注意缺陷多动障碍成人的思维游荡：在日本临床人群中使用思维过度游荡量表进行的初步评估。
Mind wandering in adults with attention deficit hyperactivity disorder: Preliminary evaluation using the Mind Excessively Wandering Scale in a Japanese clinical population.
作者信息
Hayashi Wakaho, Tomita Akisa, Iwanami Akira
机构信息
Department of Psychiatry Showa University School of Medicine Tokyo Japan.
Department of Psychiatry Showa University Karasuyama Hospital Tokyo Japan.
出版信息
PCN Rep. 2022 Jun 23;1(2):e19. doi: 10.1002/pcn5.19. eCollection 2022 Jun.
AIM
Mind wandering (MW) has been closely associated with attention deficit hyperactivity disorder (ADHD); however, the field remains understudied in Japan. The present study examined MW in adults with ADHD using the Mind Excessively Wandering Scale (MEWS) in a Japanese clinical population.
METHODS
Fifty-two adults with ADHD (mean age, 33.0 years; 33 men), diagnosed per the , Fifth Edition (DSM-5) criteria, completed the MEWS, Mind Wandering Questionnaire, Conners' Adult ADHD Rating Scale (CAARS), Autism Spectrum Quotient (AQ), and Japanese Adult Reading Test-25.
RESULTS
The mean MEWS score was 18.8 (standard deviation, 7.6). MEWS scores showed significant correlations with the CAARS Inattention/Memory Problems, Problems with Self-Concept, DSM-IV ADHD Symptoms Total, ADHD Index, and AQ scores. Higher MEWS scores were associated with greater ADHD and autism spectrum disorder symptoms in patients with ADHD.
CONCLUSION
Our results not only provide supporting evidence of the presence of excessive MW in adults with ADHD, but also indicate the heterogeneous nature of MW in ADHD.
目的
思维游荡（MW）与注意力缺陷多动障碍（ADHD）密切相关；然而，该领域在日本仍未得到充分研究。本研究在日本临床人群中使用思维过度游荡量表（MEWS）对患有ADHD的成年人的思维游荡情况进行了调查。
方法
52名根据《精神疾病诊断与统计手册》第五版（DSM-5）标准诊断为ADHD的成年人（平均年龄33.0岁；33名男性）完成了MEWS、思维游荡问卷、康纳斯成人ADHD评定量表（CAARS）、自闭症谱系商数（AQ）和日本成人阅读测试-25。
结果
MEWS平均得分为18.8（标准差7.6）。MEWS得分与CAARS注意力不集中/记忆问题、自我概念问题、DSM-IV ADHD症状总分、ADHD指数和AQ得分显著相关。ADHD患者中，较高的MEWS得分与更严重的ADHD和自闭症谱系障碍症状相关。
结论
我们的研究结果不仅为患有ADHD的成年人存在过度思维游荡提供了支持性证据，还表明了ADHD中思维游荡的异质性。
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