Comparing Methods to Determine Persistence of Childhood ADHD Into Adulthood: A Prospective, Population-Based Study.

Comparing Methods to Determine Persistence of Childhood ADHD Into Adulthood: A Prospective, Population-Based Study.
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DOI:
10.1177/1087054715618791
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发表时间:
2018-04
影响因子:
3
通讯作者:
Katusic SK
Katusic SK
中科院分区:
医学2区
文献类型:
--
作者:
Barbaresi WJ;Weaver AL;Voigt RG;Killian JM;Katusic SK

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比较参考常模和非参考常模的诊断性访谈以及标准化问卷所确定的ADHD在成年后的持久性比率。来自出生队列的成年人,包括研究确定的儿童ADHD病例(N=232;平均年龄27.0岁;167名男性,65名女性)和对照组(N=335名;平均年龄28.6岁;210名男性,125名女性)接受了迷你国际神经精神病学访谈,墨菲-巴克利症状检查表(MB)和文德犹他州评定量表(WURS)。在儿童ADHD病例中,29.3%的人使用参考常模的方法进行迷你评分来满足成人ADHD的标准,而使用已公布的迷你标准的比例为13.8%。在符合正常参考诊断标准的受试者中,使用MB和WURS分别将41.8%和69.1%归类为成人ADHD。一种非正常参考方法导致了对成人ADHD发生率的严重低估。依赖两份成人ADHD问卷中的任何一份都会进一步降低这一估计。
To compare the rate of persistence of ADHD into adulthood as determined by a norm-referenced versus non-norm-referenced diagnostic interview, and by standardized questionnaires. Adults from a birth cohort, including research-identified childhood ADHD cases (N=232; mean age 27.0 years; 167 males, 65 females) and controls (N=335; mean age 28.6 years; 210 males, 125 females) were administered the MINI International Neuropsychiatric Interview, the Murphy-Barkley Symptoms Checklist (MB) and the Wender Utah Rating Scale (WURS). Among the childhood ADHD cases, 29.3% fulfilled criteria for adult ADHD using a norm-referenced approach to MINI scoring, versus 13.8% using published MINI criteria. Among subjects meeting norm-referenced diagnostic criteria, 41.8% and 69.1% were classified as adult ADHD using the MB and WURS, respectively. A non-norm-referenced approach resulted in a significant underestimate of the rate of adult ADHD. Reliance on either of two adult ADHD questionnaires would have further reduced this estimate.
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