ADULT OUTCOME OF ADHD CHILDREN: SOC/PARENTING COMPETENCE

注意缺陷儿童成人结局的现有研究 多动症（ADHD），或多动，表明他们是在 学业失败的重大风险， 成绩，反社会行为，社会适应不良，并增加 轻度药物滥用（例如，酒精和香烟）。 许多人也会 经历不良的职业适应和精神病风险增加 扰动 然而，成人适应的其他领域尚未得到 在过去的后续研究中，研究者探讨了这些问题，或者只得到了粗略的关注。 目前的建议是继续对158个国家进行后续研究。 多动儿童和81名匹配的正常对照儿童进行了首次评估 1979-80年，8年后的1987-88年，作为青少年重新评估。 这 一项研究将重新评估这些19至24岁的年轻人 1991年至1996年5年期间， 该项目将允许 不仅对这些多动症儿童和正常儿童进行了详细的评估， 年轻的成年人，但也允许他们被跟踪，直到他们有 他们自己的孩子 届时，他们将被要求 参与第二个项目，稍后将进行讨论， 这些科目的能力和精神和社会发病率的 他们的后代。 在本项目中，将努力重新安置 尽可能多的受试者参与两项研究。 研究#1是对年轻时的受试者进行的详细，全面的评估 特别注意评估他们的教育 达到，ADHD症状的持续，精神病发病率， 成年、社会和异性社会适应，包括性适应 功能，驾驶能力，反社会行为和药物滥用， 和个人财务管理。 一系列结构化的 访谈，由受试者完成的行为评定量表及其 父母，注意力，冲动控制和活动的实验室测试 水平，直接行为观察，犯罪行为的官方登记 和交通违法/事故，以及直接评估 智力、学业成绩和对轻度惩罚的反应 （反应成本）或有费用将用于评价所有受试者。 在 研究#2，研究#1中的受试者将被征集参加直接 使用计算机模拟笔试评定驾驶能力 驾驶情况，以及驾驶的实际驾驶评价 能力. 之后，将继续跟踪所有受试者， 他们自己的婚姻和父母的身份参加我们的第二次 项目

Existing research on the adult outcome of children with Attention Deficit Hyperactivity Disorder (ADHD), or hyperactivity, indicates that they are at significant risk for academic failure, poor eventual educational attainment, antisocial behavior, poor social adjustment, and increased minor substance abuse (e.g., alcohol and cigarettes). Many will also experience poor occupational adjustment and increased risk of psychiatric disturbance. However, other areas of adult adjustment have not been explored or have received only cursory attention in past follow-up studies. The present proposal is for the continuation of a follow-up study of 158 hyperactive children and 81 matched normal control children first evaluated in 1979-80 and re-evaluated as adolescents 8 years later in 1987-88. This study would re-evaluate these subjects as young adults between 19 and 24 years of age over the 5 year period 1991-1996. The project would permit not only a detailed evaluation of these hyperactive and normal children as young adults, but would also permit their being tracked until they have children of their own. At that time, they would be solicited to participate in a second project, to be submitter later, on the parenting competence of these subjects and the psychiatric and social morbidity of their offspring. In the present project, efforts will be made to relocate as many prior subjects as possible to have them participate in two studies. Study #1 is a detailed, comprehensive assessment of the subjects as young adults with particular attention to evaluating their educational attainment, continuation of ADHD symptoms, psychiatric morbidity at adulthood, social and heterosocial adjustment, including sexual functioning, driving competence, antisocial behavior and substance abuse, and management of personal finances. An extensive battery of structured interviews, behavior rating scales completed by the subjects and their parents, laboratory tests of attention, impulse control, and activity level, direct behavioral observations, official registries of criminal acts and traffic violations/accidents, as well as direct assessment of intelligence, academic achievement, and response to mild punishment (response cost) contingencies will be used to evaluate all subjects. In Study #2, subjects in Study #1 will be solicited to participate in a direct assessment of driving competence using written tests, computer-simulated driving situations, and actual behind-the-wheel evaluations of driving abilities. Afterwards, all subjects will continue to be tracked as to their own marital and parental status for participation in our second project.