Impact of the impairment criterion in the diagnosis of adult ADHD: 33-year follow-up study of boys with ADHD.
Impact of the impairment criterion in the diagnosis of adult ADHD: 33-year follow-up study of boys with ADHD.
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DOI：
10.1177/1087054709359907
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发表时间：
2011-02
影响因子：
3
通讯作者：
Klein RG
中科院分区：
文献类型：
--
作者：
Mannuzza S;Castellanos FX;Roizen ER;Hutchison JA;Lashua EC;Klein RG
调查在6-12岁儿童时期被诊断为ADHD的成人中ADHD症状与损伤之间的关系。临床医生对121名平均年龄为41岁的白色男性进行了盲访。DSM-IV成人ADHD行为进行了系统的评估，并对症状造成的损害进行了5分制评分。损伤程度和行为次数之间的相关性很高（r = 0.83至0.85，p <0.001）。损伤标准对将任何受试者分类为患有或未患有成人ADHD没有影响。所有报告在成年期经历5次或5次以上注意力不集中或多动-冲动行为的受试者“经常”或“非常经常”，其症状明显受损。与儿童报告的结果相反，ADHD症状的数量与损伤程度之间存在很强的关系。然而，由于若干原因（在本文中讨论），不应得出损害标准是多余的结论。
To investigate the relationship between ADHD symptoms and impairment among adults diagnosed as having ADHD in childhood, ages 6–12. Clinicians blindly interviewed 121 white males, age 41, on average. DSM-IV adult ADHD behaviors were systematically rated, and impairment resulting from symptoms was scored on a 5-point scale. Correlations between degree of impairment and number of behaviors were high (r’s = .83 to .85, p < .001). The Impairment Criterion had no effect on classifying any subject as having, or not having, adult ADHD. All subjects who reported experiencing 5 or more inattention or hyperactive-impulsive behaviors as “often” or “very often” in adulthood were significantly impaired by their symptoms. Contrary to results reported in children, there is a strong relationship between number of ADHD symptoms and degree of impairment. However, for several reasons (discussed in the article), it should not be concluded that the Impairment Criterion is superfluous.
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