在中国成年人中,常见的精神疾病和注意力缺陷/多动性障碍的并发症
Na Lu1, Ming Wang2, Zhi Zheng3
1Department of Psychosomatics and Psychiatry, Zhongda Hospital, School of Medicine, Jiangsu Provincial Key Laboratory of Brain Science and Medicine, Southeast University, Nanjing 210009, China.
Psychiatry research
|August 7, 2025
概括
注意缺陷/多动障碍 (ADHD) 经常与中国成年人的其他精神疾病同时发生. 饮酒被确定为导致成人多动症的一个独立因素,强调了综合查的必要性.
科学领域:
- 精神病学是一个精神病学.
- 神经发育障碍 神经发育障碍
- 临床心理学 临床心理学
背景情况:
- 注意缺陷/多动障碍 (ADHD) 是一种流行的神经发育障碍,经常持续到成年.
- 与其他精神疾病的并发症在成人多动症中很常见,影响了诊断和治疗.
- 了解不同人群 (如中国成年人) 共同疾病的具体模式,对于有效的临床管理至关重要.
研究的目的:
- 调查中国其他精神疾病患者中成人注意力缺陷/多动症障碍 (ADHD) 的患病率和影响因素.
- 在成年精神病患者群体中确定与伴随性ADHD相关的人口和临床特征.
- 探索潜在的风险因素,如物质使用,有助于成年ADHD在这个队列.
主要方法:
- 一项涉及3772名被诊断患有精神分裂症,严重抑郁症,双相情感障碍或一般焦虑症的成年患者在中国29个地区进行的横截面研究.
- 数据收集使用了定制问卷,包括人口统计信息和标准化尺度:成人多动症症状评分表 (ASRS),成人多动症生活质量问卷 (AAQoL),汉密尔顿抑郁量表 (HAMD-24),汉密尔顿焦虑量表 (HAMA-14),年轻狂热评分表 (YMRS) 和正负综合征量表 (PANSS).
- 进行了统计分析,以确定ADHD的患病率,并确定独立的影响因素.
主要成果:
- 在12.99% (490) 的成年精神病患者中发现了并发性ADHD.
- 伴随性ADHD患者更有可能单身,年轻,受过高等教育,并且报告酒精消费和吸烟率更高.
- 患有ADHD的个体表现出更早的发病年龄和更严重的精神症状,酒精消费被确定为独立的危险因素.
结论:
- 成年ADHD与包括精神分裂症,重度抑郁障碍,双相情感障碍和一般焦虑障碍在内的主要精神疾病具有显著的并发症.
- 这些发现表明,对成人多动症的查应纳入对这些精神疾病患者的评估,特别是那些早期发病,疾病持续时间长,多次发作和有药物使用史的患者.
- 识别并发性ADHD对于全面的治疗计划和改善严重和持久性精神疾病患者的治疗结果至关重要.
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