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患有注意力缺陷多动障碍(ADHD)的女性与男性青少年的家族史和发育史:特定诊断的重叠情况,性别差异较少。

Family and developmental history of female versus male adolescents with ADHD: diagnosis-specific overlap, few gender/sex differences.

作者信息

Waltereit Johanna, Zimmer Jonas, Roessner Veit, Waltereit Robert

机构信息

Department of Child and Adolescent Psychiatry, Medical Faculty Carl Gustav Carus, Technical University Dresden, Dresden, Germany.

Department of Child and Adolescent Psychiatry, University Medical Center Göttingen, Göttingen, Germany.

出版信息

Front Psychiatry. 2023 Jul 17;14:1072735. doi: 10.3389/fpsyt.2023.1072735. eCollection 2023.

DOI:10.3389/fpsyt.2023.1072735
PMID:37533883
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10390694/
Abstract

BACKGROUND

Gender and sex differences in the development of children and adolescents are commonly found in the psychiatric examination. Family and developmental history is an important part of the clinical diagnostic interview, the basic examination technique. Attention-deficit/hyperactivity disorder (ADHD) is associated with diagnosis-specific markers in family and development history. However, it is unclear to what extent ADHD-specific signs and narratives differ between females and males. The aim of this study was to assess and to compare the family and developmental history profiles of female versus male adolescents with ADHD.

METHODS

Data were collected using the clinical diagnostic interview technique from parents of female and male patients diagnosed with ADHD (ICD-10  F90.0, F90.1 and F98.8) between the ages of 12 and 17  years ( = 92). The two groups were matched in pairs for sex, IQ and ICD-10 diagnosis (F90.0, F90.1 and F98.8). Interview data were operationalized in three categories: 0 - physiological marker, 1 - subclinical marker, 2 - clinical marker. The two groups were compared with two-way ANOVA.

RESULTS

Information about female in comparison to male adolescents were reported in the parental interview with few differences.

CONCLUSION

Our study suggests that family and developmental history of the neurodevelopmental disorder ADHD is only poorly influenced by gender or sex.

摘要

背景

在儿童和青少年发育过程中的性别差异在精神检查中很常见。家庭和发育史是临床诊断访谈(基本检查技术)的重要组成部分。注意力缺陷多动障碍(ADHD)与家庭和发育史中的诊断特异性标志物相关。然而,尚不清楚ADHD特异性体征和叙述在女性和男性之间存在多大差异。本研究的目的是评估和比较患有ADHD的女性与男性青少年的家庭和发育史概况。

方法

采用临床诊断访谈技术,从12至17岁(n = 92)被诊断为ADHD(ICD - 10 F90.0、F90.1和F98.8)的女性和男性患者的父母那里收集数据。两组在性别、智商和ICD - 10诊断(F90.0、F90.1和F98.8)方面进行配对。访谈数据分为三类进行操作化:0 - 生理标志物,1 - 亚临床标志物,2 - 临床标志物。两组采用双向方差分析进行比较。

结果

在父母访谈中,与男性青少年相比,关于女性青少年的信息报告差异不大。

结论

我们的研究表明,神经发育障碍ADHD的家庭和发育史受性别影响很小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86f3/10390694/689db70a8f8a/fpsyt-14-1072735-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86f3/10390694/10558b44c3d1/fpsyt-14-1072735-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86f3/10390694/3df397703465/fpsyt-14-1072735-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86f3/10390694/40939c98dc43/fpsyt-14-1072735-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86f3/10390694/689db70a8f8a/fpsyt-14-1072735-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86f3/10390694/10558b44c3d1/fpsyt-14-1072735-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86f3/10390694/3df397703465/fpsyt-14-1072735-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86f3/10390694/40939c98dc43/fpsyt-14-1072735-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86f3/10390694/689db70a8f8a/fpsyt-14-1072735-g004.jpg

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本文引用的文献

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Family and developmental history of ADHD patients: a structured clinical routine interview identifies a significant profile.ADHD 患者的家族和发育史:结构化临床常规访谈可确定显著特征。
Eur Arch Psychiatry Clin Neurosci. 2020 Dec;270(8):1047-1061. doi: 10.1007/s00406-019-01047-4. Epub 2019 Aug 9.
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Do different factors influence whether girls versus boys meet ADHD diagnostic criteria? Sex differences among children with high ADHD symptoms.
不同因素是否会影响女孩和男孩是否符合 ADHD 诊断标准?高 ADHD 症状儿童的性别差异。
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