成年人多动症:诊断时的年龄是否重要?
Chloe Hutt Vater1, Maura DiSalvo1, Alyssa Ehrlich2,3
1Massachusetts General Hospital, Boston, USA.
Journal of attention disorders
|January 3, 2024
概括
成年ADHD的临床特征是相似的,无论诊断年龄. 大多数成人诊断显示儿童症状发作,支持成人ADHD的有效性,并表明成人发作的ADHD是罕见的.
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/多动障碍 (ADHD) 是一种神经发育障碍.
- 对于许多人来说,多动症的症状持续到成年.
- 区分儿童诊断的ADHD和成人诊断的ADHD对于理解这种疾病的表现至关重要.
研究的目的:
- 为了比较儿童时期被诊断出ADHD的成年人的临床特征与成年时被诊断出的特征.
- 为了研究晚年被诊断患有ADHD的成年人的症状发作.
- 为了评估成年ADHD的诊断有效性.
主要方法:
- 成年ADHD患者的分层分为两组:在童年时被诊断出来的和在成年时被诊断出来的.
- 两组的人口和临床特征的比较.
- 对被诊断患有多动症的成年人症状发作的分析.
主要成果:
- 患有多动症的成年人表现出类似的临床特征,无论他们是在童年还是成年时被诊断出来的.
- 大多数 (95%) 在成年后被诊断的成年人报告说,症状在青春期出现.
- 研究结果不支持成年人被诊断患有多动症是由于误解了其他疾病的症状而导致的.
结论:
- 类似的临床概况支持成人多动症诊断的有效性.
- 这项研究表明,成人发病的ADHD,如果存在的话,是不常见的.
- 整合执行功能障碍的行为迹象可能会提高成年ADHD的诊断灵敏度.
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