与成年人新诊断的注意力缺陷/多动障碍相关的危险因素:一个回顾性病例控制研究
Jeff Schein1, Martin Cloutier2, Marjolaine Gauthier-Loiselle2
1Otsuka Pharmaceutical Development & Commercialization, Inc, 508 Carnegie Center, Princeton, NJ, 08540, USA.
BMC psychiatry
|November 23, 2023
概括
患有焦虑和抑郁等心理健康状况的成年人患注意力缺陷/多动症障碍 (ADHD) 的风险更高. 早期查这些风险因素可以改善ADHD的诊断和管理.
科学领域:
- 精神病学是一个精神病学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 关于成年人注意力缺陷/多动症 (ADHD) 风险因素的研究范围有限.
- 了解这些因素对于早期的ADHD诊断至关重要.
研究的目的:
- 为了确定与美国成年人新诊断的ADHD相关的风险因素.
- 探索已识别的风险因素对ADHD诊断的综合影响.
主要方法:
- 使用IQVIA PharMetrics® Plus数据库 (2015-2021) 进行的回顾性队列研究.
- 在ADHD队列中包括337,034名成年人,在非ADHD控制队列中包括1,011,102人.
- 逻辑回归与逐步变量选择以确定ADHD的重大风险因素.
主要成果:
- 精神健康并发症,包括焦虑和抑郁障碍,与ADHD的可能性增加有显著的关联.
- 治疗焦虑和抑郁症,以及心理治疗和专家访问,被确定为关键的危险因素.
- 治疗焦虑和抑郁症患者的预测ADHD风险为81.9%.
结论:
- 心理健康并发症及其治疗与美国成年人新诊断的多动症有显著联系.
- 查具有已确定的风险因素的成年患者可能有助于更早地诊断和管理ADHD.
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