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

被引：121

作者：

Langley, Kate ^{[1
]}

Fowler, Tom ^{[1
]}

Ford, Tamsin ^{[2
]}

Thapar, Ajay K. ^{[1
]}

van den Bree, Marianne ^{[1
]}

Harold, Gordon ^{[3
]}

Owen, Michael J. ^{[1
]}

O'Donovan, Michael C. ^{[1
]}

Thapar, Anita ^{[1
]}

机构：

[1] Cardiff Univ, Dept Psychol Med & Neurol, Sch Med, Cardiff CF14 4XN, S Glam, Wales

[2] Univ Exeter, Peninsula Med Sch, Child Hlth Grp, Exeter EX4 4QJ, Devon, England

[3] Univ Otago, Dunedin, New Zealand

来源：

BRITISH JOURNAL OF PSYCHIATRY | 2010年 / 196卷 / 03期

关键词：

MENTAL-HEALTH; RISK-FACTORS; CHILD; ADHD; SYMPTOMS; RELIABILITY; DEFINITION; PREDICTORS; INTERVIEW; PARENT;

D O I：

10.1192/bjp.bp.109.066274

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

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. = 1.7) 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. Declaration of interest None.

引用

页码：235 / 240

页数：6