Neurocognitive Characteristics of Patients Who Visited a Psychiatric Outpatient Clinic Requesting Treatment for Adult Attention-Deficit/Hyperactivity Disorder.
Seon Young Park, Yoosuk An, Sunghyun Park, Min-Sup Shin, Ung Gu Kang
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引用次数: 0
Abstract
Objective: This study investigated the neurocognitive characteristics of patients who visited an outpatient clinic requesting diagnosis and treatment for adult attention-deficit/hyperactivity disorder (ADHD).
Methods: The patients' electronic medical records were retrospectively reviewed. Neurocognitive test results were compared using Student's t-test according to their chief complaint, depressive symptoms, childhood history, and intelligence quotient (IQ). Neurocognitive characteristics affecting subjective symptoms of ADHD were analyzed by linear regression.
Results: The study included 106 patients. They did not have significant deficits in neurocognitive tests. Patients with depressive symptoms showed more impulsive responses (hit reaction time [p=0.037] and commission error [p=0.024]) and self-reported ADHD symptoms (p=0.001). Verbal (p=0.036) and visual memory (p=0.020) were significantly deficient in patients with a childhood ADHD diagnosis. Patients with a low IQ had significant deficits in various domains. Depressive symptoms and vigilance were significantly related to subjective symptoms of ADHD (adjusted R2=0.430, β=0.457, p=0.002).
Conclusion: Our results imply that the neurocognitive function of patients with subjective ADHD symptoms was not abnormal but was affected by depressive symptoms.
研究目的本研究调查了到门诊请求诊断和治疗成人注意力缺陷/多动障碍（ADHD）的患者的神经认知特征：方法：对患者的电子病历进行回顾性分析。根据患者的主诉、抑郁症状、童年病史和智商（IQ），采用学生 t 检验比较神经认知测试结果。通过线性回归分析了影响多动症主观症状的神经认知特征：研究包括 106 名患者。他们在神经认知测试中没有明显缺陷。有抑郁症状的患者表现出更多的冲动反应（命中反应时间[p=0.037]和委托错误[p=0.024]）和自我报告的多动症状（p=0.001）。儿童多动症患者的言语记忆（p=0.036）和视觉记忆（p=0.020）明显不足。智商较低的患者在各个领域都存在明显缺陷。抑郁症状和警觉性与多动症的主观症状明显相关（调整后R2=0.430，β=0.457，p=0.002）：我们的研究结果表明，主观多动症状患者的神经认知功能并无异常，但会受到抑郁症状的影响。
期刊介绍：
The Psychiatry Investigation is published on the 25th day of every month in English by the Korean Neuropsychiatric Association (KNPA). The Journal covers the whole range of psychiatry and neuroscience. Both basic and clinical contributions are encouraged from all disciplines and research areas relevant to the pathophysiology and management of neuropsychiatric disorders and symptoms, as well as researches related to cross cultural psychiatry and ethnic issues in psychiatry. The Journal publishes editorials, review articles, original articles, brief reports, viewpoints and correspondences. All research articles are peer reviewed. Contributions are accepted for publication on the condition that their substance has not been published or submitted for publication elsewhere. Authors submitting papers to the Journal (serially or otherwise) with a common theme or using data derived from the same sample (or a subset thereof) must send details of all relevant previous publications and simultaneous submissions. The Journal is not responsible for statements made by contributors. Material in the Journal does not necessarily reflect the views of the Editor or of the KNPA. Manuscripts accepted for publication are copy-edited to improve readability and to ensure conformity with house style.
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