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在随机对照研究中对成年人诊断ADHD:一个范围审查

Igor Studart¹, Mads Gram Henriksen^2,3, Julie Nordgaard^3,4

¹Institute of Psychiatry, University of São Paulo, Sao Paulo, Brazil.

European psychiatry : the journal of the Association of European Psychiatrists

|April 14, 2025

概括

在成年人中诊断注意力缺陷/多动障碍 (ADHD) 缺乏研究共识. 研究往往无法确保准确的诊断,这可能会影响临床相关性和治疗进展.

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:

成年注意力缺陷/多动症障碍 (ADHD) 的诊断正在增加.
成年ADHD的诊断标准是从童年定义演变出来的,导致主观性增加.
需要澄清在研究环境中诊断成年ADHD的最佳实践.

研究的目的:

在研究中检查成人ADHD的当前诊断方法.
在随机对照试验 (RCT) 中确定成人ADHD如何被诊断的变化和不一致性.

主要方法:

进行了随机对照试验 (RCT) 的系统审查.
该审查重点关注了在涉及成年ADHD的研究中使用的诊断程序.

主要成果:

在292个RCT中观察到诊断方法的大量变化,没有明确的共识.
超过一半的研究缺乏对一般精神病理学的评估,只有35%的研究涉及精神病医生或心理学家进行诊断.
在包含的研究中,超过一半的研究中存在并发性精神疾病.

结论:

在许多RCT中,人们对成年ADHD的诊断有效性存在担忧.
优先考虑准确的诊断评估对于研究结果的临床相关性至关重要.
提高诊断质量,包括专家的综合差异诊断,对于推进成人多动症研究至关重要.

关键词:

伴随性疾病发生率.诊断标准诊断标准诊断标准诊断标准方法论方法论方法论心理病理学心理病理学

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