注意缺陷/多动障碍从儿童期持续到青年期:一项为期10年的纵向研究。

IF 1.5 4区医学 Q3 PSYCHIATRY

Cognitive Neuropsychiatry Pub Date : 2022-11-01 DOI:10.1080/13546805.2022.2123735

Erik Winther Skogli, Stian Orm, Ingrid Nesdal Fossum, Per Normann Andersen, Merete Glenne Øie

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引用次数: 0

摘要

本研究的目的是评估欧洲诊断为ADHD的儿童临床样本的ADHD持续性，并前瞻性随访10年至青年期。方法:我们在基线时评估了85例ADHD儿童(Mage = 11.6, SD = 2.1, 54%男性)，并在10年随访时重新评估了59例(Mage = 21.4, SD = 2.3, 54%男性)。采用半结构化临床访谈(儿童情感障碍和精神分裂症时间表/现在和终生版本)和家长评定量表(ADHD评定量表IV，儿童行为检查表)评估基线时的ADHD症状。采用半结构化临床访谈(MINI-Plus)和自我报告量表(ADHD自我报告量表1.1版筛选者，成人自我报告)对10年随访时的ADHD症状进行评估。在10年的随访中，用全球功能评估量表评估功能损害。结果:在10年随访中，39%的人达到了ADHD症状阈值，这些阈值是基于MINI-Plus或ADHD自我报告量表1.1版筛选器或成人自我报告的临床评估以及临床医生对功能障碍的评分。结论:在这个欧洲临床样本中，ADHD的持续率与之前的估计相符，并且表明在儿童时期被诊断为ADHD的患者中，有很大一部分在成年后仍然表现出ADHD的临床症状。

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Attention-deficit/hyperactivity disorder persistence from childhood into young adult age: a 10-year longitudinal study.

Introduction: The aim of this study was to estimate ADHD persistence in a European clinical sample of children diagnosed with ADHD and followed prospectively for 10 years into young adulthood.

Methods: We assessed 85 children with ADHD at baseline (M_age= 11.6, SD = 2.1, 54% male) and re-assessed 59 at 10-year follow-up (M_age= 21.4, SD = 2.3, 54% male). ADHD symptoms at baseline were assessed with a semi-structured clinical interview (Kiddie-Schedule for Affective Disorders and Schizophrenia/Present and lifetime version) and parent rating scales (ADHD Rating Scale IV, Child Behavior Checklist). ADHD symptoms at 10-year follow-up were assessed with a semi-structured clinical interview (MINI-Plus) and self-report scales (ADHD Self-Report Scale version 1.1 screener, Adult Self Report). Functional impairment at 10-year follow-up was assessed with the Global Assessment of Functioning scale.

Results: At 10-year follow-up, 39% met ADHD symptom thresholds based on clinical evaluation using MINI-Plus or the ADHD Self-Report Scale version 1.1 screener or the Adult Self Report together with clinicians' rating of functional impairment.

Conclusion: ADHD persistence rates in this European clinical sample match previous estimates and indicate that a significant proportion of those diagnosed with ADHD as children still exhibit clinical levels of ADHD symptoms in adulthood.

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来源期刊

Cognitive Neuropsychiatry PSYCHIATRY-

CiteScore

3.20

自引率

11.80%

发文量

审稿时长

>12 weeks

期刊介绍： Cognitive Neuropsychiatry (CNP) publishes high quality empirical and theoretical papers in the multi-disciplinary field of cognitive neuropsychiatry. Specifically the journal promotes the study of cognitive processes underlying psychological and behavioural abnormalities, including psychotic symptoms, with and without organic brain disease. Since 1996, CNP has published original papers, short reports, case studies and theoretical and empirical reviews in fields of clinical and cognitive neuropsychiatry, which have a bearing on the understanding of normal cognitive processes. Relevant research from cognitive neuroscience, cognitive neuropsychology and clinical populations will also be considered. There are no page charges and we are able to offer free color printing where color is necessary.