Prospective follow-up of girls with attention-deficit/hyperactivity disorder into early adulthood: continuing impairment includes elevated risk for suicide attempts and self-injury.
Prospective follow-up of girls with attention-deficit/hyperactivity disorder into early adulthood: continuing impairment includes elevated risk for suicide attempts and self-injury.
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DOI：
10.1037/a0029451
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发表时间：
2012-12
影响因子：
5.9
通讯作者：
Swanson, Erika N.
中科院分区：
文献类型：
--
作者：
Hinshaw, Stephen P.;Owens, Elizabeth B.;Zalecki, Christine;Huggins, Suzanne Perrigue;Montenegro-Nevado, Adriana J.;Schrodek, Emily;Swanson, Erika N.
对儿童期确定的（6-12岁）、种族和社会经济上不同的注意力缺陷/多动障碍（ADHD）女孩样本（N = 140：混合型[ADHD-C] n = 93;疏忽型[ADHD-I] n = 47）加上匹配的对照组（N = 88）进行10年前瞻性随访。女孩们从学校、心理健康中心、儿科医生和广告中招募;广泛的评估证实了ADHD与对照状态。10年结局（年龄范围17-24岁;留存率= 95%）包括症状（ADHD、外化、内化）、物质使用、饮食病理、自我感知、功能障碍（整体、学术、服务利用）、自我伤害（自杀企图、自我伤害）和驾驶行为。与对照样本相比，儿童期诊断为ADHD的参与者继续显示出较高的ADHD和共病症状率，表现出更严重的损伤（全球性和特定性），自杀企图和自伤率更高，效应量从中等到非常大;然而，各组在饮食病理学，物质使用或驾驶行为方面没有显著差异。ADHD-C和ADHD-I类型很少有显著差异，除了自杀企图和自伤，这是高度集中在ADHD-C。外化行为、整体损伤、服务利用和自我伤害（自杀企图和自我伤害）的领域在严格控制关键的儿童协变量（年龄、人口统计学、合并症、智商）后幸存下来。患有儿童多动症的女孩在成年早期保持明显的损伤，从症状传播到严重的自我伤害风险。在未来的研究中，我们将探讨成人多动症不同诊断概念的可行性及其与核心生活障碍的联系。
To perform a 10-year prospective follow-up of a childhood-ascertained (6–12 years), ethnically and socioeconomically diverse sample of girls with attention-deficit/hyperactivity disorder (ADHD) (N = 140: Combined type [ADHD-C} n = 93; Inattentive Type [ADHD-I] n = 47) plus a matched comparison group (N = 88). Girls were recruited from schools, mental health centers, pediatricians, and via advertisements; extensive evaluations confirmed ADHD vs. comparison status. Ten-year outcomes (age range 17–24 years; retention rate = 95%) included symptoms (ADHD, externalizing, internalizing), substance use, eating pathology, self-perceptions, functional impairment (global, academic, service utilization), self-harm (suicide attempts, self-injury), and driving behavior. Participants with childhood-diagnosed ADHD continued to display higher rates of ADHD and comorbid symptoms, showed more serious impairment (both global and specific), and had higher rates of suicide attempts and self-injury than the comparison sample, with effect sizes from medium to very large; yet the groups did not differ significantly in terms of eating pathology, substance use, or driving behavior. ADHD-C and ADHD-I types rarely differed significantly, except for suicide attempts and self-injury, which were highly concentrated in ADHD-C. Domains of externalizing behavior, global impairment, and service utilization, and self-harm (suicide attempts and self-injury) survived stringent control of crucial childhood covariates (age, demographics, comorbidities, IQ). Girls with childhood ADHD maintain marked impairment by early adulthood, spreading from symptoms to risk for serious self-harm. In future research we address the viability of different diagnostic conceptions of adult ADHD and their linkages with core life impairments.
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影响因子：
6.9
作者：
GARNER, DM;GARFINKEL, PE
通讯作者：
GARFINKEL, PE
DOI：
10.1207/s15374424jccp3504_8
发表时间：
2006-12-01
影响因子：
4.2
作者：
Flory, Kate;Molina, Brooke S. G.;Smith, Bradley
通讯作者：
Smith, Bradley
DOI：
10.1037//0022-006x.70.5.1086
发表时间：
2002-10-01
影响因子：
5.9
作者：
Hinshaw, SP
通讯作者：
Hinshaw, SP
影响因子：
2.8
作者：
Claes, L;Vandereycken, W;Vertommen, H
通讯作者：
Vertommen, H
影响因子：
3.4
作者：
Beck, AT;Steer, RA;Ranieri, WF
通讯作者：
Ranieri, WF