Prospective follow-up of girls with attention-deficit/hyperactivity disorder into adolescence: Evidence for continuing cross-domain impairment

Prospective follow-up of girls with attention-deficit/hyperactivity disorder into adolescence: Evidence for continuing cross-domain impairment
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DOI:
10.1037/0022-006x.74.3.489
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发表时间:
2006-06-01
影响因子:
5.9
通讯作者:
Fargeon, Samantha
Fargeon, Samantha
中科院分区:
心理学1区
文献类型:
--
作者:
Hinshaw, Stephen P.;Owens, Elizabeth B.;Fargeon, Samantha

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作者对11-18岁的不同种族的女孩进行了为期5年的前瞻性随访(保留率=92%),这些女孩在童年时被诊断为注意力缺陷/多动障碍(ADHD,N=140),并与之匹配的对照组(N=88)。多动-冲动症状比注意力不集中的症状更有可能减轻。在症状和功能障碍的多个领域。与对照女孩相比,ADHD女孩继续表现出中到大的影响大小的缺陷,但在注意力不集中和综合类型之间几乎没有差异,随访效果经受住了对大多数结果的关键协变量的统计控制,这意味着在其他情况下,儿童ADHD对随访状态有特定的影响,基线干扰障碍解释了青春期的影响。在基线和随访结果相同的情况下,患有ADHD的女孩在一段时间内表现出比对照女孩更多的进步(数学成绩除外)。总体而言,女孩的ADHD预示着儿童确诊后5年会继续受损。
The authors performed 5-year prospective follow-up (retention rate = 92%) with an ethnically diverse sample of girls, aged 11-18 years, who had been diagnosed in childhood with attention-deficit/hyperactivity disorder (ADHD N = 140) and a matched comparison group (N = 88). Hyperactive-impulsive symptoms were more likely to abate than inattentive symptoms. Across multiple domains of symptoms and functional impairment., girls with ADHD continued to display deficits of moderate to large effect size in relation to the comparison girls, but few differences emerged between the inattentive versus combined types, Follow-up effects withstood statistical control of crucial covariates for most outcomes, meaning that there were specific effects of childhood ADHD on follow-up status in other instances, baseline disruptive disorders accounted for adolescent effects. For outcomes identical at baseline and follow-up, girls with ADHD showed more improvement across time than comparison girls (except for math achievement). Overall, ADHD in girls portends continuing impairment 5 years after childhood ascertainment.