成人多动症:诊断年龄重要吗?

IF 2.7 3区 医学 Q2 PSYCHIATRY
Journal of Attention Disorders Pub Date : 2024-03-01 Epub Date: 2024-01-02 DOI:10.1177/10870547231218450
Chloe Hutt Vater, Maura DiSalvo, Alyssa Ehrlich, Haley Parker, Hannah O'Connor, Stephen V Faraone, Joseph Biederman
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引用次数: 0

摘要

目的提供更多信息,说明儿童期诊断的患者与成年期首次诊断的患者相比,与成人多动症相关的临床特征:我们将成人多动症患者分为儿童期诊断患者和成年期诊断患者,并比较了人口统计学特征和临床特征:结果:我们发现儿童期诊断的成人和成年期诊断的成人具有相似的临床特征。在成年后确诊的患者中,有 95% 的人称症状始于青年时期。我们的研究结果并不支持这样的假设,即成年后确诊的多动症是由于将其他疾病的症状误认为多动症所致。这些结果还表明,将执行功能障碍的行为表现纳入成人多动症的诊断标准可能会提高诊断的敏感性:这些结果支持成年后诊断多动症的有效性,因为这些成年人表现出的临床特征与青年时期诊断出的多动症相似。我们的研究结果还表明,如果存在成人发病的多动症,这种情况也很罕见。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ADHD in Adults: Does Age at Diagnosis Matter?

Objective: To provide additional information about clinical features associated with adult ADHD in patients diagnosed in childhood compared to those first diagnosed in adulthood.

Method: We stratified a sample of adults with ADHD into patients diagnosed in childhood versus adulthood and compared demographic and clinical characteristics.

Results: We found similar clinical features in adults diagnosed in childhood and adults diagnosed in adulthood. Among those diagnosed in adulthood, 95% reported symptom onset in youth. Our results do not support the hypothesis that ADHD diagnosed in adulthood is due to misinterpreting symptoms of other disorders as ADHD. They also suggest incorporating behavioral signs of executive dysfunction into diagnostic criteria for ADHD in adults may increase diagnostic sensitivity.

Conclusion: These results support the validity of ADHD diagnoses in adulthood, as these adults show similar clinical profiles to those diagnosed in youth. Our results also suggest that if adult-onset ADHD exists, it is rare.

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来源期刊
CiteScore
7.60
自引率
6.70%
发文量
71
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.
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