成年ADHD与双相情感障碍的同时发生是否是暴力行为的危险因素?
Meryem Gül Teksin1, Elvan Özalp2, Neşe Burcu Bal3
1Psychiatrist, Psychiatry Clinic, Sisli Hamidiye Etfal Research and Training Hospital, Istanbul Turkey.
Psychiatry research
|July 7, 2023
概括
双相情感障碍 (BD) 患者的并发性ADHD与增加的暴力行为有关. 这项研究发现,15.2%的BD患者患有ADHD,较高的侵略性得分与ADHD症状相关.
科学领域:
- 精神病学和行为神经科学
- 临床心理学 临床心理学
背景情况:
- 双极性障碍 (BD) 和注意力缺陷多动性障碍 (ADHD) 独立地与暴力行为的风险增加有关.
- 了解并发性BD和ADHD对攻击性的影响,对于有效的患者管理至关重要.
研究的目的:
- 为了确定伴随性ADHD在成人BD患者的频率.
- 调查BD-ADHD并发症和暴力行为之间的关系.
主要方法:
- 105名经过缓解的BD I或BD II患者使用人口统计学,ADHD症状 (WURS,ASRS),侵略性 (BPAQ) 和暴力倾向 (VTS) 的自我报告尺度进行评估.
- 伴随性ADHD被诊断使用DIVA 2.0由临床医生诊断为在ADHD自我报告措施上得分高的患者.
- 采用多重线性回归分析来检查ADHD,人口因素和侵略和暴力的措施之间的关联.
主要成果:
- 在BD患者队列中的15.2%被诊断出并发性ADHD.
- 较高的成人多动症自我报告量表 (ASRS) 评分显著预测了Buss-Perry攻击性问卷 (BPAQ) 和暴力倾向量表 (VTS) 的得分增加.
- 男性的性别和年轻的年龄也与更高的攻击性得分有关.
结论:
- 双相情感障碍,并发性ADHD和暴力行为之间存在显著的关联.
- 在BD患者中,ADHD症状的严重程度是增加侵略性和暴力的预测指标.
- 这些发现强调了在BD患者中查ADHD的重要性,以解决暴力行为的潜在风险.
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