Deliberate self-harm as the first presentation of attention deficit hyperactivity disorder in adolescents.
Deliberate self-harm as the first presentation of attention deficit hyperactivity disorder in adolescents.
复制标题
故意自残是青少年注意力缺陷多动障碍的首次表现。
DOI：
10.1111/camh.12471
复制
发表时间：
2021
影响因子：
6.1
通讯作者：
S. Curran
中科院分区：
文献类型：
--
作者：
J. Ward;S. Curran
背景
青少年期的故意自我伤害（DSH）与注意缺陷多动障碍（ADHD）和情绪失调（艾德）有明显的重叠。我们的目标是调查故意自残和ADHD之间的关系，并考虑其临床相关性。
方法
该病例系列分析检查了伦敦西南部13- 17岁儿童的124例DSH（97 F：27 M）。使用力量和困难量表（SDQ）筛查ADHD/多动症和艾德，并将分数与从Meltzer等人（1999，International Review of Psychiatry（阿宾登，英格兰），15，185）获得的参考数据进行比较。
结果
与参考数据相比，我们的DSH样本的平均SDQ ADHD/多动评分显著更高（p < .0001）。此外，与对照参考数据相比，我们的样本中发现了显著更大的艾德评分。
结论
我们的研究结果有助于证据ADHD和DSH的临床表现之间的重要联系，并建议有价值的筛选女孩提出的A&E与自我伤害的ADHD。我们推测，艾德在DSH的发展中发挥了作用，在失调的ADHD。我们建议临床医生评估青少年有自我伤害，以了解可能的ADHD症状，并酌情筛选;然而，未来的研究需要检查ADHD，情绪失调和自我伤害之间的时间关联，以建立因果方向。
BACKGROUND
Deliberate self-harm (DSH) in adolescence has previously been shown to significantly overlap with both attention deficit hyperactivity disorder (ADHD) and emotional dysregulation (ED). Our objective as such was to investigate the relationship between deliberate self-harm and ADHD in our population and consider its clinical relevance.
METHODS
This case series analysis examined 124 presentations of DSH in 13- to 17 year-olds to Accident and Emergency Departments in South West London (97F:27M). Strength and Difficulties Questionnaires (SDQs) were used to screen for ADHD/hyperactivity and ED, and scores were compared with reference data obtained from Meltzer et al. (1999, International Review of Psychiatry (Abingdon, England), 15, 185).
RESULTS
Mean SDQ ADHD/hyperactivity scores were significantly higher in our DSH sample compared to reference data (p < .0001). Furthermore, significantly greater ED scores were found in our sample compared with the control reference data.
CONCLUSION
Our findings contribute to the evidence for an important link between ADHD and clinical presentations of DSH and suggest there to be value in screening girls presenting to A&E with self-harm for ADHD. We speculate that ED plays a role in the evolution of DSH in dysregulated ADHD. We recommend that clinicians assessing adolescents have self-harmed to be aware of possible ADHD symptoms and screen as appropriate; however, future research examining the temporal association between ADHD, emotional dysregulation and self-harm is required to establish causal direction.
DOI：
10.1097/chi.0b013e31816429d3
发表时间：
2008-04-01
影响因子：
13.3
作者：
Biederman, Joseph;Ball, Sarah W.;Faraone, Stephen V.
通讯作者：
Faraone, Stephen V.
开放标签哌醋甲酯治疗可改善患有注意力缺陷/多动症和破坏性心境失调症的青少年的烦躁情绪。
影响因子：
1.9
作者：
Winters,DrewE;Fukui,Sadaaki;Leibenluft,Ellen;Hulvershorn,LeslieA
通讯作者：
Hulvershorn,LeslieA
影响因子：
--
作者：
Chronis-Tuscano, Andrea;Molina, Brooke S. G.;Pelham, William E.;Applegate, Brooks;Dahlke, Allison;Overmyer, Meghan;Lahey, Benjamin B.
通讯作者：
Lahey, Benjamin B.