首页> 外文期刊>The journal of clinical psychiatry >Bipolar symptoms in adult attention-deficit/hyperactivity disorder: a cross-sectional study of 510 clinically diagnosed patients and 417 population-based controls.
【24h】

Bipolar symptoms in adult attention-deficit/hyperactivity disorder: a cross-sectional study of 510 clinically diagnosed patients and 417 population-based controls.

机译:成人注意力缺陷/多动病症的双相症状:横断面研究为510名临床诊断患者和417名基于人群的对照。

获取原文
获取原文并翻译 | 示例
           

摘要

OBJECTIVE: Bipolar spectrum disorders (BSD) have several symptoms and features in common with attention-deficit/hyperactivity disorder (ADHD). Here we explored the prevalence of BSD and the relationship between symptoms of BSD and ADHD in adult ADHD patients. METHOD: Norwegian adults diagnosed with DSM-IV ADHD during 1997 through 2007 (n = 510) and a random sample of 417 controls from the general population (aged 18-40 years) were recruited and responded to 85 questions rating symptoms of ADHD, lifetime symptoms of mood disorders, other comorbid conditions, and sociodemographic data. RESULTS: According to the Mood Disorder Questionnaire (MDQ), 50.6% of the ADHD patients screened positive for BSD, compared to 8.3% of the controls. In comparison, the prevalence of BSD according to DSM-IV in a subsample of interviewed patients (n = 50) was 32%. In the whole study sample (N = 927), an ADHD diagnosis was the strongest predictor for screening positive on the MDQ (OR = 5.0, P < .001), but the correlation between dimensional symptom levels of ADHD and of BSD was strongest in the control group (Pearson correlation r = 0.7, P < .001 vs r = 0.3, P < .001). Patients screening positive on the MDQ had significantly more drug problems, higher ADHD symptom scores, and lower educational and occupational levels. CONCLUSIONS: Our findings illustrate the close relationship between some symptoms of BSD and ADHD in adults. In clinical and research settings, patients screening positive for BSD should be assessed for a possible underlying or coexisting ADHD condition and vice versa.
机译:目的:双相谱系障碍(BSD)与注意缺陷多动障碍(ADHD)有几个共同的症状和特征。在这里,我们探讨了成年ADHD患者中BSD的患病率以及BSD症状和ADHD之间的关系。方法:从1997年至2007年期间被诊断为DSM-IV型多动症的挪威成年人(n=510)和来自普通人群(18-40岁)的417名随机对照者被招募,并回答了85个问题,包括多动症的评定症状、情绪障碍的终身症状、其他共病条件和社会人口学数据。结果:根据情绪障碍问卷(MDQ),50.6%的ADHD患者筛查出BSD阳性,而对照组为8.3%。相比之下,根据DSM-IV,在接受采访的患者子样本(n=50)中,BSD的患病率为32%。在整个研究样本(N=927)中,ADHD诊断是MDQ筛查阳性的最强预测因子(OR=5.0,P<0.001),但ADHD和BSD维度症状水平之间的相关性在对照组中最强(皮尔逊相关r=0.7,P<0.001 vs r=0.3,P<0.001)。MDQ筛查呈阳性的患者有明显更多的药物问题、更高的ADHD症状评分以及更低的教育和职业水平。结论:我们的研究结果表明,成人BSD的某些症状与ADHD之间存在密切关系。在临床和研究环境中,BSD筛查阳性的患者应评估潜在的或共存的ADHD状况,反之亦然。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号