Diagnostic Outcomes of Childhood ADHD in Chinese Adults
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摘要Objective: We examined adulthood diagnostic, functioning, and social outcomes of childhood ADHD in a Hong Kong Chinese clinical sample. Method: We identified from the central registry 499 Chinese adults clinically diagnosed with ADHD aged 6 to 12 in 2002-2005 in four Hong Kong child psychiatric centers. Assessments included ADHD Clinical Diagnostic Scale (ACDS), Structured Clinical Interview for DSM Disorders (SCID), and World Health Organization Disability Assessment Schedule (WHO-DAS). Results: Eligible participants = 499. One hundred forty-five completed assessments, two deceased, six incarcerated, 100 had invalid contact, 83 declined, 34 emigrated, and 129 unable to attend. Mean follow-up duration = 14.9 years. Nonrespondents were slightly younger (19.78 vs. 20.53, p <.001). In all, 83.1% of all participants currently met Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) ADHD criteria (36.8% inattentive subtype (IA), 43% combined, 3.3% hyperactive/impulsive subtype (H/I)). One third of persistent ADHD participants currently received care. ADHD persistence was associated with significantly increased psychiatric comorbidity (49.5% vs. 22.7%, p =.02) and poor academic and social outcomes. ADHD persistence and comorbidity independently predicted impairment. Conclusion: Adulthood-persistence of clinically presented childhood ADHD is common and impairing in Hong Kong Chinese.
著者Arthur D. P. Mak, Alicia K. W. Chan, Phyllis K. L. Chan, C. P. Tang, Kelly Lai, Sheila Wong, Patrick Leung, S. F. Hung, Linda C. W. Lam, Sing Lee
期刊名稱Journal of Attention Disorders
出版年份2018
出版社SAGE
國際標準期刊號1087-0547
語言美式英語
關鍵詞adult ADHD, ADHD, longitudinal study, comorbidity, functional impairment

上次更新時間 2020-21-10 於 02:19