Hyo Suh Min, Rong Bang Young, Yu Eun-Ra, Hwan Kim Seong, Lee Cheol-Soon, Yeon Kim Ju, Hee Kim Joon, Hong Park Jae
Department of Psychiatry, Gana Hospital, Busan, Republic of Korea.
Department of Psychiatry, Dong-A University Hospital, Busan, Republic of Korea.
Alpha Psychiatry. 2021 Nov 1;22(6):285-290. doi: 10.1530/alphapsychiatry.2021.21416. eCollection 2021 Nov.
Attention-deficit hyperactivity disorder (ADHD) symptoms start in early childhood and continue into adulthood, and are frequently associated with comorbid symptoms of depression, bipolar, insomnia, and daytime sleepiness. The aim of this study was to screen adult ADHD symptoms in a community sample and investigate the association of adult ADHD symptoms with mood and sleep symptoms.
Respondents (n = 1500) from the general adult population, aged between 19 and 49 years, were recruited. The sample consisted of a population in Busan, Korea that was representative in terms of sex, age, and residential area. ADHD symptoms and mood/sleep symptoms were assessed using validated questionnaires with cut-off threshold.
The screening for adult ADHD documented ADHD symptoms in 3% (45 out of 1500) of the participants. The ADHD screen-positive group was more likely to have depression symptoms (OR = 14.97, 95% CI: 7.94-28.25, < .001) and daytime sleepiness symptoms (OR = 3.18, 95% CI: 1.55-6.52, < .001).
Present result indicates high prevalence of adult ADHD symptoms in a community sample in Korea. The findings of this study also suggest significant association between adult ADHD symptoms and depression symptoms and daytime sleepiness. Optimal management of adult ADHD requires the consideration of not only ADHD symptoms but also the assessment and treatment of symptoms associated with comorbid conditions.
注意缺陷多动障碍（ADHD）症状始于儿童早期并持续至成年期，且常与抑郁、双相情感障碍、失眠和日间嗜睡等共病症状相关。本研究的目的是在社区样本中筛查成人ADHD症状，并调查成人ADHD症状与情绪和睡眠症状之间的关联。
招募了年龄在19至49岁之间的普通成年人群中的受访者（n = 1500）。样本由韩国釜山具有性别、年龄和居住地区代表性的人群组成。使用经过验证的问卷及临界值评估ADHD症状和情绪/睡眠症状。
成人ADHD筛查发现3%（1500人中的45人）的参与者有ADHD症状。ADHD筛查呈阳性的组更有可能出现抑郁症状（比值比[OR]=14.97，95%置信区间[CI]：7.94 - 28.25，P <.001）和日间嗜睡症状（OR = 3.18，95% CI：1.55 - 6.52，P <.001）。
目前的结果表明韩国社区样本中成人ADHD症状的患病率很高。本研究结果还表明成人ADHD症状与抑郁症状和日间嗜睡之间存在显著关联。成人ADHD的最佳管理不仅需要考虑ADHD症状，还需要评估和治疗与共病相关的症状。
