What is the prevalence of adult ADHD? Results of a population screen of 966 adults.

What is the prevalence of adult ADHD? Results of a population screen of 966 adults.
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DOI:
10.1177/1087054705281478
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发表时间:
2005-11-01
影响因子:
3
通讯作者:
Biederman, Joseph
Biederman, Joseph
中科院分区:
医学2区
文献类型:
--
作者:
Faraone, Stephen V;Biederman, Joseph

文献摘要

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为了更好地估计成年期注意力缺陷多动障碍(ADHD)的患病率,作者对随机选取的966名成年人进行了电话调查。他们根据调查数据进行了两种诊断。符合《精神障碍诊断与统计手册》(第四版)儿童期和成年期标准的参与者被定义为狭义ADHD。广义ADHD在此定义基础上还包括那些符合亚阈值标准的人。儿童期18种《精神障碍诊断与统计手册》第四版症状的克朗巴赫系数为0.90,成年期对当前症状进行评定时为0.88。没有任何一个项目对总分的可靠性产生过度影响。作者在对多动 - 冲动和注意力不集中症状的单独分析中发现了类似结果。他们估计狭义ADHD的患病率为2.9%,广义ADHD为16.4%。患有ADHD与较低的教育水平和就业状况有关。这些研究结果表明,成年ADHD是一种常见的疾病,与功能受损有关。
To provide a better estimate of the prevalence of ADHD in adulthood, the authors complete a telephone survey of 966 randomly selected adults. They compute two diagnoses from the survey data. Participants meeting Diagnostic and Statistical Manual of Mental Disorders (4th ed.) criteria for both childhood and adulthood are defined as narrow ADHD. Broad ADHD adds to that definition those meeting subthreshold criteria. Cronbach's alpha is .90 for the 18 DSM-IV symptoms in childhood and .88 when rated for current symptoms in adulthood. No one item unduly influences the reliability of the total score. The authors find similar results in separate analyses of hyperactive-impulsive and inattentive symptoms. They estimate prevalences of 2.9% for Narrow ADHD and 16.4% for Broad ADHD. Having ADHD is associated with lower levels of education and employment status. These findings suggest that adult ADHD is a common disorder associated with impaired functioning.