超越注意力缺陷多动性障碍:探索精神病的并发症及其神经心理后果在成年人
Hyun Jae Roh1, Geon Ho Bahn2, Seung Yup Lee3
1Department of Psychiatry, Nowon Eulji University Hospital, Eulji University School of Medicine, Seoul, Korea.
Journal of the Korean Academy of Child and Adolescent Psychiatry
|October 16, 2023
概括
情绪和焦虑障碍等精神病并发症在成人注意力缺陷多动性障碍 (ADHD) 中很常见. 这些情况会对认知功能产生负面影响,强调需要全面的ADHD评估.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 注意缺陷多动性障碍 (ADHD) 在成年人中越来越多地被诊断为注意缺陷多动性障碍.
- 在成年ADHD人群中经常观察到精神病并发症.
- 这些并发症对认知功能的影响需要进一步研究.
研究的目的:
- 为了确定成年ADHD患者中精神病并发症的患病率.
- 评估这些并发症对神经心理结果的影响.
- 为了强调在ADHD中查并发症的临床重要性.
主要方法:
- 124名成人多动症患者接受了使用DSM-5标准和迷你国际神经精神病学访谈的精神病学评估.
- 通过综合注意力测试 (CAT) 和韩国韦克斯勒成人智力尺度 (K-WAIS-IV) 评估神经心理功能.
主要成果:
- 情绪障碍 (38.7%),焦虑障碍 (18.5%) 和物质使用障碍 (13.7%) 是最常见的并发症.
- 伴随疾病的成人ADHD患者在K-WAIS-IV的感知组织指数和工作记忆指数上表现较差.
- 伴随性疾病与CAT中简单的视觉任务中的错误增加有关.
结论:
- 精神病的并发症显著损害了成人多动症的神经心理结果.
- 早期发现并发症和治疗对于改善成人多动症患者的认知功能至关重要.
- 这项研究强调了ADHD,精神病并发症和认知缺陷的相互联系.
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