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阿曼一所大学医院成人注意缺陷多动障碍患者的社会人口学和临床特征。

Socio-Demographic and Clinical Profiles of Adult Attention Deficit Hyperactivity Disorder Patients in a University Hospital in Oman.

机构信息

Department of Behavioural Medicine, Sultan Qaboos University, Muscat, Oman.

Oman Medical Specialty Board, Muscat, Oman.

出版信息

Sultan Qaboos Univ Med J. 2022 May;22(2):206-211. doi: 10.18295/squmj.5.2021.104. Epub 2022 May 26.

Abstract

OBJECTIVES

Although attention deficit hyperactivity disorder (ADHD) is typically considered a condition affecting children, there is evidence that children diagnosed with ADHD continue to suffer from this condition after the age of 18. This study aimed to describe the socio-demographic and clinical characteristics of adult ADHD patients in Oman and evaluate their association with the disorder's different subtypes.

METHODS

This retrospective study included adult patients with ADHD from the outpatient clinic at Sultan Qaboos University Hospital, Muscat, Oman. Data from medical records from January 2018 to April 2020 were collected. Socio-demographic characteristics, clinical profiles and psychiatric comorbidities were examined.

RESULTS

This study included 100 adults who fulfilled the standard diagnosis of ADHD, with 54.0% (n = 54) and 46.0% (n = 46) from the inattentive and combined subtypes, respectively. It was found that ADHD was more prevalent among males (64.0%) than females (36.0%), with the inattentive subtype being more predominant among females. The ADHD patients with the inattentive subtype were associated with comorbid substance use disorders (odds ratio [OR] = 11.29; = 0.049), personality disorders (OR = 7.96; = 0.017) and major depressive disorder (OR = 15.94; = 0.002) compared to patients predominantly with the combined subtype.

CONCLUSION

This study echoes the findings from the current literature that adult patients with ADHD commonly have comorbid psychiatric disorders, leading to significant functional impairment. Psychiatric comorbidities must be identified and urgently treated for better clinical and functional outcomes in adult patients with ADHD.

摘要

目的

尽管注意缺陷多动障碍(ADHD)通常被认为是一种影响儿童的疾病,但有证据表明,被诊断患有 ADHD 的儿童在 18 岁后仍会继续患有这种疾病。本研究旨在描述阿曼成年 ADHD 患者的社会人口学和临床特征,并评估其与该疾病不同亚型的关系。

方法

这是一项回顾性研究,纳入了来自阿曼马斯喀特苏尔坦·卡布斯大学医院门诊的成年 ADHD 患者。收集了 2018 年 1 月至 2020 年 4 月的病历数据。检查了社会人口学特征、临床特征和精神共病情况。

结果

本研究纳入了 100 名符合 ADHD 标准诊断的成年人,其中分别有 54.0%(n=54)和 46.0%(n=46)来自注意力不集中和混合型亚型。结果发现,ADHD 在男性(64.0%)中比女性(36.0%)更为常见,其中注意力不集中亚型在女性中更为常见。与主要为混合型亚型的患者相比,注意力不集中亚型的 ADHD 患者与共患物质使用障碍(比值比[OR] = 11.29; = 0.049)、人格障碍(OR = 7.96; = 0.017)和重度抑郁症(OR = 15.94; = 0.002)的共病有关。

结论

本研究与当前文献的发现一致,即成年 ADHD 患者通常共患精神障碍,导致显著的功能障碍。必须识别和紧急治疗精神共病,以改善成年 ADHD 患者的临床和功能结局。

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