ADHD持续进入成年期及其相关因素：一项前瞻性研究

Q4 Medicine

Psiquiatria Biologica Pub Date : 2024-11-07 DOI:10.1016/j.psiq.2024.100529

Laura Jiménez-Muñoz , Olatz Lopez-Fernandez , Inmaculada Peñuelas-Calvo , David Delgado-Gómez , Carolina Miguélez-Fernández , Sara López-González , Cristina González-Garrido , Enrique Baca-García , Juan José Carballo , Alejandro Porras-Segovia

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引用次数: 0

摘要

背景注意缺陷多动障碍（ADHD）是儿童和青少年精神病学中最常见的疾病之一。本研究的目的是描述ADHD在成年后的持续性，并探索与持续性相关的因素。方法：这是一项前瞻性研究，在西班牙诊断为多动症的儿童和青少年的临床样本中进行。经过基线访谈，其中使用了一系列标准化量表（例如，优势和困难问卷（SDQ））。招募10年后，对数字病史进行了审查。描述了ADHD诊断进入成年期的持续性和终点诊断。我们进行了逻辑回归来探讨ADHD持续存在的相关因素。结果大多数患者（87.5%）保持ADHD诊断至成年。与ADHD持续性相关的因素是SDQ多动/注意力不集中量表基线得分高（OR = 1.197），SDQ同伴关系问题量表得分高（OR = 0.823），基线诊断次数多（OR = 0.490）。结论我们的研究结果表明，儿童诊断的ADHD通常会持续到成年。儿童和青少年心理健康服务与成人服务之间的适当过渡需要制定，因为很大一部分患有多动症的儿童在成年后将继续需要心理健康护理。

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Persistence of ADHD into adulthood and associated factors: A prospective study

Background

Attention deficit hyperactivity disorder (ADHD) is one of the most prevalent disorders in child and adolescent psychiatry. The aims of this study are to describe the persistence of ADHD into adulthood and to explore factors associated with persistence.

Methods

This is a prospective study conducted in a clinical sample of Spanish children and adolescents diagnosed with ADHD. After a baseline interview in which a battery of standardized scales was administered (e.g., Strengths and Difficulties Questionnaire (SDQ). A review of the digital medical history was carried out 10 years after recruitment. The persistence of the ADHD diagnosis into adulthood and the end-point diagnoses were described. We carried out logistic regression to explore the factors associated with ADHD persistence.

Results

Most of the patients (87.5%) kept the ADHD diagnosis into adulthood. Factors associated with ADHD persistence was high SDQ hyperactivity/inattention subscale scores at baseline (OR = 1.197), high scores on the SDQ peer relationship problems subscale (OR = 0.823), number of diagnoses at baseline (OR = 0.490).

Conclusions

Our findings show that ADHD diagnosed in children often persists into adulthood. An appropriate transition between child and adolescent mental health services and adult services needs to be mapped out, as a large proportion of children with ADHD will continue to need mental health care during their adulthood.

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来源期刊

Psiquiatria Biologica Medicine-Psychiatry and Mental Health

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： Es la Publicación Oficial de la Sociedad Española de Psiquiatría Biológica. Los recientes avances en el conocimiento de la bioquímica y de la fisiología cerebrales y el progreso en general en el campo de las neurociencias han abierto el camino al desarrollo de la psiquiatría biológica, fundada sobre bases anatomofisiológicas, más sólidas y científicas que la psiquiatría tradicional.