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Comparison of Adults with Attention-Deficit Hyperactivity Disorder Depending on the Age of Being Diagnosed in Childhood and Adulthood: Based on Retrospective Review in One University Hospital

  • Cho, Seong Woo (Department of Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Yeon Jung (Department of Psychiatry, Seoul Hospital, Soonchunhyang University College of Medicine) ;
  • Lee, Seong Ae (Department of Psychiatry, Kyung Hee University Hospital) ;
  • Hong, Minha (Department of Psychiatry, Seonam University College of Medicine, Myongji Hospital) ;
  • Lee, Sang Min (Department of Psychiatry, Konyang Univerisity College of Medicine, Konyang University Hospital) ;
  • Park, Jin Cheol (Department of Psychiatry, Silverheals Hospital) ;
  • Bahn, Geon Ho (Department of Psychiatry, Kyung Hee University School of Medicine)
  • 투고 : 2017.05.06
  • 심사 : 2017.06.12
  • 발행 : 2017.07.01

초록

Objectives: The study aimed to identify the characteristics of attention-deficit hyperactivity disorder (ADHD) that was not diagnosed in childhood or adolescence, but only in adulthood. Methods: The characteristics of patients diagnosed with ADHD in adulthood were compared with those of patients diagnosed in childhood were assessed via a retrospective review of the medical records at one university hospital from 2005 to 2013. If the age at which they were confirmed as having ADHD was less than 19 years old, they were grouped as childhood-diagnosed group (CD); if they were 19 years old or more, they were grouped as adulthood-diagnosed group (AD). Results: The CD and AD included 50 (46.3%) and 58 (53.7%) patients, respectively. Inattention was the most common symptom in both groups. Behavioral and emotional problems were the second most frequent symptoms in the CD and AD, respectively. The intelligent quotient was significantly higher in the AD than in the CD. The most common comorbidity was depression in the CD and personality disorder in the AD. The most common reason for visiting the hospital was referral by acquaintances in the CD and media coverage in the AD. Conclusion: Clinicians should put ADHD on the index of suspicion when they examine adults with various psychiatric symptoms, because the diagnosis of ADHD might have been missed in childhood and the symptoms of ADHD might have changed as they grew up.

