Psychiatrische Komorbidität bei Erwachsenen mit Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung

E. Sobanski

doi:10.1055/s-0038-1626481

Nervenheilkunde, Table of Contents

Nervenheilkunde 2006; 25(06): 430-436
DOI: 10.1055/s-0038-1626481

Originaler Artikel

Schattauer GmbH

Psychiatrische Komorbidität bei Erwachsenen mit Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung

Eine ÜbersichtPsychiatric comorbidity in adults with attention deficit hyperactivity disorderAn overview

E. Sobanski

¹Klinik für Psychiatrie und Psychotherapie, Zentralinstitut für Seelische Gesundheit, Mannheim (Direktor: Prof. Dr. Dr. F. Henn)

› Author Affiliations

Abstract

Zusammenfassung

Die Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung (ADHS) ist eine chronische Erkrankung, die im Kindesalter beginnt und sich bei bis zu 50% der Betroffenen ins Erwachsenenalter fortsetzt. Die ADHS des Erwachsenenalters geht mit Einschränkungen der Alltagsbewältigung in verschiedenen Lebensbereichen und einer hohen Rate weiterer psychiatrischer Erkrankungen einher. Bis zu 89% aller Erwachsenen mit ADHS leiden im Laufe ihres Lebens unter einer oder mehreren weiteren psychiatrischen Erkrankungen, insbesondere affektiven Störungen, Suchterkrankungen und Persönlichkeitsstörungen. Dies kompliziert das klinische Bild der Erkrankung und ihre Behandlung. Ziel der vorliegenden Übersicht ist es, entsprechend der aktuellen Studienlage wesentliche Ergebnisse zur Prävalenz, Klinik und zu ätiologischen Modellen von komorbiden psychiatrischen Erkrankungen bei der ADHS des Erwachsenenalters darzustellen und Implikationen für das klinische Vorgehen zu besprechen.

Summary

Attention deficit hyperactivity disorder (ADHD) is a chronic disorder, which begins in childhood and continues into adulthood in up to 50% of the patients. ADHD in adults results in impairment in several areas of life and is often associated with comorbid psychiatric disorders. Up to 89% of all adults with ADHD suffer from one or more additional psychiatric disorders during lifetime, mainly affective disorders, substance related disorders and personality disorders. The presented overview aims to delineate essential scientific results concerning prevalence, clinical picture and as far as available etiologies of comorbid psychiatric disorders in adult ADHD and to discuss implications for clinical setup.

Schlüsselwörter

Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung (ADHS) bei Erwachsenen - affektive Störungen - Angsterkrankungen - Abhängigkeitserkrankungen - Persönlichkeitsstörungen

Keywords

Adult attention deficit hyperactivity disorder (ADHD) - affective disorders - anxiety disorders - substance use disorders - personality disorders

Full Text

References

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