The presentation of depression symptoms in attention-deficit/hyperactivity disorder: comparing child and parent reports.

The presentation of depression symptoms in attention-deficit/hyperactivity disorder: comparing child and parent reports.
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DOI:
10.1111/camh.12253
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发表时间:
2018-09
影响因子:
6.1
通讯作者:
Eyre O
Eyre O
中科院分区:
医学3区
文献类型:
--
作者:
Fraser A;Cooper M;Agha SS;Collishaw S;Rice F;Thapar A;Eyre O

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注意力缺陷/多动障碍(ADHD)经常与抑郁症同时发生,当两者都存在时,结果很差。与一般人群相比,ADHD患者的抑郁症状是否存在差异,或者患有ADHD的年轻人报告这些症状的可靠性如何,目前还知之甚少。本研究旨在描述临床ADHD样本与人群样本相比的抑郁症状,并将抑郁症状的自我报告与父母报告进行比较。249名ADHD儿童及其父母在参加卡迪夫大学ADHD研究后约5年完成了随访问卷。使用父母和儿童报告的情绪和感觉量表(MFQ)测量儿童抑郁症状,并与MFQ数据的人群样本(n = 1460)进行比较。在这两个样本中,比较了儿童和父母报告的抑郁症状。尽管患有ADHD的年轻人与普通人群的抑郁症状特征相似,但抑郁症状在ADHD样本中更为常见(父母评分MFQ评分= 24.52 vs. 9.39;儿童评分= 21.02 vs. 11.86)。两个样本中最常见的症状包括易怒、坐立不安和注意力难以集中,核心抑郁症状如感到痛苦/不快乐也很突出。在ADHD样本中,但不是人口样本,儿童报告抑郁症状的频率低于他们的父母。患有ADHD的年轻人有很高的风险经历抑郁症的症状,但可能会低估其症状的严重程度。在这一组中获得抑郁症状的父母报告可能是重要的,以避免错过风险的关键指标。
Attention‐deficit/hyperactivity disorder (ADHD) frequently co‐occurs with depression, and outcomes are poor when both are present. Little is known about whether depression symptoms present differently in ADHD compared to the general population, or how reliable young people with ADHD are at reporting these symptoms. This study aimed to describe depression symptoms in a clinical ADHD sample compared to a population sample, and compare self‐reports of depression symptoms with parent‐reports. Two hundred and forty‐nine children with ADHD and their parents completed follow‐up questionnaires around 5 years after taking part in a Cardiff University ADHD study. Child depression symptoms were measured using parent‐ and child‐reported Mood and Feelings Questionnaires (MFQ) and compared to a population sample with MFQ data (n = 1460). Within both samples, child‐ and parent‐reported depression symptoms were compared. Although the profile of depression symptoms was similar between young people with ADHD and those in the general population, depression symptoms were much more common in the ADHD sample (parent‐rated MFQ score = 24.52 vs. 9.39; child‐rated = 21.02 vs. 11.86). The most common symptoms in both samples included irritability, restlessness and concentration difficulties, with core depression symptoms such as feeling miserable/unhappy also prominent. Within the ADHD sample, but not the population sample, children reported depression symptoms less frequently than their parents. Young people with ADHD are at high risk of experiencing symptoms of depression but may under‐report the severity of their symptoms. Obtaining parent reports of depression symptoms in this group may be important to avoid missing key indicators of risk.
DOI: 10.1111/1469-7610.00231
发表时间: 2002-11-01
期刊: JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES
影响因子: --
作者:
Rice, F;Harold, GT;Thapar, A
通讯作者: Thapar, A
DOI: 10.1111/j.1469-7610.2008.02026.x
发表时间: 2009-05-01
影响因子: 7.6
作者:
Collishaw, Stephan;Goodman, Robert;Pickles, Andrew
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DOI: 10.1176/appi.ajp.2013.13070966
发表时间: 2014-03
期刊: The American journal of psychiatry
影响因子: --
作者:
Shaw P;Stringaris A;Nigg J;Leibenluft E
通讯作者: Leibenluft E
DOI: 10.1080/15374416.2014.930689
发表时间: 2015-11-02
影响因子: 4.2
作者:
Becker, Stephen P.;Langberg, Joshua M.;Vaughn, Aaron J.
通讯作者: Vaughn, Aaron J.
DOI: 10.1017/s0021963099005909
发表时间: 2000-07-01
影响因子: 7.6
作者:
Goodman, R;Ford, T;Meltzer, H
通讯作者: Meltzer, H