与青少年ADHD症状相关的长期结果:出生队列研究
James A Foulds1, Joseph M Boden1, Jessica A Kerr1,2,3,4
1Department of Psychological Medicine, https://ror.org/01jmxt844University of Otago, Christchurch, New Zealand.
The British journal of psychiatry : the journal of mental science
|December 1, 2025
概括
青少年的注意力缺陷多动症 (ADHD) 与长期使用物质和犯罪的风险有关. 对于有过多动症史的成年人来说,早期发现和管理共存问题至关重要.
科学领域:
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 儿童注意力缺陷多动症 (ADHD) 与不良的长期结果有关.
- 了解青少年多动症症状的持续影响对于公共卫生倡议至关重要.
研究的目的:
- 检查青春期中期 (14-16岁) 的ADHD症状与长期心理健康和心理社会功能之间的独立关联.
- 在40年出生队列研究中调查这些关联.
主要方法:
- 利用了克赖斯特彻奇健康与发展研究的数据,新西兰出生队列 (N=1265出生时),追踪到40岁.
- 雇佣了一般化的估计方程,以模拟青少年ADHD症状和18-40岁的结果之间的关联.
- 调整以考虑混因素,包括先前的风险和共存的行为或对立挑性障碍症状.
主要成果:
- 患有高ADHD症状的青少年患有物质使用障碍,抑郁症,自杀念头,犯罪行为和失业的风险增加.
- 较低的收入,房屋所有权,关系稳定性和生活水平也与较高的ADHD症状水平有关.
- 经过调整后,ADHD症状仍然与使用物质 (ORs 1.4-1.6) 和犯罪率的增加相关.
结论:
- 高度的青少年ADHD症状独立地与成人物质使用障碍和刑事犯罪有关.
- 需要长期的二次预防策略来识别和管理ADHD病史成年人的共存疾病.
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