注意缺陷/多动障碍和创伤后应激障碍成人并发症:系统性审查
Hussein M Magdi1, Ali D Abousoliman2,3, Ateya Megahed Lbrahim2,4
1North London NHS Foundation Trust, London, United Kingdom.
Systematic reviews
|February 14, 2025
概括
注意缺陷多动症 (ADHD) 和创伤后应激障碍 (PTSD) 在成年人中经常同时发生,增加症状严重程度和功能障碍. 早期的ADHD诊断和治疗可以减轻PTSD风险.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
背景情况:
- 注意缺陷多动症 (ADHD) 和创伤后应激障碍 (PTSD) 是复杂的疾病.
- 这些疾病往往同时发生,显著影响一个人的福祉.
- 了解这种并发症对于有效的患者护理至关重要.
研究的目的:
- 系统地审查有关ADHD和PTSD在成年人中的并发症的现有文献.
- 在成年人群中调查ADHD和PTSD同时发生的患病率和影响.
主要方法:
- 在五个主要的电子数据库中进行了系统的文献搜索.
- 使用的关键词包括成人参与者 (≥18岁) 的"ADHD"",PTSD"和"并发症".
- 由于研究设计的异质性,使用了定性合成;没有进行元分析.
主要成果:
- 21项研究符合纳入标准,显示在PTSD患者中,ADHD的并发病率为28-36%.
- 患有并发性ADHD和PTSD的个人经历了更大的心理社会障碍和更严重的PTSD症状.
- 药物治疗 (例如,atomoxetine,Vyvanse) 和正念训练在管理并发症症状方面表现有前途.
结论:
- 在成年人中,ADHD和PTSD经常同时存在,加剧了临床结果.
- 及时诊断和治疗ADHD可能会降低创伤后应激障碍的发生率.
- 需要进一步的研究来阐明潜在的机制,并优化伴随性ADHD/PTSD的治疗策略.
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