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首页> 外文期刊>Psychological medicine >Functional and psychosocial impairment in adults with undiagnosed ADHD.
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Functional and psychosocial impairment in adults with undiagnosed ADHD.

机译：未确诊多动症的成人的功能和社会心理障碍。

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BACKGROUND: Identify a group of adults with 'undiagnosed' attention deficit hyperactivity disorder (ADHD) and compare their personal and family medical histories, psychosocial profiles, functional impairment and quality of life with non-ADHD controls. Additionally, compare adults with undiagnosed and diagnosed ADHD to investigate possible reasons why the undiagnosed avoid clinical detection. METHOD: ICD-9 codes for ADHD in administrative claims records and responses to a telephone-administered adult ADHD screener [the Adult ADHD Self-Report Scale (ASRS)] were used to classify approximately 21000 members of two large managed health-care plans as 'undiagnosed' (no coded diagnosis; ASRS positive) or 'non-ADHD' controls (no coded diagnosis; ASRS negative). Patients identified as 'undiagnosed' ADHD were compared with samples of non-ADHD controls and 'diagnosed' ADHD patients (ICD-9 coded ADHD diagnoses) on the basis of demographics, socio-economic status, past and present mental health conditions, and self-reported functional and psychosocial impairment and quality of life. RESULTS: A total of 752 'undiagnosed' ADHD subjects, 199 'non-ADHD' controls and 198 'diagnosed' ADHD subjects completed a telephone interview. Overall, the 'undiagnosed' ADHD cohort demonstrated higher rates of co-morbid illness and greater functional impairment than 'non-ADHD' controls, including significantly higher rates of current depression, and problem drinking, lower educational attainment, and greater emotional and interpersonal difficulties. 'Undiagnosed' ADHD subjects reported a different racial composition and lower educational attainment than 'diagnosed' ADHD subjects. CONCLUSION: Individuals with 'undiagnosed' ADHD manifest significantly greater functional and psychosocial impairment than those screening negative for the disorder, suggesting that ADHD poses a serious burden to adults even when clinically unrecognized.
机译：背景：确定一群患有“未经诊断”的注意力缺陷多动障碍（ADHD）的成年人，并与非ADHD对照者比较他们的个人和家庭病史，心理社会状况，功能障碍和生活质量。此外，将未诊断和诊断为ADHD的成年人进行比较，以调查未诊断和避免临床检测的可能原因。方法：行政索赔记录中对ADHD的ICD-9代码和对电话管理的成人ADHD筛查者的回答[成人ADHD自我报告量表（ASRS）]用于将两个大型托管医疗计划的大约21000名成员分类为“未诊断”（无编码诊断； ASRS阳性）或“非ADHD”对照（无编码诊断； ASRS阴性）。根据人口统计学，社会经济状况，过去和现在的心理健康状况以及自我，将被确定为“未经诊断”的ADHD患者与非ADHD对照样本和“经诊断”的ADHD患者（ICD-9编码为ADHD诊断）进行比较报告了功能和心理障碍以及生活质量。结果：共有752位“未诊断”的ADHD受试者，199位“非ADHD”的对照和198位“已诊断”的ADHD受试者完成了电话采访。总体而言，与“非ADHD”对照相比，“未被诊断”的ADHD队列显示出较高的合并症发病率和更大的功能障碍，包括当前的抑郁症发病率，饮酒困难，受教育程度较低以及情绪和人际交往障碍更大。与“确诊” ADHD受试者相比，“未确诊” ADHD受试者报告了不同的种族组成和较低的教育程度。结论：“多动症”未得到诊断的人的功能和心理障碍明显大于对该疾病进行了阴性筛查的人，这表明即使在临床上无法识别的情况下，多动症也给成年人带来了沉重的负担。

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