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DOI: 10.1055/s-0035-1552699
Der Einfluss des ADHS-Subtyps auf den Leidensdruck bei erwachsenen ADHS-Patienten
ADHD: Burden of Disease According to Subtypes in Adult PatientsPublikationsverlauf
Publikationsdatum:
21. Oktober 2015 (online)
Zusammenfassung
Anliegen und Methodik: Der Leidensdruck 511 adulter ADHS-Patienten wurde abhängig vom ADHS-Subtyp und dem Persönlichkeitsmerkmal Neurotizismus erfasst.
Ergebnisse: Patienten mit hohen Neurotizismuswerten haben insgesamt einen höheren Leidensdruck. Hinsichtlich der ADHS-Subtypen zeigen sich nur bei Patienten mit niedrigen Neurotizismuswerten Gruppenunterschiede im wahrgenommenen Leidensdruck.
Schlussfolgerungen: Das empfundene Leiden scheint nicht allein von der Symptomausprägung abhängig zu sein. Neurotizismus kann ein moderierender Faktor sein.
Abstract
Objectives: In consideration of ADHD subtype we assessed burden of disease of adult ADHD patients and neuroticism.
Methods: 511 adult ADHD patients were enrolled in the study. We measured ADHD symptoms categorically and dimensionally by the “Homburger ADHS-Skalen für Erwachsene (HASE)”. All participants rated their ADHD associated level of suffering. To assess personality traits, the psychometric instrument NEO-PI-R was used.
Results: In patients with higher levels of neuroticism, there was no significant difference in the level of suffering between the ADHD subtypes. In the group of ADHD patients which scored low on the neuroticism scale, ADHD combined patients are significant more affected compared to the predominantly hyperactive-impulsive or the predominantly inattentive type.
Conclusions: These results underline the hypothesis that the burden of disease is not only related to the level of ADHD symptoms and subtype but also moderated by neuroticism.
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Literatur
- 1 Lahey BB, Applegate B, McBurnett K et al. DSM-IV field trials for attention deficit hyperactivity disorder in children and adolescents. Am J Psychiatry 1994; 151: 1673-1685
- 2 Oner O, Oner P, Cop E et al. Characteristics of SDM-IV attention deficit hyperactivity disorder Combined and predominantly inattentive subtypes in a Turkish clinical sample. Child Psychiatry Hum Dev 2012; 43: 523-532
- 3 Murphy K, Barkley RA, Bush T. Young adults with attention deficit hyperactivity disorder. Subtype differences in comorbidity, educational, and clinical history. J Nerv Ment Dis 2002; 190: 147-157
- 4 Sobanski E, Brüggemann D, Alm B et al. Subtype differences in adults with attention-deficit/hyperactivity disorder (ADHD) with regard to ADHS-symptoms, psychiatric comorbidity and psychosocial adjustment. Euro Archives 2008; 23: 142-149
- 5 Escobar R, Hervas A, Soutullo C et al. Attention deficit/hyperactivity disorder: burden of the disease accordung to subtypes in recently diagnosed children. Actas Esp Psiquiatr 2008; 36: 285-294
- 6 Turiano NA, Pitzer L, Armour C et al. Personality trait level and change as predictors of health outcomes: Findings from a national study of Americans (MIDUS). J Gerontol B Psychol Sci Soc Sci 2012; 67: 4-12
- 7 Sutin A, Zonderman AB, Ferrucci L et al. Personality traits and chronic disease: Implications for adult personality development. J Gerontol B Psychol Sci Soc Sci 2013; 68: 912-920
- 8 Rösler M, Retz-Junginger P, Retz W, Stieglitz R-D. Homburger ADHS-Skalen für Erwachsene (HASE). Göttingen: Hogrefe; 2008