对大学生有或没有注意力缺陷/多动障碍的性风险行为的纵向检查
Lisa Weyandt1, George J DuPaul2, Emily Shepard3
1Department of Psychology, Interdisciplinary Neuroscience Program, University of Rhode Island, Kingston, RI, 02881, USA.
Archives of sexual behavior
|August 7, 2023
概括
患有注意力缺陷多动症 (ADHD) 的大学生表现出更高的风险性行为率. 药物治疗可能有助于随着时间的推移减少这种行为,而物质使用和心理健康状况则会带来额外的风险.
科学领域:
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 注意缺陷多动症 (ADHD) 与各种行为挑战有关.
- 风险性行为 (RSB) 是大学生中严重的公共卫生问题.
- 了解特定人群中RSB的预测因子,如ADHD患者,至关重要.
研究的目的:
- 调查有或没有注意力缺陷多动症 (ADHD) 的大学生中风险性行为 (RSB) 率和预测因子的差异.
- 检查ADHD诊断,药物状态,执行功能,物质使用和并发性精神健康状况对RSB的影响.
主要方法:
- 长度研究使用多组潜增长曲线建模超过四年.
- 大学生与ADHD (用药和不用药) 和对照组的比较.
- 评估ADHD诊断,药物状态,执行功能,物质使用 (酒精,大麻),焦虑,抑郁和性别作为预测因素.
主要成果:
- 患有多动症的一年级学生报告RSB比没有多动症的同龄人高,无论药物状态如何.
- 在药物治疗的ADHD组中,ADHD药物治疗与随着时间的推移降低RSB相关.
- 焦虑预测药物治疗的ADHD学生增加了当前的RSB;抑郁症预测了未药物治疗的ADHD学生未来的RSB减少.
- 在所有组中,酒精和大麻使用增加了RSB;在对比组中,大麻使用减少了未来的RSB.
- 执行功能缺陷和男性性别预测了对照组的RSB.
结论:
- 患有ADHD的大学生有更高的参与RSB的风险.
- 虽然ADHD药物可以减轻未来的RSB,但并发症和物质使用仍然是重要因素.
- 针对高管功能,物质使用和心理健康的量身定制干预措施对于ADHD的大学生来说是必要的,以减少RSB.
关键词:
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