Baylor College of Medicine, Houston, TX, USA.
J Atten Disord. 2024 Jan;28(1):51-57. doi: 10.1177/10870547231197215. Epub 2023 Sep 11.
Given the complex nature of seizure disorders and their treatments, ADHD may be underdiagnosed in this population. We hypothesized that a higher percentage of patients presenting to a seizure clinic would endorse ADHD symptoms compared to rates reported in the general population and that formal screening for ADHD symptoms would identify patients with previously undiagnosed comorbid ADHD.
In this study, we surveyed 312 adults in a seizure clinic using the Adult ADHD Self-Report Scale (ASRS-v1.1).
We found that 90 patients (28.8%) screened positive with the ASRS-v1.1, but only nine of these patients were able to complete neuropsychological testing,. Out of these patients, only one was diagnosed with possible ADHD.
Through this process, we identified many challenges to making a new ADHD diagnosis in this population, including attention deficits due to other medical or psychiatric diagnoses, a positive urine drug screen, lack of collateral report/information about developmental history, and barriers to neuropsychological evaluation.
鉴于癫痫发作障碍及其治疗的复杂性，ADHD 在该人群中可能被漏诊。我们假设，与一般人群报告的比率相比，就诊于癫痫诊所的患者中会有更高比例的患者认可 ADHD 症状，而 ADHD 症状的正式筛查将能识别出以前未被诊断出患有共病 ADHD 的患者。
在这项研究中，我们使用成人 ADHD 自评量表（ASRS-v1.1）对 312 名癫痫诊所的成年人进行了调查。
我们发现，90 名患者（28.8%）的 ASRS-v1.1 筛查呈阳性，但只有 9 名患者能够完成神经心理测试。在这些患者中，只有一名被诊断为可能患有 ADHD。
通过这一过程，我们发现了在该人群中做出新的 ADHD 诊断所面临的许多挑战，包括由于其他医疗或精神科诊断而导致的注意力缺陷、尿液药物筛查阳性、缺乏关于发育史的旁证/信息，以及神经心理评估的障碍。
