成年注意力缺陷/多动障碍和痴呆症的风险
Stephen Z Levine1, Anat Rotstein2, Arad Kodesh3,4
1School of Public Health, University of Haifa, Haifa, Israel.
JAMA network open
|October 17, 2023
概括
成年注意力缺陷/多动症 (ADHD) 与老年人痴呆的风险显著增加有关. 这项研究强调了监测老年人群中ADHD的重要性,以潜在地减轻痴呆症风险.
科学领域:
- 神经科学是一个神经科学.
- 老年学是一门学科.
- 精神病学是一个精神病学.
背景情况:
- 将成人注意力缺陷/多动症障碍 (ADHD) 与痴呆风险联系在一起的证据有限且不一致.
- 之前的研究没有充分解决潜在的偏见,需要进一步调查.
研究的目的:
- 调查成年人ADHD和随后发展痴呆症的风险之间的联系.
- 通过分析大量的,潜在的国家队列,提供强有力的证据.
主要方法:
- 一项前性队列研究,对1933年至1952年间出生的109,218人进行了跟踪,从2003年至2020年进行了跟踪.
- 成年ADHD被评估为使用ICD诊断的时间变异共变量.
- 考克斯回归模型的反向概率加权对18个潜在混因子进行了调整.
主要成果:
- 成年ADHD与统计学上显著增加的痴呆风险有关 (调整后的危险比:2.77).
- 痴呆症发生在13.2%的成年ADHD参与者身上,而没有ADHD的参与者只有7.0%.
- 敏感性分析在很大程度上支持了主要发现,有轻微的反向因果关系证据.
结论:
- 成年人ADHD与老年人痴呆的风险增加有关.
- 医疗保健提供者,护理人员和政策制定者应该考虑对老年人ADHD进行监测.
- 进一步研究ADHD在衰老中的机制和干预措施是有必要的.
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