Self-reported inattention, impulsivity, and hyperactivity at ages 15 and 18 years in the general population.

Self-reported inattention, impulsivity, and hyperactivity at ages 15 and 18 years in the general population.
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一般人群在 15 岁和 18 岁时自我报告的注意力不集中、冲动和多动的情况。

DOI:
10.1097/00004583-199402000-00004
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发表时间:
1994
影响因子:
13.3
通讯作者:
Silva,PA
Silva,PA
中科院分区:
医学1区
文献类型:
--
作者:
Schaughency,E;McGee,R;Raja,SN;Feehan,M;Silva,PA

文献摘要

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目的在一项新西兰出生队列的纵向研究中,研究了15-18岁儿童自报的注意力缺陷障碍(ADD)症状的患病率、影响和连续性。方法:在15岁时,评估ADD症状的患病率,在自我报告的症状中没有发现性别差异。4名青少年(0.5%)完全符合DSM-III的ADD标准。青少年在ADD症状总分上的得分高于样本平均值1.5SD以上,被确认为ADD症状水平较高。结果:有ADD症状的男女青少年(6%的男性和4%的女性)和无行为障碍病史(6%的男性和7%的女性)在注意力不集中和冲动方面没有差异,在15岁和18岁时接受了更多的其他诊断,并经历了更多的不良教育和社会后果。结论:有ADD病史组的研究结果与以往关于多动儿童预后的研究结果一致,而无ADD病史组可能反映了青春期其他病理的发生。结果表明,青春期注意障碍的自我报告可能是男性和女性适应困难的临床重要标志,但可能需要额外的信息才能准确诊断。
ObjectivePrevalence, impact, and continuity of self-reported attention deficit disorder (ADD) symptomology from ages 15 to 18 years were examined in a longitudinal study of a New Zealand birth cohort. Method: At age 15, prevalence of ADD symptomology was estimated, with no gender differences found in self-reported symptomology. Four adolescents (0.5%) met fullDSM-IIIcriteria for ADD. Adolescents scoring higher than 1.5 SD above the sample mean on total ADD symptom score were identified as having high levels of ADD symptomology. Results: Male and female adolescents reporting ADD symptomology with (6% of males; 4% of females) and without history of behavior disorder (6% of males; 7% of females) did not differ in inattention and impulsivity, received more diagnoses other than ADD, and experienced more adverse educational and social outcomes at 15 and 18 years than did the nonADD group. Conclusions: Findings pertaining to the ADD with history group were consistent with previous research on the outcome of hyperactive children, whereas the ADD without history group may be reflecting the onset of other pathology in adolescence. Results suggest adolescent self-report of attentional difficulties may be a clinically significant marker of adjustment difficulties for both males and females, but additional information likely is needed for accurate diagnosis.