CAJ | 학술논문

[目的]了解儿童及青少年注意缺陷多动障碍（ADHD）共病双相障碍（BD）的发生率其行为特点。[方法]对符合美国精神疾病诊断标准第四版（DSM-Ⅳ）ADHD诊断的患者按DSM-Ⅳ的BD诊断标准进行再诊断，并对单纯ADHD患者其进行1～2年的随访，评估新发生的BD ；所有被试由家长填写Achenbach儿童行为量表（CBCL）进行行为评估。[结果]共收集ADHD患儿112例，其中15例患者同时符合BD诊断，经过1～2年随访，又新发生8例BD。共收集到ADHD共患BD患儿23例，占20．5％；与单纯ADHD组相比，共患BD组的CBCL焦虑/抑郁、思维问题、违纪行为、攻击性行为、外化性行为及行为问题总分方面均明显升高，且两组相比较差异有显著性（ P ＜0．01）。[结论]ADHD与BD有较高的共病率，共病可导致在思维及违纪、攻击等外化性行为问题方面的损害，临床上需引起足够重视。
[목적]료해인동급청소년주의결함다동장애（ADHD）공병쌍상장애（BD）적발생솔기행위특점。[방법]대부합미국정신질병진단표준제사판（DSM-Ⅳ）ADHD진단적환자안DSM-Ⅳ적BD진단표준진행재진단，병대단순ADHD환자기진행1～2년적수방，평고신발생적BD ；소유피시유가장전사Achenbach인동행위량표（CBCL）진행행위평고。[결과]공수집ADHD환인112례，기중15례환자동시부합BD진단，경과1～2년수방，우신발생8례BD。공수집도ADHD공환BD환인23례，점20．5％；여단순ADHD조상비，공환BD조적CBCL초필/억욱、사유문제、위기행위、공격성행위、외화성행위급행위문제총분방면균명현승고，차량조상비교차이유현저성（ P ＜0．01）。[결론]ADHD여BD유교고적공병솔，공병가도치재사유급위기、공격등외화성행위문제방면적손해，림상상수인기족구중시。
[Objective] To understand the prevalence rate and behavior characteristics of attention deficit hyperactivity disorder(ADHD) combined with bipolar disorder(BD) in children and adolescents .[Methods]According to the diagnostic criteria of BD in American mental disease diagnosis criteria Ⅳ(DSM-Ⅳ ) ,patients with ADHD accordance with DSM-Ⅳ were diagnosed again .Simple ADHD patients were followed up for 1~2 years .The newly occurred BD was evaluated .The parents of all patients completed Achenbach child behav-ior checklist(CBCL) ,and the behavior was assessed .[Results]A total of 112 ADHD patients were collected . Among them ,15 patients were accorded with the diagnosis of BD .After follow up for 1~2 years ,BD oc-curred in 8 patients again .Totally 23 patients with ADHD and BD (20 .5% ) were collected .Compared with simple ADHD ,the scores of anxious/depression ,thinking ,delinquent behavior ,aggressive behavior ,exter-nalization and total scores of behavior problems in CBCL of ADHD combined with BD group obviously in-creased ,and there were significant difference between two groups ( P <0 .01) .[Conclusion]The prevalence rate of comorbidity of ADHD and BD is high .The comorbidity can cause the impairment of thinking and exter-nalization behavior problems such as delinquent and aggressive behavior .Therefore it should be paid more at-tention in clinical practice .