Psychiatric Comorbidity at the Time of Diagnosis in Adults With ADHD: The CAT Study

被引：79

作者：

Pineiro-Dieguez, Benjamin ^{[1
]}

Balanza-Martinez, Vicent ^{[2
]}

Garcia-Garcia, Pilar ^{[3
]}

Soler-Lopez, Begona ^{[4
]}

机构：

[1] Hosp Terrassa Consorci Sanitari CST, Serv Psiquiatria, Terrassa, Barcelona, Spain

[2] Univ Valencia, Hosp Univ Doctor Peset, Serv Psiquiatria, FISABIO,CIBERSAM, Valencia, Spain

[3] Univ Alcala, Dept Biomed Sci, Area Pharmacol, Madrid, Spain

[4] EC BIO SL, Med DeptD, Madrid, Spain

来源：

JOURNAL OF ATTENTION DISORDERS | 2016年 / 20卷 / 12期

关键词：

register; outcome; ADHD treatment; psychiatric comorbidity; adulthood; DEFICIT-HYPERACTIVITY-DISORDER; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; PREVALENCE; SAMPLE; POPULATION; IMPAIRMENT; MANAGEMENT; SYMPTOMS; CONDUCT; SUICIDE;

D O I：

10.1177/1087054713518240

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

Objective: The CAT (Comorbilidad en Adultos con TDAH) study aimed to quantify and characterize the psychiatric comorbidity at the time of diagnosis of ADHD in adult outpatients. Method: Cross-sectional, multicenter, observational register of adults with ADHD diagnosed for the first time. Results: In this large sample of adult ADHD (n = 367), psychiatric comorbidities were present in 66.2% of the sample, and were more prevalent in males and in the hyperactive-impulsive and combined subtypes. The most common comorbidities were substance use disorders (39.2%), anxiety disorders (23%), and mood disorders (18.1%). In all, 88.8% patients were prescribed pharmacological treatment for ADHD (in 93.4% of cases, modified release methylphenidate capsules 50:50). Conclusion: A high proportion of psychiatric comorbidity was observed when adult outpatients received a first-time diagnosis of ADHD. The systematic registering of patients and comorbidities in clinical practice may help to better understand and manage the prognostic determinants in adult ADHD.

引用

页码：1066 / 1075

页数：10

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