精神科人群中ADHD的患病率。

IF 2.9 4区 医学 Q2 PSYCHIATRY International Journal of Psychiatry in Clinical Practice Pub Date : 2022-06-01 Epub Date: 2021-06-01 DOI:10.1080/13651501.2021.1914663
Sina Gerhand, Christopher W N Saville
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引用次数: 8

摘要

目的:本文对成人精神病人群中注意缺陷多动障碍(ADHD)的患病率进行了系统的文献综述。方法:使用ADHD与精神障碍相关的关键词对三个数据库进行检索。2020年5月前发表的15项研究符合纳入标准。结果:患病率为6.9 ~ 38.75%。在ADHD和合并症的评估方法、抽样以及纳入和排除精神疾病合并症方面存在相当大的异质性。研究得出结论,ADHD在这一人群中未被充分诊断。性别比例也在1.8:1和1:25之间变化(男女比例)。结论:精神科人群的ADHD患病率明显高于普通成人人群的2.8%。精神病患者应牢记多动症,以确保准确的诊断和最佳的治疗方案。研究报告的性别比例在1.8:1和1:25之间(男性:女性),需要更多的研究来确定使用ADHD筛查工具是否会提高精神病学人群对成人ADHD的认识和治疗。
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ADHD prevalence in the psychiatric population.

Objective: This article presents a systematic literature review of the prevalence of Attention Deficit Hyperactivity Disorder (ADHD) in the adult psychiatric population.

Methods: Three databases were searched using keywords relating to ADHD and psychiatric disorders. Fifteen studies published before May 2020 met inclusion criteria.

Results: Prevalence rates ranged from 6.9 to 38.75%. There was considerable heterogeneity with regards to the assessment methods of ADHD and comorbidities, the sampling as well as inclusion and exclusion of psychiatric comorbidities. Research concluded that ADHD is underdiagnosed in this population. Gender ratios also varied between 1.8:1 and 1:2.5 (male:female).

Conclusions: All ADHD prevalence rates for the psychiatric population were considerably higher than the 2.8% estimated for the general adult population. ADHD should be kept in mind for psychiatric patients to ensure accurate diagnosis and optimal treatment options.Key PointsADHD is considerably underdiagnosed in the psychiatric populationGender ratios between 1.8:1 and 1:2.5 (male:female) reported in researchMore research is needed to ascertain if the use of ADHD screening instruments would improve the recognition and treatment of adult ADHD in the psychiatric population.

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来源期刊
CiteScore
6.00
自引率
3.30%
发文量
42
审稿时长
>12 weeks
期刊介绍: International Journal of Psychiatry in Clinical Practice provides an international forum for communication among health professionals with clinical, academic and research interests in psychiatry. The journal gives particular emphasis to papers that integrate the findings of academic research into realities of clinical practice. Focus on the practical aspects of managing and treating patients. Essential reading for the busy psychiatrist, trainee and interested physician. Includes original research papers, comprehensive review articles and short communications. Key words: Psychiatry, Neuropsychopharmacology, Mental health, Neuropsychiatry, Clinical Neurophysiology, Psychophysiology, Psychotherapy, Addiction, Schizophrenia, Depression, Bipolar Disorders and Anxiety.
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