Adolescent outcome of boys with attention-deficit/hyperactivity disorder and social disability: Results from a 4-year longitudinal follow-up study
Adolescent outcome of boys with attention-deficit/hyperactivity disorder and social disability: Results from a 4-year longitudinal follow-up study
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DOI：
10.1037/0022-006x.65.5.758
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发表时间：
1997-10-01
影响因子：
5.9
通讯作者：
GarciaJetton, J
中科院分区：
文献类型：
--
作者：
Greene, RW;Biederman, J;GarciaJetton, J
智商-成绩差异方法与定义学习障碍时使用的方法类似，最近被用来识别患有注意力缺陷/多动障碍(ADHD)的男孩的子集，表明他们的社交功能明显受损。在这项研究中，我们研究了两个问题：(A)在基线水平上被认定为‘’社会残疾‘’的ADHD男孩的纵向结局是什么？(B)基线的社会残疾是否是ADHD患者严重长期后果(如物质使用障碍)的重要预测指标？如果是这样的话，它的预测关系是否被与ADI-LD并存的重现所解释？结果显示，在随访中，与患有ADHD的非社交残疾男孩和没有ADHD的对照男孩相比，患有ADHD的男孩有明显更高的情绪、焦虑、破坏性和药物使用障碍的发生率。研究结果还显示，ADHD男孩基线时的社会残疾是未来行为障碍的重要预测因素，在基线情绪和行为障碍以及攻击性行为和注意力问题的行为检查表评级得到控制后，大多数物质使用障碍都是如此。
IQ-achievement discrepancy methodology similar to that used in defining learning disabilities has recently been used to identify a subset of boys with attention-deficit/hyperactivity disorder (ADHD) evidencing marked impairment in social functioning. In this study, 2 issues were examined: (a) What is the longitudinal outcome of boys with ADHD identified at baseline as ''socially disabled''? (b) Is social disability at baseline a significant predictor of severe long-term outcomes (such as substance use disorders) in bogs with ADHD? if so, are its predictive relationships accounted for by renditions that are comorbid with ADI-LD? Results showed that, at follow-up, boys with ADHD who also had social disability evidenced significantly higher rates of mood, anxiety, disruptive, and substance use disorders, compared with nonsocially disabled boys with ADHD and comparison boys without ADHD. Findings also showed that social disability at baseline in boys with ADHD was a significant predictor of later conduct disorder and most substance use disorders after baseline mood and conduct disorders and behavior checklist ratings of aggressive behavior and attention problems were controlled.