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与注意力缺陷多动障碍相关的影响:一项综合性综述。

The impacts associated with having ADHD: an umbrella review.

作者信息

French Blandine, Nalbant Gamze, Wright Hannah, Sayal Kapil, Daley David, Groom Madeleine J, Cassidy Sarah, Hall Charlotte L

机构信息

NIHR MindTech MedTech Cooperative, Nottingham National Institute of Health Research Biomedical Research Center (NIHR BRC), Institute of Mental Health, School of Medicine, University of Nottingham, Nottingham, United Kingdom.

School of Psychology, University of Nottingham, Nottingham, United Kingdom.

出版信息

Front Psychiatry. 2024 May 21;15:1343314. doi: 10.3389/fpsyt.2024.1343314. eCollection 2024.

Abstract

INTRODUCTION

Attention Deficit Hyperactivity Disorder (ADHD) affects up to 5% of the population and is characterised by symptoms of impulsivity, hyperactivity and inattention. These symptoms are significantly impairing and carry additional risks for children and adults with ADHD, including negative mental health (e.g. depression), physical health (e.g. obesity) and societal outcomes (e.g. imprisonment, divorce). Very few studies have attempted to synthesise these risks in one publication due to the breadth of evidence published on the adverse outcomes of ADHD.

METHODS

An umbrella review was performed to identify reviews (systematic, meta-analysis and narrative) that investigate the risks arising from having ADHD. We conducted a narrative synthesis of the findings and conducted a quality review of the included publications.

RESULTS

Upon searching five databases, 16,675 records were identified. Of these, 125 reviews met the criteria for inclusion. A narrative synthesis of these findings highlighted three key domains of risks associated with ADHD: mental health, physical health, social and lifestyle. Most reviews were of good and moderate quality.

DISCUSSION

This review highlights the many risks associated with having ADHD, beyond its three key symptom domains and the impact of the condition on daily functioning.

REGISTRATION

International Prospective Register of Systematic Reviews (PROSPERO CRD42023404073).

摘要

引言

注意缺陷多动障碍(ADHD)影响着高达5%的人口,其特征为冲动、多动和注意力不集中等症状。这些症状会造成严重损害,给患有ADHD的儿童和成人带来额外风险,包括负面心理健康问题(如抑郁症)、身体健康问题(如肥胖)以及社会后果(如监禁、离婚)。由于关于ADHD不良后果的证据范围广泛,很少有研究试图在一篇出版物中综合这些风险。

方法

进行了一项汇总分析,以识别调查患有ADHD所产生风险的综述(系统综述、荟萃分析和叙述性综述)。我们对研究结果进行了叙述性综合,并对纳入的出版物进行了质量评估。

结果

在搜索五个数据库后,共识别出16675条记录。其中,125篇综述符合纳入标准。对这些结果的叙述性综合突出了与ADHD相关的三个关键风险领域:心理健康、身体健康、社会和生活方式。大多数综述质量良好或中等。

讨论

本综述强调了与患有ADHD相关的诸多风险,这些风险超出了其三个关键症状领域以及该病症对日常功能的影响。

注册信息

国际系统综述前瞻性注册库(PROSPERO CRD42023404073)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b110/11151783/15741dc335e5/fpsyt-15-1343314-g001.jpg

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