Depressive mood changes are associated with self-perceptions of ADHD characteristics in adults
Depressive mood changes are associated with self-perceptions of ADHD characteristics in adults
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DOI：
10.1016/j.psychres.2021.113893
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发表时间：
2021-03-31
影响因子：
11.3
通讯作者：
Inada, Toshiya
中科院分区：
文献类型：
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作者：
Ishizuka, Kanako;Ishiguro, Tomomi;Inada, Toshiya
近年来，成年抑郁症患者的主观注意力缺陷/多动障碍（ADHD）症状常常成为病理生理学的话题。筛查问卷广泛用于检测多动症；然而，存在误诊的风险。本研究检验了无论抑郁症状的严重程度如何变化，对 ADHD 相关特征的自我认知是否一致。 2018 年 4 月至 10 月期间，新诊断的抑郁症门诊患者，年龄 24-59 岁，社会功能良好，无 ADHD 病史，被要求在基线 (n = 726) 和 12 周随访 (n = 202) 时填写成人 ADHD 自我报告量表 1.1 版 (ASRS) 和贝克抑郁量表 (BDI)。 BDI 变化和 ASRS 评分（基线评分减去终点评分；r = 0.57）之间存在统计学显着相关性。此外，BDI改善率越高，ASRS筛查ADHD阳性的频率就越低。这项研究表明主观多动症症状与抑郁状态相关。在初级保健机构中使用自我报告量表对共病 ADHD 进行诊断评估应谨慎。
Subjective attention deficit/hyperactivity disorder (ADHD) symptoms seen in adult depressive patients have often become a pathophysiological topic in recent years. Screening questionnaires are widely used for detecting ADHD; however, the risk of misdiagnosis exists. The present study examined whether self-perceptions of ADHDrelated characteristics were consistent regardless of changes in the severity of depressive symptoms. Between April to October 2018, newly diagnosed depressed outpatients aged 24-59 years with good social functioning and without a history of ADHD were asked to fill out the Adult ADHD Self-Report Scale version 1.1 (ASRS) and the Beck Depression Inventory (BDI) at baseline (n = 726) and 12-week follow-up (n = 202). A statistically significant correlation was found between a change in BDI and ASRS scores (score at baseline minus score at the endpoint; r = .57). In addition, the higher the rate of improvement in BDI, the lower the frequency of positive screening for ADHD by ASRS. This study showed that subjective ADHD symptoms were correlated with depressive states. Diagnostic evaluation of comorbid ADHD using self-report scales in a primary care setting should be made with caution.