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참고문헌

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC: American Psychiatric Association;1994.
  2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington, DC: American Psychiatric Association;2013.
  3. Surman CB, Goodman DW. Is ADHD a valid diagnosis in older adults? Atten Defic Hyperact Disord 2017 Jan 25 [Epub ahead of print]. https://doi.org/10.1007/s12402-017-0217-x.
  4. Taurines R, Schmitt J, Renner T, Conner AC, Warnke A, Romanos M. Developmental comorbidity in attention-deficit/hyperactivity disorder. Atten Defic Hyperact Disord 2010;2:267-289. https://doi.org/10.1007/s12402-010-0040-0
  5. Balazs J, Kereszteny A. Subthreshold attention deficit hyperactivity in children and adolescents: a systematic review. Eur Child Adolesc Psychiatry 2014;23:393-408. https://doi.org/10.1007/s00787-013-0514-7
  6. Kim YS, Cheon KA, Kim BN, Chang SA, Yoo HJ, Kim JW, et al. The reliability and validity of Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime version- Korean version (K-SADS-PL-K). Yonsei Med J 2004;45:81-89. https://doi.org/10.3349/ymj.2004.45.1.81
  7. Yoo HK, Lee J, Kang SH, Park EH, Jung J, Kim BN, et al. Standardization of the Comprehensive Attention Test for the Korean children and adolescents. J Korean Acad Child Adolesc Psychiatry 2009; 20:68-75.
  8. Kwak K, Park H, Kim C. Korean Wechsler Intelligence Scale for Children-III (K-WISC-III). Seoul: Special Education Publishing Co.; 2001.
  9. Yum TH, Park YS, Oh KJ, Kim JG, Lee YH. The Manual of Korean-Wechsler Adult Intelligence Scale. Seoul: Korea Guidance;1992.
  10. Min BB, Oh HS, Lee JY. Manual of Temperament and Character Inventory. Seoul: Maumsarang;2007.
  11. Kessler RC, Adler L, Ames M, Demler O, Faraone S, Hiripi E, et al. The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population. Psychol Med 2005;35:245-256. https://doi.org/10.1017/S0033291704002892
  12. Bahn GH, Ryu JE, Lee YJ, Han J, Lee A, Hong M. When is the endpoint of the adolescence? Psychoanalysis 2015;26:3-17.
  13. Hong M, Kwack YS, Joung YS, Lee SI, Kim B, Sohn SH, et al. Nationwide rate of attention-deficit hyperactivity disorder diagnosis and pharmacotherapy in Korea in 2008-2011. Asia Pac Psychiatry 2014;6:379-385.
  14. Hong M, Lee WH, Moon DS, Lee SM, Chung US, Bahn GH. A 36 month naturalistic retrospective study of clinic-treated youth with attention-deficit/hyperactivity disorder. J Child Adolesc Psychopharmacol 2014;24:341-346. https://doi.org/10.1089/cap.2013.0090
  15. Goto T, Hirata Y, Takita Y, Trzepacz PT, Allen AJ, Song DH, et al. Efficacy and safety of atomoxetine hydrochloride in Asian adults with ADHD. J Atten Disord 2017;21:100-109. https://doi.org/10.1177/1087054713510352
  16. Seo JY, Lee CS, Park CS, Kim BJ, Cha BS, Lee SJ, et al. Mediating effect of depressive symptoms on the relationship between adult attention deficit hyperactivity disorder and quality of life. Psychiatry Investig 2014;11:131-136. https://doi.org/10.4306/pi.2014.11.2.131
  17. Bhang SY, Kwack YS, Joung YS, Lee SI, Kim B, Sohn SH, et al. Factors that affect the adherence to ADHD medications during a treatment continuation period in children and adolescents: a nationwide retrospective cohort study using Korean Health Insurance data from 2007 to 2011. Psychiatry Investig 2017;14:158-165. https://doi.org/10.4306/pi.2017.14.2.158
  18. Chen MH, Su TP, Chen YS, Hsu JW, Huang KL, Chang WH, et al. Higher risk of developing major depression and bipolar disorder in later life among adolescents with asthma: a nationwide prospective study. J Psychiatr Res 2014;49:25-30. https://doi.org/10.1016/j.jpsychires.2013.10.015
  19. Jensen CM, Steinhausen HC. Comorbid mental disorders in children and adolescents with attention-deficit/hyperactivity disorder in a large nationwide study. Atten Defic Hyperact Disord 2015;7:27-38. https://doi.org/10.1007/s12402-014-0142-1
  20. Meinzer MC, Pettit JW, Viswesvaran C. The co-occurrence of attention-deficit/hyperactivity disorder and unipolar depression in children and adolescents: a meta-analytic review. Clin Psychol Rev 2014;34:595-607. https://doi.org/10.1016/j.cpr.2014.10.002
  21. Ahmed R, McCaffery KJ, Aslani P. Factors influencing parental decision making about stimulant treatment for attention-deficit/hyperactivity disorder. J Child Adolesc Psychopharmacol 2013;23: 163-178. https://doi.org/10.1089/cap.2012.0087
  22. Matte B, Anselmi L, Salum GA, Kieling C, Goncalves H, Menezes A, et al. ADHD in DSM-5: a field trial in a large, representative sample of 18- to 19-year-old adults. Psychol Med 2015;45:361-373. https://doi.org/10.1017/S0033291714001470
  23. Kim YJ, Oh SY, Lee J, Moon SJ, Lee WH, Bahn GH. Factors affecting adherence to pharmacotherapy in children with attention-deficit hyperactivity disorder:a retrospective study. J Korean Acad Child Adolesc Psychiatry 2010;21:174-181. https://doi.org/10.5765/JKACAP.2010.21.3.174
  24. Fisher BC, Garges DM, Yoon SY, Maguire K, Zipay D, Gambino M, et al. Sex differences and the interaction of age and sleep issues in neuropsychological testing performance across the lifespan in an ADD/ADHD sample from the years 1989 to 2009. Psychol Rep 2014; 114:404-438. https://doi.org/10.2466/15.10.PR0.114k23w0
  25. Sobanski E, Bruggemann D, Alm B, Kern S, Philipsen A, Schmalzried H, et al. Subtype differences in adults with attention-deficit/hyperactivity disorder (ADHD) with regard to ADHD-symptoms, psychiatric comorbidity and psychosocial adjustment. Eur Psychiatry 2008;23:142-149. https://doi.org/10.1016/j.eurpsy.2007.09.007
  26. Rasmussen P, Gillberg C. Natural outcome of ADHD with developmental coordination disorder at age 22 years: a controlled, longitudinal, community-based study. J Am Acad Child Adolesc Psychiatry 2000;39:1424-1431. https://doi.org/10.1097/00004583-200011000-00017
  27. Antshel KM, Faraone SV, Stallone K, Nave A, Kaufmann FA, Doyle A, et al. Is attention deficit hyperactivity disorder a valid diagnosis in the presence of high IQ? Results from the MGH Longitudinal Family Studies of ADHD. J Child Psychol Psychiatry 2007;48:687-694. https://doi.org/10.1111/j.1469-7610.2007.01735.x
  28. Faraone SV, Kunwar A, Adamson J, Biederman J. Personality traits among ADHD adults: implications of late-onset and subthreshold diagnoses. Psychol Med 2009;39:685-693. https://doi.org/10.1017/S0033291708003917
  29. Carlotta D, Borroni S, Maffei C, Fossati A. On the relationship between retrospective childhood ADHD symptoms and adult BPD features: the mediating role of action-oriented personality traits. Compr Psychiatry 2013;54:943-952. https://doi.org/10.1016/j.comppsych.2013.03.025
  30. Garcia D, Anckarsater H, Lundstrom S. Self-directedness and cooperativeness, psychosocial dysfunction and suffering in ESSENCE. ScientificWorldJournal 2013;2013:416981.