ADHD symptoms and subtypes:: Relationship between childhood and adolescent symptoms
ADHD symptoms and subtypes:: Relationship between childhood and adolescent symptoms
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DOI：
10.1097/chi.0b013e318157517a
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发表时间：
2007-12-01
影响因子：
13.3
通讯作者：
Moilanen, Irma K.
中科院分区：
文献类型：
--
作者：
Hurtig, Tuula;Ebeling, Hanna;Moilanen, Irma K.
目的：研究儿童和青少年注意力缺陷/多动障碍（ADHD）症状和DSM-IV亚型。方法：1986年芬兰北部出生队列共457名16至18岁的青少年参加了ADHD流行病学调查。通过诊断性访谈评估后，使用dsm - iv标准对当前或儿童期ADHD患者进行分类。根据回顾性回忆确定ADHD的儿童诊断。研究儿童和青少年期ADHD症状学特征及其与行为问题和父母注意问题史的关系。结果：ADHD在儿童期比在青少年期更常见，并且亚型分类存在差异。那些被诊断为儿童和青少年的人更普遍地认可了特定的注意力不集中症状，有更大的共病性抑郁症和/或对立违抗性障碍，他们的父亲比那些只有儿童诊断的父亲有更多的注意力问题。在儿童期，ADHD亚型随着症状严重程度的不同而不同，但到了青春期，这些差异不再显著。结论：ADHD从儿童期持续到青春期可能是常见的。特定的注意力不集中症状、某些精神疾病的共病和注意力问题的家族史（特别是父亲）会增加持续性注意力缺陷多动症的风险。ADHD亚型的差异反映了儿童时期症状严重程度的差异，到青春期可以忽略不计。
Objective: To study aftention-deficit/hyperactivity disorder (ADHD) symptoms and DSM-IV subtypes in childhood and adolescence.Method: A total of 457 adolescents ages 16 to 18 years from the Northern Finland Birth Cohort 1986 participated in an epidemiological survey for ADHD. After assessment with a diagnostic interview those with current or childhood ADHD were classified using DSM-IVcriteria. Childhood diagnosis of ADHD was set according to retrospective recall. The characteristics and relationships in ADHD symptomatology in childhood and adolescence were studied in relation to behavioral problems and parental history of attentional problems.Results: ADHD was reported more commonly in childhood than in adolescence and variations in subtype classification occurred. Those with childhood and adolescent diagnosis had endorsed specific inattentive symptoms more commonly, had greater comorbid major depression and/or oppositional defiant disorder, and had fathers with more reported attentional problems than those with only childhood diagnosis. In childhood, ADHD subtypes differed along symptom severity, but by adolescence these differences were no longer significant.Conclusions: The persistence of ADHD from childhood to adolescence may be common. Specific inattentive symptoms, certain psychiatric comorbidity, and family history of attention problems (fathers specifically) contribute to the risk of persistent ADHD. ADHD subtype differences reflect symptom severity differences in childhood that are negligible by adolescence.