Young adult follow-up of hyperactive children: Self-reported psychiatric disorders, comorbidity, and the role of childhood conduct problems and teen CD

被引:237
作者
Fischer, M
Barkley, RA
Smallish, L
Fletcher, K
机构
[1] Univ Massachusetts, Sch Med, Dept Psychiat, Worcester, MA 01655 USA
[2] Med Coll Wisconsin, Dept Neurol, Milwaukee, WI 53226 USA
关键词
hyperactivity; attention deficit hyperactivity disorder (ADHD); conduct problems; psychiatric disorders; young adult follow-up;
D O I
10.1023/A:1019864813776
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
We report on the psychiatric disorders present at young adult follow-up (Mean age 20-21 years; 13 + year follow-up) and the comorbidity among them for a large sample of hyperactive (H; N = 147) and community control (CC; N = 71) children. The H group had a significantly higher risk for any nondrug psychiatric disorders than the CC group (59% vs. 36%). More of the H group met criteria for ADHD (5%); major depressive disorder (26%); and histrionic (12%), antisocial (21%), passive-aggressive (18%), and borderline personality disorders (14%) at follow-up than the CC group. Severity of childhood conduct problems contributed to the risk for passive-aggressive, borderline, and antisocial personality disorders. But it only affected risk for antisocial personality after controlling for severity of teen conduct disorder (CD), which also contributed to the risk for these same 3 disorders. Examination for comorbidity among these disorders indicated that presence of either borderline or antisocial personality disorder significantly increased the risk for major depression and the other significant personality disorders. More of the hyperactive group had received various forms of mental health treatment during and since leaving high school than the control group. Results suggest that hyperactive children are at significant risk for at least 1 nondrug disorder in young adulthood, principally major depression and several personality disorders, and that this risk is largely mediated by severity of CD at adolescence.
引用
收藏
页码:463 / 475
页数:13
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