青少年 ADHD 诊断患者的物质相关问题：自我报告的行为问题的重要性。
Substance-Related Problems in Adolescents with ADHD-Diagnoses: The Importance of Self-Reported Conduct Problems.
机构信息
NORCE Norwegian Research Centre, Bergen, Norway.
Stavanger University Hospital, Norway.
出版信息
J Atten Disord. 2022 Dec;26(14):1857-1869. doi: 10.1177/10870547221105063. Epub 2022 Jun 25.
BACKGROUND
Attention-deficit/hyperactivity disorder (ADHD) is a known risk factor for substance-related problems (SRP) during adolescence, but the nature of this relationship and the importance of co-occurring conduct problems are not fully understood.
METHODS
Data stem from a linked dataset between a large population-based survey conducted in 2012 of Norwegian adolescents aged 16 to 19, and registry-based data from specialized child and adolescent mental health services ( = 9,411).
RESULTS
Adolescents with "ADHD + high conduct problems" had increased risk of SRP (odds ratios = 2.37-10.14). Adolescents with "ADHD only" had very similar risk of SRP as adolescents from the general population with low symptoms of conduct problems. Relative to boys, girls with "ADHD + high conduct problems" appeared to have somewhat higher risk for SRP.
CONCLUSION
The present study suggests that the risk for SRP among adolescent with ADHD is largely driven by co-existing conduct problems.
背景
注意力缺陷多动障碍（ADHD）是青少年时期物质相关问题（SRP）的已知风险因素，但这种关系的性质和共患行为问题的重要性尚不完全清楚。
方法
数据来自于 2012 年对挪威 16 至 19 岁青少年进行的一项大型基于人群的调查，以及专门的儿童和青少年心理健康服务机构的基于登记册的数据之间的关联数据集（ = 9411）。
结果
“ADHD + 高行为问题”的青少年发生 SRP 的风险增加（比值比 = 2.37-10.14）。“仅 ADHD”的青少年发生 SRP 的风险与一般人群中行为问题症状较轻的青少年非常相似。与男孩相比，“ADHD + 高行为问题”的女孩似乎有更高的 SRP 风险。
结论
本研究表明，ADHD 青少年发生 SRP 的风险在很大程度上是由共患行为问题驱动的。
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