Comparison of clinical and cognitive characteristics of a Mexican adult clinical population with and without ADHD

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Auteur principal: L. Palacios-Cruz
Format: Artículo científico
Langue:en
Publié: Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz 2018
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author L. Palacios-Cruz
author_facet L. Palacios-Cruz
contents Comparison of clinical and cognitive characteristics of a Mexican adult clinical population with and without ADHD L. Palacios-Cruz F. Galicia A Arias-Caballero EM. Cárdenas Godínez J. Vásquez-Medina P. Mayer-Villa M. Feria Aranda C. Cruz-Fuentes F. de la Peña RE. Ulloa Flores M. Rosetti E. Reyes-Zamorano O. Nafate A. Fragoso S. Ortiz A. Jaimes K. Garza Gallegos MC. Lara-Muñoz Medicina ADHD adult women comorbidity executive functions Introduction . Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder affecting approximately 5% of the world population, with symptoms that may persist into adulthood. Despite the findings on the clinical course of this disorder, information regarding comorbidity patterns, psychosocial and executive functioning in adult life in those with and without ADHD in Latin American samples is scarce.Objective . The aim of this study is to compare the comorbidity pattern, psychosocial, and executive functioning of adults with and without ADHD from a clinical sample.Method . One hundred and fifty-one patients between 20 and 45 years, with screened positively on ASRS-V1.1, were invited to continue an evaluation process as part of clinical research program (PROMETEO): 1) K-SADS-PL Mx interview, 2) MINI-Plus interview, ASRS-V1-1 18 item version, BRIEF self-reported questionnaire, SCQA-ADHD, and 3) Individual case review by clinical expert in ADHD.Results . Individuals in the ADHD group had a higher average of comorbid disorders (2.5 SD 1.1 vs. 1.3 SD 1.0 respectively, F = .439; t = -6.621; df = 149; p < .001), more likelihood of procrastinating (OR = 6.5; 95% CI2.6, 16.2; z = 4.0) and were more likely to present difficulties in both the behavior regulation index (OR = 104.9; 95% CI31.8, 345.7; z = 7.65) and the metacognitive index (OR = 94.79; 95% CI29.10, 308.76; z = 7.56) compared to the non-ADHD group, regardless of gender.Discussion and conclusions . Our results indicate that the ADHD adult group presented with more comorbidity, and worse psychosocial and executive functioning than non-ADHD adults. 2018 artículo científico 0185-3325 https://www.redalyc.org/articulo.oa?id=58257912007 https://www.redalyc.org/journal/582/58257912007/ https://www.redalyc.org/journal/582/58257912007/html/ https://www.redalyc.org/journal/582/58257912007/58257912007.epub https://www.redalyc.org/journal/582/58257912007/movil 10.17711/SM.0185-3325.2018.042 en http://www.redalyc.org/revista.oa?id=582 Salud Mental application/pdf Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Salud Mental (México) Num.6 Vol.41
format Artículo científico
id redalyc_58257912007
institution Redalyc
language en
publishDate 2018
publisher Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
spellingShingle Comparison of clinical and cognitive characteristics of a Mexican adult clinical population with and without ADHD
L. Palacios-Cruz
Medicina
ADHD
adult
women
comorbidity
executive functions
Comparison of clinical and cognitive characteristics of a Mexican adult clinical population with and without ADHD L. Palacios-Cruz F. Galicia A Arias-Caballero EM. Cárdenas Godínez J. Vásquez-Medina P. Mayer-Villa M. Feria Aranda C. Cruz-Fuentes F. de la Peña RE. Ulloa Flores M. Rosetti E. Reyes-Zamorano O. Nafate A. Fragoso S. Ortiz A. Jaimes K. Garza Gallegos MC. Lara-Muñoz Medicina ADHD adult women comorbidity executive functions Introduction . Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder affecting approximately 5% of the world population, with symptoms that may persist into adulthood. Despite the findings on the clinical course of this disorder, information regarding comorbidity patterns, psychosocial and executive functioning in adult life in those with and without ADHD in Latin American samples is scarce.Objective . The aim of this study is to compare the comorbidity pattern, psychosocial, and executive functioning of adults with and without ADHD from a clinical sample.Method . One hundred and fifty-one patients between 20 and 45 years, with screened positively on ASRS-V1.1, were invited to continue an evaluation process as part of clinical research program (PROMETEO): 1) K-SADS-PL Mx interview, 2) MINI-Plus interview, ASRS-V1-1 18 item version, BRIEF self-reported questionnaire, SCQA-ADHD, and 3) Individual case review by clinical expert in ADHD.Results . Individuals in the ADHD group had a higher average of comorbid disorders (2.5 SD 1.1 vs. 1.3 SD 1.0 respectively, F = .439; t = -6.621; df = 149; p < .001), more likelihood of procrastinating (OR = 6.5; 95% CI2.6, 16.2; z = 4.0) and were more likely to present difficulties in both the behavior regulation index (OR = 104.9; 95% CI31.8, 345.7; z = 7.65) and the metacognitive index (OR = 94.79; 95% CI29.10, 308.76; z = 7.56) compared to the non-ADHD group, regardless of gender.Discussion and conclusions . Our results indicate that the ADHD adult group presented with more comorbidity, and worse psychosocial and executive functioning than non-ADHD adults. 2018 artículo científico 0185-3325 https://www.redalyc.org/articulo.oa?id=58257912007 https://www.redalyc.org/journal/582/58257912007/ https://www.redalyc.org/journal/582/58257912007/html/ https://www.redalyc.org/journal/582/58257912007/58257912007.epub https://www.redalyc.org/journal/582/58257912007/movil 10.17711/SM.0185-3325.2018.042 en http://www.redalyc.org/revista.oa?id=582 Salud Mental application/pdf Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Salud Mental (México) Num.6 Vol.41
title Comparison of clinical and cognitive characteristics of a Mexican adult clinical population with and without ADHD
topic Medicina
ADHD
adult
women
comorbidity
executive functions
url https://www.redalyc.org/articulo.oa?id=58257912007
https://www.redalyc.org/journal/582/58257912007/
https://www.redalyc.org/journal/582/58257912007/html/
https://www.redalyc.org/journal/582/58257912007/58257912007.epub
https://www.redalyc.org/journal/582/58257912007/movil