Patterns of psychiatric comorbidity, cognition, and psychosocial functioning in adults with attention deficit hyperactivity disorder.

Patterns of psychiatric comorbidity, cognition, and psychosocial functioning in adults with attention deficit hyperactivity disorder.
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患有注意缺陷多动障碍的成人的精神共病、认知和心理社会功能的模式。

DOI:
10.1176/ajp.150.12.1792
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发表时间:
1993
期刊:
The American journal of psychiatry
影响因子:
--
通讯作者:
A. Doyle
A. Doyle
中科院分区:
--
文献类型:
--
作者:
J. Biederman;S. Faraone;T. Spencer;T. Wilens;Dennis K. Norman;K. A. Lapey;E. Mick;B. K. Lehman;A. Doyle

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目标 尽管注意力缺陷多动障碍是一种常见的儿童疾病,但其作为成人疾病的地位尚不清楚。作者推断,如果成人对该疾病的诊断是有效的临床实体,那么在精神和认知发现模式方面,它应该与儿童疾病相似。 方法 研究人员对 84 名临床诊断为儿童期发病的注意力缺陷多动障碍的成年人进行了研究,这些成年人经结构化访谈证实,并被转诊接受治疗。研究结果与先前存在的研究组的结果进行了比较,该研究组包括被转介的患有注意力缺陷多动障碍的儿童、那些患有注意力缺陷多动障碍的儿童的未转介的成年亲属,以及作为正常儿童亲属的没有这种障碍的成年人。受试者接受了一系列全面的精神、认知和社会心理评估。 结果 患有注意力缺陷多动障碍的转介和非转介成人彼此相似,但比没有该障碍的对照受试者更容易受到干扰和损害。患有注意力缺陷多动障碍的成年人的精神病理学、认知和功能模式与患有该障碍的儿童的结果相似。 结论 这些结果表明,患有注意力缺陷多动障碍的转介和非转介成人具有人口统计学、心理社会、精神病学和认知特征的模式,这反映了患有该疾病的儿童中已有充分记录的发现。这些发现进一步支持了成人诊断的有效性。
OBJECTIVE Although attention deficit hyperactivity disorder is a common disorder of childhood, its status as a disorder in adults is not clear. The authors reasoned that if the adult diagnosis of the disorder is a valid clinical entity, it should be similar to the childhood disorder with regard to patterns of psychiatric and cognitive findings. METHODS Eighty-four adults with a clinical diagnosis of childhood-onset attention deficit hyperactivity disorder confirmed by structured interview who were referred for treatment were studied. Findings were compared with those from a preexisting study group of referred children with attention deficit hyperactivity disorder, nonreferred adult relatives of those children who also had attention deficit hyperactivity disorder, and adults without the disorder who were relatives of normal children. Subjects were evaluated with a comprehensive battery of psychiatric, cognitive, and psychosocial assessments. RESULTS The referred and nonreferred adults with attention deficit hyperactivity disorder were similar to one another but more disturbed and impaired than the comparison subjects without the disorder. The pattern of psychopathology, cognition, and functioning among the adults with attention deficit hyperactivity disorder approximated the findings for children with the disorder. CONCLUSIONS These results show that referred and nonreferred adults with attention deficit hyperactivity disorder have a pattern of demographic, psychosocial, psychiatric, and cognitive features that mirrors well-documented findings among children with the disorder. These findings further support the validity of the diagnosis for adults.
DOI: 10.1001/archpsyc.1992.01820090056010
发表时间: 1992-09
影响因子: --
作者:
J. Biederman;S. Faraone;K. Keenan;J. Benjamin;B. Krifcher;Cynthia Moore;S. Sprich-Buckminster;
通讯作者: J. Biederman;S. Faraone;K. Keenan;J. Benjamin;B. Krifcher;Cynthia Moore;S. Sprich-Buckminster;
DOI: 10.1001/archpsyc.1990.01810130023004
发表时间: 1990
影响因子: --
作者:
Biederman,J;Rosenbaum,JF;Hirshfeld,DR;Faraone,SV;Bolduc,EA;Gersten,M;Meminger,SR;Kagan,J;Snidman,N;Reznick,JS
通讯作者: Reznick,JS
DOI: 10.1097/00004583-199007000-00004
发表时间: 1990-07-01
影响因子: 13.3
作者:
BIEDERMAN, J;FARAONE, SV;TSUANG, MT
通讯作者: TSUANG, MT