ADHD和精神分裂症:仅仅是前兆变体还是同质的子组?
J B Schulze1, F Simnacher1, T J Müller2
1Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zürich, Switzerland.
注意缺陷多动症 (ADHD) 显著增加了精神分裂症谱系障碍 (SSD) 的风险. 患有这两种疾病的个体,一个小小的小组,面临更高的并发病率和失业率,需要量身定制的治疗方法.
科学领域:
- 精神病学是一个精神病学.
- 神经科学是一个神经科学.
- 临床心理学 临床心理学
背景情况:
- 儿童注意力缺陷多动性障碍 (ADHD) 是一种已知的风险因素,用于晚年发展精神分裂症谱系障碍 (SSD).
- 伴随性疾病的存在进一步增加了这种风险.
- 关于伴随性ADHD和SSD患者的具体治疗需求和结果的研究有限.
研究的目的:
- 在被诊断为精神分裂症谱系障碍 (SSD) 的患者中确定不同的子组.
- 探索患有并发性注意力缺陷多动性障碍 (ADHD) 和SSD的个体的特征和治疗模式.
- 在SSD的背景下了解ADHD的含义.
主要方法:
- 隐性类分析 (LCA) 用于在2871例住院SSD病例的样本中识别子组.
- 数据是从案件档案和联邦统计报告中追溯收集的.
- 关于子组的形成,没有先验假设.
主要成果:
- 确定了两个不同的小组:一个是SSD和ADHD (3%的样本),另一个仅有SSD (97%).
- SSD和ADHD小组表现出更高的精神伴随性疾病率,特别是物质使用障碍,并且更频繁地失业.
- 虽然所有患者都接受了抗精神病药物,但大约一半的ADHD/SSD亚组也接受了兴奋剂;住院时间在各组之间是可比的.
结论:
- 注意缺陷多动障碍 (ADHD) 和精神分裂谱系障碍 (SSD) 共同定义了一个特定的患者亚组,具有独特的治疗需求和更大的疾病负担.
- ADHD不仅仅是前体或错误诊断,而且是SSD人口中的一个重要因素.
- 研究结果表明,尽管缺乏具体的治疗指南,但通常会给患有并发性ADHD和SSD的患者服用兴奋剂.
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