The Utility of Neuromuscular Assessment to Identify ADHD Among Patients with a Complex Symptom Picture.

IF 2.7 3区医学 Q2 PSYCHIATRY Journal of Attention Disorders Pub Date : 2024-10-01 Epub Date: 2024-09-02 DOI:10.1177/10870547241273102

Anne Beate Helseth Udal, Liv Larsen Stray, Are Hugo Pripp, Torstein Stray, Jens Egeland

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Abstract

Objective: Diagnostic assessment of ADHD is challenging due to comorbid psychopathologies and symptoms overlapping with other psychiatric disorders. In this study, we investigate if a distinct pattern of neuromuscular dysregulation previously reported in ADHD, can help identifying ADHD in psychiatric patients with diverse and complex symptoms.

Method: We explored the impact of neuromuscular dysregulation, as measured by The Motor Function Neurologic Assessment (MFNU), on the likelihood of being diagnosed with ADHD, affective disorder, anxiety disorder, or personality disorder among adults (n = 115) referred to a psychiatric outpatient clinic.

Results: Logistic regression revealed that neuromuscular dysregulation was significantly associated with ADHD diagnosis only (OR 1.15, p < .01), and not with affective-, anxiety-, or personality disorders. Sensitivity and specificity for ADHD at different MFNU scores is provided.

Conclusions: A test of neuromuscular dysregulation may promote diagnostic accuracy in differentiating ADHD from other psychiatric disorders in patients with an overlapping symptom picture. This may have important implications for clinical practice. More studies are needed.

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神经肌肉评估在识别症状复杂的多动症患者中的实用性。

目的：由于合并精神病理学和症状与其他精神疾病重叠，对多动症进行诊断评估具有挑战性。在这项研究中，我们探讨了之前在多动症中报道的神经肌肉失调的独特模式是否有助于识别具有多种复杂症状的精神病患者的多动症：我们探讨了运动功能神经评估（MFNU）所测量的神经肌肉失调对转诊至精神科门诊的成年人（n = 115）被诊断为多动症、情感障碍、焦虑症或人格障碍的可能性的影响：逻辑回归结果显示，神经肌肉失调仅与多动症的诊断有显著相关性（OR 1.15，P 结论：神经肌肉失调与多动症的诊断有显著相关性（OR 1.15，P 结论：神经肌肉失调与多动症的诊断有显著相关性）：神经肌肉失调测试可提高诊断的准确性，将症状重叠的多动症患者与其他精神疾病区分开来。这可能会对临床实践产生重要影响。还需要更多的研究。

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来源期刊

Journal of Attention Disorders PSYCHIATRY-

CiteScore

7.60

自引率

6.70%

发文量

审稿时长

6-12 weeks

期刊介绍： Journal of Attention Disorders (JAD) focuses on basic and applied science concerning attention and related functions in children, adolescents, and adults. JAD publishes articles on diagnosis, comorbidity, neuropsychological functioning, psychopharmacology, and psychosocial issues. The journal also addresses practice, policy, and theory, as well as review articles, commentaries, in-depth analyses, empirical research articles, and case presentations or program evaluations.