Sex Differences in Diagnosis and Treatment Timing of Comorbid Depression/Anxiety and Disease Subtypes in Patients With ADHD: A Database Study.

IF 2.7 3区医学 Q2 PSYCHIATRY

Journal of Attention Disorders Pub Date : 2024-08-01 Epub Date: 2024-05-16 DOI:10.1177/10870547241251738

Uzma Siddiqui, Mitchell M Conover, Erica A Voss, David M Kern, Michelle Litvak, José Antunes

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引用次数: 0

Abstract

Objective: Our study examined the impact of sex, ADHD subtype, and comorbid illnesses (depression/anxiety) on the timing of diagnosis and treatment for ADHD.

Method: To analyze ADHD patients, four health databases were used to assess subtype, comorbid mood, and antidepressant or anxiolytic drug exposure. Analyses were stratified by sex and age. Standardized mean differences measured intergroup differences.

Results: Females with ADHD were identified at older ages and had higher rates of depression and anxiety diagnoses and treatments before and after their initial ADHD diagnosis. Predominantly inattentive ADHD patients were diagnosed later and more likely to receive mood disorder diagnosis and treatment than hyperactive impulsive ADHD patients.

Conclusions: Results suggest a more complex ADHD presentation in females, potentially causing late diagnosis and delayed treatment.

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多动症患者合并抑郁/焦虑和疾病亚型的诊断和治疗时机的性别差异：一项数据库研究。

目的：我们的研究探讨了性别、多动症亚型和合并症（抑郁/焦虑）对多动症诊断和治疗时机的影响：我们的研究探讨了性别、多动症亚型和合并症（抑郁/焦虑）对多动症诊断和治疗时机的影响：为了对多动症患者进行分析，我们使用了四个健康数据库来评估亚型、合并情绪以及抗抑郁或抗焦虑药物接触情况。分析按性别和年龄分层。标准化平均差衡量了组间差异：结果：女性多动症患者的年龄较大，在初次确诊多动症之前和之后，抑郁和焦虑的诊断率和治疗率较高。与多动冲动型多动症患者相比，注意力不集中型多动症患者的诊断时间更晚，接受情绪障碍诊断和治疗的可能性更大：结果表明，女性多动症的表现更为复杂，可能导致诊断和治疗的延迟。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Attention Disorders PSYCHIATRY-

CiteScore

7.60

自引率

6.70%

发文量

审稿时长

6-12 weeks

期刊介绍： Journal of Attention Disorders (JAD) focuses on basic and applied science concerning attention and related functions in children, adolescents, and adults. JAD publishes articles on diagnosis, comorbidity, neuropsychological functioning, psychopharmacology, and psychosocial issues. The journal also addresses practice, policy, and theory, as well as review articles, commentaries, in-depth analyses, empirical research articles, and case presentations or program evaluations.