向研究父母与子女（Avon Longitudinal Study of Parents and Children）（ = 2327）。使用发展和健康评估（Development and Well Being Assessment）在 7、15 和 25 岁时评估 ADHD 症状和损害。
大多数症状的特定 ADHD 症状频率及其相关损害在整个发育过程中存在差异，尽管注意力不集中是每个年龄段最常见的症状之一，且始终与高水平的损害相关。
这些发现表明 ADHD 症状在发育过程中的表现存在差异：目前对儿童/青少年期 ADHD 表现的理解可能不适用于青年期。
