2016年至2023年期间注意力缺陷/多动障碍的发生率:回顾性队列
Margaret L Paul1, Poorva Sheth2, Regan Davis2
1Department of Psychology Saint Louis University St Louis Missouri USA.
Psychiatric research and clinical practice
|April 2, 2025
概括
新的注意力缺陷/多动障碍 (ADHD) 诊断显示了最近的趋势. 成年ADHD发病率下降,然后增加,而青少年ADHD诊断最初下降,然后稳定. 需要进一步的研究.
科学领域:
- 临床心理学 临床心理学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 注意缺陷/多动障碍 (ADHD) 是一种影响青少年和成人的普遍神经发育障碍.
- 了解诊断趋势对于有效的医疗保健资源配置和干预策略至关重要.
研究的目的:
- 分析2016年至2023年青少年和成人的注意力缺陷/多动障碍 (ADHD) 新诊断的发生率和最近趋势.
- 在COVID-19大流行之前,期间和之后,在临床环境中识别ADHD诊断率的变化.
主要方法:
- 对144,103名青少年和成年患者的回顾性队列研究,这些患者使用圣玛丽姐妹 (SSM) 的医疗保健服务.
- 在患者病历中使用ICD-10代码识别新的ADHD诊断.
- 关联点回归分析以确定发病率和趋势,按年龄组分层.
主要成果:
- 成年ADHD发病率从2016-2020年显示出显著的下降趋势 (-10.6%),随后从2020-2023年显示出显著的上升趋势 (+15.2%).
- 从2016年至2018年,青少年ADHD发病率显示出明显的下降趋势 (-26.1%),而从2018年至2023年,发病率稳定.
- 该研究观察到ADHD新诊断的波动,成人和青少年群体的明显趋势.
结论:
- 近年来,在青少年和成年人中,ADHD新诊断的发生率出现了显著的波动.
- 这些发现凸显了对推动这些观察到的诊断趋势的潜在因素的进一步研究的需要.
- 了解这些趋势对于改善ADHD诊断,管理和解决护理方面的潜在差异至关重要.
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