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The role of a lifetime history of oppositional defiant and conduct disorders in adults with ADHD: Implications for clinical practice

机译：成人多动症对立挑衅和品行障碍的终生史的作用：对临床实践的启示

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Introduction. Attention-deficit/hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and conduct disorder (CD) are frequently co-occurring disorders in children and adolescents. However, their clinical status among adults is still under discussion. This study analyzes how the current clinical presentation of adult ADHD might be influenced by a lifetime history of CD and ODD. Methods. We compared three groups of patients: ADHD without history of CD/ODD (n=178), ADHD1history of ODD (n=184), and ADHD1history of CD (n=96). Results. A history of CD (and to a lower extent ODD) is associated with a more severe and externalizing profile. Conclusion. Past CD and ODD entail a significant negative mental health impact on persistent ADHD, reinforcing the importance of actively assessing the developmental history of adult ADHD patients.
机译：介绍。注意缺陷/多动障碍（ADHD），对立违抗性障碍（ODD）和品行障碍（CD）是儿童和青少年的常见疾病。然而，它们在成人中的临床状态仍在讨论中。这项研究分析了成人ADHD的当前临床表现如何受到CD和ODD终生史的影响。方法。我们比较了三组患者：无CD / ODD病史的ADHD（n = 178），ODD的ADHD1病史（n = 184）和CD的ADHD1病史（n = 96）。结果。 CD的病史（ODD程度较低）与更严重和更外在的特征有关。结论。过去的CD和ODD会对持续的ADHD产生严重的负面心理健康影响，从而增强了积极评估成人ADHD患者发展史的重要性。

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