성인 주의력결핍 과잉행동장애 환자에서 임상양상과 우울 증상 간의 연관성에 대한 연구: 한국형 성인 주의력결핍 과잉행동장애 평가척도를 중심으로

• 영문명: A Study on the Association Between the Clinical Features of Adult Attention-Deficit/Hyperactivity Disorder and Depressive Symptoms: Focus on Korean Adult Attention-Deficit/Hyperactivity Disorder Rating Scale
• 발행기관: 대한신경정신의학회
• 저자명: 박민아 김가은 김의정
• 간행물 정보: 『신경정신의학』제62권 제4호, 182~191쪽, 전체 10쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2023.11.30

국문 초록

Objectives This study aimed to investigate the association between depressive symptoms and the clinical features of adult attention-deficit/hyperactivity disorder (ADHD). Methods This study included 40 adult ADHD patients, aged ≥18, who visited the outpatient clinic of the Department of Psychiatry at Ewha Womans University’s Mokdong Hospital. Patients undergoing pharmacological treatment were excluded from the sample of 243 patients. To as-sess the clinical features of ADHD, the Adult ADHD Self-Report Scale and the Korean Adult At-tention-Deficit/Hyperactivity Disorder Rating Scale (K-AARS) were administered to the patients. Depressive symptoms were evaluated using Beck’s Depression Inventory (BDI) questionnaire. Pearson and Spearman correlation analyses were employed to explore the relationship between ADHD and depressive symptoms, and linear regression analyses were used to further investigate their associations. Results Participants were aged 19–54 years (27.47±7.05) and included a higher proportion of males (77.5%). Higher BDI scores were related to unmarried status, coexisting disorders, and lower education of the subjects. Inattention, emotional dysregulation, disorganization, impulsivity, and functional impairment measured by the K-AARS were correlated with higher BDI scores. Multiple linear regression analysis revealed significant associations between disorganization (β=0.858, p=0.008), impulsivity (β=0.759, p=0.001), emotional dysregulation (β=0.464, p<0.001), inattention (β=0.266, p=0.019), and subtotal score (β=0.069, p=0.031) in the K-AARS, and BDI. Conclusion The current study showed that elevated levels of inattention, impulsivity, disorgani-zation, emotional dysregulation, and severity of ADHD symptoms were associated with higher levels of depressive symptoms in patients with adult ADHD. We suggest that it is important to understand the relationship between ADHD and depressive symptoms when managing adult ADHD patients with depressive symptoms.

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Adult attention-deficit/hyperactivity disorder Depressive symptoms ASRS K-AARS 성인 주의력결핍 과잉행동장애 우울 증상 성인 ADHD 자가 보고 척도 한국형 성인 주의력결핍 과잉행동장애 평가척도