年轻自闭症成年人注意力缺陷多动症查:三种常用问卷的诊断准确性
Melanie Palmer1, Zhaonan Fang2, Matthew J Hollocks2,3
1Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK. melanie.palmer@kcl.ac.uk.
Journal of autism and developmental disorders
|October 29, 2023
概括
在自闭症的年轻成年人中,ADHD查工具可能不足以诊断注意力缺陷多动性障碍. 目前的ADHD调查问卷对这一群体缺乏足够的敏感性和特异性.
科学领域:
- 神经发育障碍 神经发育障碍
- 精神病诊断诊断精神病学诊断的方法
背景情况:
- 自闭症谱系障碍 (ASD) 和注意力缺陷多动性障碍 (ADHD) 经常同时发生.
- 自闭症患者的ADHD症状可能被错误地归因于自闭症,导致诊断延迟.
- 诊断的掩盖和症状重叠使自闭症成年人的ADHD识别变得复杂.
研究的目的:
- 评估年轻自闭症成年人的ADHD查问卷的准确性.
- 为了确定当前的ADHD评估工具是否足够区分ADHD与非ADHD病例在这个人群中.
主要方法:
- 利用了来自特殊需要和自闭症项目 (SNAP) 队列的数据 (N=119名自闭症年轻人).
- 雇佣的父母提供心理评估和自我报告的多动症问卷 (错误的行为检查清单,康纳斯成人多动症评分表,优点和困难问卷).
- 根据智力功能 (IQ ≥70与<70) 进行了接受者运行特征分析和子组分析.
主要成果:
- 在样本中,ADHD患病率很高.
- 调查问卷显示总体表现充足 (AUC 0.650.79),但没有任何单一措施同时达到灵敏度和特异性值.
- 智商≥70和<70的个体之间没有观察到工具性能的显著差异.
结论:
- 目前的ADHD查措施不足以准确诊断年轻自闭症成年人的ADHD.
- 现有的诊断门可能会导致在这个人口群体中对ADHD的诊断不足.
- 需要进一步的研究来开发和验证针对自闭症人口的更精确的ADHD评估工具.
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