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首页> 外文期刊>Nordic journal of psychiatry. >ADHD in adult psychiatry. Minimum rates and clinical presentation in general psychiatry outpatients.
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ADHD in adult psychiatry. Minimum rates and clinical presentation in general psychiatry outpatients.

机译：成人精神病学中的多动症。普通精神科门诊患者的最低费用和临床表现。

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The objective of the study was to determine the prevalence and comorbidity of persisting attention-deficit hyperactivity disorder (ADHD) in adult psychiatric outpatients. Consecutive patients, first visits excluded, at a general psychiatric outpatient clinic were offered a screening for childhood ADHD with the Wender Utah Rating Scale (WURS). One hundred and forty-one patients out of 398 (35%) completed and returned the scale. Patients above or near cut-off for ADHD (n=57) were offered an extensive clinical evaluation with psychiatric as well as neuropsychological examination. The attrition was analysed regarding age, sex and clinical diagnoses. Out of the screened sample, 40% had scores indicating possible childhood ADHD. These 57 patients were invited to the clinical part of the study, but 10 declined assessment, leaving 47 (37 women and 10 men) who were actually examined. Thirty of these (21 women and nine men) met diagnostic criteria for ADHD at the time of examination. Among the patients with ADHD, affective disorders were the most common psychiatric diagnoses. The rate of alcohol and/or substance abuse, as noted in the medical records, was also high in the ADHD group. In the WURS-screened group, 22% (30 patients assessed as part of this study and one person with ADHD previously clinically diagnosed) were shown to have persisting ADHD. Therefore, it is clearly relevant for psychiatrists working in general adult psychiatry to have ADHD in mind as a diagnostic option, either as the patient's main problem or as a functional impairment predisposing for other psychiatric disorders.
机译：这项研究的目的是确定成人精神科门诊患者持续存在的注意力缺陷多动障碍（ADHD）的患病率和合并症。连续患者（首次就诊除外）在一般精神科门诊接受了Wender Utah评分量表（WURS）筛查的儿童ADHD。 398名患者中的一百四十一名患者（35％）完成并返回了量表。超过或接近临界水平的多动症患者（n = 57）接受了精神病学和神经心理学检查的广泛临床评估。分析了有关年龄，性别和临床诊断的磨损。在筛选出的样本中，有40％的分数表明可能患有儿童多动症。这57名患者被邀请参加研究的临床部分，但10名患者拒绝评估，实际检查的有47名（37名女性和10名男性）。其中有30名（21名女性和9名男性）在检查时符合ADHD的诊断标准。在多动症患者中，情感障碍是最常见的精神病学诊断。如医疗记录中所指出的，ADHD组的酒精和/或药物滥用率也很高。在WURS筛查组中，有22％（该研究评估了30例患者，先前临床诊断为ADHD的患者）显示患有ADHD持续存在。因此，对于在普通成人精神病学领域工作的精神科医生来说，将注意力缺陷多动症作为一种诊断选择是很重要的，它既可以作为患者的主要问题，也可以作为其他精神疾病的诱因。

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