注意缺陷多动障碍（ADHD）成人患者中人格障碍的患病率。
Prevalence of Personality Disorders in Adults With Attention Deficit Hyperactivity Disorder (ADHD).
作者信息
Adamis Dimitrios, Kasianenko Dmytro, Usman Memoona, Saleem Faisal, Wrigley Margo, Gavin Blánaid, McNicholas Fiona
机构信息
Sligo Mental Health Services, Ireland.
University College Dublin, Ireland.
出版信息
J Atten Disord. 2023 May;27(7):658-668. doi: 10.1177/10870547231161531. Epub 2023 Mar 16.
OBJECTIVE
To estimate the prevalence of PDs according to Millon's evolution-based model among adult ADHD outpatients.
METHOD
Cross-sectional study of consecutive patients referred to an adult ADHD clinic. PDs were evaluated with Millon Clinical Multiaxial Inventory-III (MCMI-III).
RESULTS
One-hundred-eighty-one participants had valid MCMI-III, of whom147 were diagnosed with ADHD. Mean age: 32.97, SD:11.56, females: 74 (50.3%). Among the 147 participants with ADHD, 29 (19.7%) did not meet criteria for any PD, 43 (29.3%) met the criteria for one PD, 34 (23.1%) for two PDs and the rest three or more. Most common PD was Dependent ( = 58) followed by Depressive ( = 45). Inattentive sub-type was associated with dependent PD, while combined type with antisocial, negativistic (passive/aggressive) and sadistic PD.
CONCLUSION
Particular personality profiles were more common with different ADHD subtypes. Given the developmental origins of PD, further research may help identify possible links with childhood difficulties.
目的
根据米隆基于进化的模型估计成人注意缺陷多动障碍（ADHD）门诊患者中人格障碍（PDs）的患病率。
方法
对连续转诊至成人ADHD门诊的患者进行横断面研究。使用米隆临床多轴问卷第三版（MCMI-III）评估人格障碍。
结果
181名参与者的MCMI-III有效，其中147人被诊断为ADHD。平均年龄：32.97岁，标准差：11.56，女性：74人（50.3%）。在147名ADHD参与者中，29人（19.7%）不符合任何人格障碍标准，43人（29.3%）符合一种人格障碍标准，34人（23.1%）符合两种人格障碍标准，其余符合三种或更多标准。最常见的人格障碍是依赖型（=58），其次是抑郁型（=45）。注意力不集中亚型与依赖型人格障碍相关，而混合型与反社会型、消极（被动/攻击型）和施虐型人格障碍相关。
结论
不同的ADHD亚型中特定的人格特征更为常见。鉴于人格障碍的发展起源，进一步的研究可能有助于确定与儿童期困难的可能联系。
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