患有抑郁症和焦虑症的女性的ADHD并发症:患病率,临床特征和超焦点动态
Hazal Yavuzlar Civan1, Tonguc Demir Berkol1
1Department of Psychiatry, Bakirkoy Prof. Dr. Mazhar Osman Training and Research Hospital for Psychiatry, Neurology and Neurosurgery, Istanbul, Turkey.
注意缺陷/多动障碍 (ADHD) 在患有抑郁症或焦虑症的女性中很常见,并且经常被忽视. 过度聚焦是一种特征,但不是单独的诊断,需要仔细的临床评估才能准确诊断ADHD.
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
- 神经发育障碍 神经发育障碍
背景情况:
- 女性注意力缺陷/多动障碍 (ADHD) 与抑郁和焦虑障碍的并发症复杂.
- 在这个人群中,多动症的症状重叠和诊断不足带来了重大的临床挑战.
研究的目的:
- 在患有抑郁症或焦虑症的女性中调查ADHD并发症和临床特征,包括过度焦点.
- 为了解决诊断复杂性和低诊断的多动症在女性呈现情绪和焦虑障碍.
主要方法:
- 170名患有抑郁症或焦虑症的女性门诊患者使用验证的问卷 (BDI,BAI,WURS,HS,AARS) 和结构化临床访谈进行评估.
- 针对ADHD的诊断查使用成人ADHDDSM-IV基础的诊断查尺度和临床采访进行.
主要成果:
- 在19.6%的患者中发现了ADHD,其中45.5%的病例以前没有被诊断出来.
- 在社交焦虑症 (46.4%) 和双重抑郁症 (40.6%) 中,ADHD的患病率最高.
- 在非ADHD参与者中,注意力缺陷与抑郁症相关,过度活跃与焦虑,过度集中与ADHD症状相关.
结论:
- 在患有抑郁症或焦虑症的女性中,ADHD是一种常见且经常被忽视的并发症.
- 过度聚焦是一种相关的临床特征,但不仅仅是ADHD的诊断特征;它需要更广泛的临床背景来准确诊断.
- 彻底的ADHD查和对过度聚焦的仔细解释对于这个人口中的及时和适当的治疗至关重要.
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