ADULT OUTCOME OF ADHD CHILDREN: SOC/PARENTING COMPETENCE

注意力缺陷儿童成人期结局的现有研究 多动障碍(ADHD)，或多动，表示他们处于 学业失败的重大风险，最终教育效果不佳 成就，反社会行为，不良的社会适应，和增加 轻微药物滥用(例如，酒精和香烟)。许多人也会 经历较差的职业适应和精神疾病风险增加 骚乱。然而，成年人适应的其他领域还没有 在过去的后续研究中探索过或只得到过粗略的关注。 目前的提议是继续对158个问题进行后续研究 首先评估多动症儿童和81名匹配的正常对照组儿童 在1979-80年间，并在8年后的1987-88年间重新评估为青少年。这 这项研究将重新评估这些年龄在19岁到24岁之间的年轻人 1991-1996年五年期间的年龄。该项目将允许 不仅是对这些多动症和正常儿童的详细评估 年轻人，但也会允许他们被跟踪，直到他们 他们自己的孩子。那时，他们会被邀请到 参与第二个项目，稍后提交，关于育儿 这些受试者的能力和精神和社会发病率 他们的后代。在本项目中，将努力搬迁 尽可能多的以前的受试者，让他们参与两项研究。 研究1是对受试者年轻时的详细、全面的评估。 成年人特别注意评估他们的教育程度 达到、延续ADHD症状、精神疾病发病率 成年期、社会和异质社会适应，包括性适应 功能，驾驶能力，反社会行为和药物滥用， 以及个人财务的管理。一大批结构化的 访谈、受试者完成的行为评定量表和他们的 父母、注意力、冲动控制和活动的实验室测试 犯罪行为的官方登记，直接行为观察 和交通违法/事故，以及直接评估 智力、学业成就和对轻微惩罚的反应 (反应成本)将使用或有事项来评估所有受试者。在……里面 研究2，研究1中的受试者将被邀请参加直接 使用计算机模拟的笔试评估驾驶能力 驾驶情况，以及实际的驾驶后评估 超能力。之后，将继续追踪所有受试者 以自己的婚姻和父母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.