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Adolescent clinical outcomes for young people with attention-deficit hyperactivity disorder

机译:注意缺陷多动障碍青少年的青少年临床结局

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Background Attention-deficit hyperactivity disorder (ADHD) is recognised as a common, disabling condition. Little information is available regarding the long-term outcomes for individuals with ADHD in the UK. Aims To examine the 5-year outcome for a UK cohort of children with diagnosed, treated ADHD and identify whether maternal and social factors predict Key outcomes. Method One hundred and twenty-six school-aged children (mean age 9.4 years, s.d. = 1.7) diagnosed with ADHD were reassessed 5 years later during adolescence (mean age 14.5 years, s.d. = i.7) for ADHD, conduct disorder and other antisocial behaviours.Results Most adolescents (69.8%) continued to meet full criteria for ADHD, were known to specialist services and exhibited high levels of antisocial behaviour, criminal activity and substance use problems. Maternal childhood conduct disorder predicted offspring ADHD continuity; maternal childhood conduct disorder, lower child IQ and social class predicted offspring conduct disorder symptoms. Conclusions The treatment and monitoring of ADHD need to be intensified as outcomes are poor especially in offspring of mothers with childhood conduct disorder symptoms.
机译:背景技术注意缺陷多动障碍(ADHD)被认为是一种常见的残疾状况。在英国,关于多动症患者长期结果的信息很少。目的检验英国确诊,治疗过的多动症儿童队列的5年结局,并确定母体和社会因素是否可预测关键结局。方法在青春期5年后(平均年龄14.5岁,标准差= i.7),对126名诊断为ADHD的学龄儿童(平均年龄9.4岁,标准差= 1.7)进行重新评估,评估其多动症,行为障碍及其他结果大多数青少年(69.8%)继续符合ADHD的全部标准,为专职服务人员所熟知,并且表现出很高的反社会行为,犯罪活动和毒品使用问题。孕产妇儿童行为障碍预测了子代ADHD的连续性;产妇的童年行为障碍,较低的孩子智商和社会阶层可预测后代的行为障碍症状。结论由于结局较差,尤其是在有儿童行为障碍症状的母亲的后代中,需要加强对多动症的治疗和监测。

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