亚临床注意缺陷多动障碍症状和不健康的生活方式行为。

IF 3.9 3区 医学 Q1 PSYCHIATRY
BJPsych Open Pub Date : 2024-10-03 DOI:10.1192/bjo.2024.785
Sara Gostoli, Giulia Raimondi, Paola Gremigni, Chiara Rafanelli
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引用次数: 0

摘要

背景:文献强调,在青少年时期及早发现和干预不健康的生活方式行为(ULBs)以减轻其长期有害影响非常重要。在可能导致不健康生活方式行为的相关因素中,注意力缺陷多动障碍(ADHD)已被证明发挥了重要作用。目的:本研究旨在填补文献空白,阐明亚临床多动症与青春期过早采用超低容量电池之间的关系。本研究通过临床测量方法,调查了青少年超低体重儿的患病率、多动症症状的严重程度以及心理社会因素(即异质超负荷、异常疾病行为、生活质量、心理健康)。此外,还探讨了不同程度的多动症、超能力障碍和心理社会因素之间的关联:这项多中心横断面研究涉及六所高中的 440 名青少年(54.5% 为女性;平均年龄为 14.21 岁)。参与者填写了有关社会人口特征、超能力障碍、多动症症状和社会心理因素的自我报告问卷:最常见的超常行为是饮用能量饮料/酒精饮料和使用问题智能手机。在样本中,22%的人表现为亚临床多动症,20.2%的人表现为临床多动症。亚临床ADHD组表现出的几种ULB(即改变饮食习惯、睡眠质量受损、有问题的技术使用)和心理社会因素与ADHD组相似,但与无ADHD症状的同龄人不同:由于亚临床ADHD表现与ULBs相关,与临床ADHD类似,因此在青少年时期识别亚阈值症状至关重要,因为这可以改善成年后不同领域的健康相关结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Subclinical attention-deficit hyperactivity disorder symptoms and unhealthy lifestyle behaviours.

Background: Literature emphasises the importance of identifying and intervening in the adoption of unhealthy lifestyle behaviours (ULBs) during adolescence at an early stage, to mitigate their long-term detrimental effects. Among the possible associated factors contributing to ULBs, attention-deficit hyperactivity disorder (ADHD) has been shown to play an important role. However, little is known about ADHD subclinical manifestations.

Aims: The present study aimed to bridge the gap in the literature and shed light on the relationship between subclinical ADHD and early adoption of ULBs during adolescence. Through a clinimetric approach, prevalence of ULBs, severity of ADHD symptoms and psychosocial factors (i.e. allostatic overload, abnormal illness behaviour, quality of life, psychological well-being) were investigated among adolescents. The associations between different degrees of ADHD, ULBs and psychosocial factors were also explored.

Method: This multicentre cross-sectional study involved 440 adolescents (54.5% females; mean age 14.21 years) from six upper secondary schools. Participants completed self-report questionnaires on sociodemographic characteristics, ULBs, ADHD symptoms and psychosocial factors.

Results: The most common ULBs were energy drinks/alcohol consumption and problematic smartphone use. Of the sample, 22% showed subclinical ADHD and 20.2% showed clinical ADHD. The subclinical ADHD group showed several ULBs (i.e. altered mindful eating, impaired quality of sleep, problematic technology use) and psychosocial factors, akin to those of ADHD group and different from peers without ADHD symptoms.

Conclusions: Since subclinical ADHD manifestation is associated with ULBs, similarly to clinical ADHD, identifying subthreshold symptoms during adolescence is crucial, as it could improve health-related outcomes in adulthood across different domains.

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来源期刊
BJPsych Open
BJPsych Open Medicine-Psychiatry and Mental Health
CiteScore
6.30
自引率
3.70%
发文量
610
审稿时长
16 weeks
期刊介绍: Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
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