多动儿童成年后的结局调查

An investigation of adult outcome of hyperactive children

上海地区自1979年以后开始应用“多动儿童”(即多动症)的临床概念。据了解,约有1～5%在校儿童可诊断为多动儿童。多动儿童成年后结局如何,看来较少研究随访。作者对197例于1979年诊断的多动儿童随访15年,了解成年后(平均25岁)的表现。并与类似社会经济情况地区的103名正常青年作对照.结果发现:1)多动儿童成年后约70%仍或多或少遗有当初的典型症状;2)多动儿童成年后所达到的文化教育程度较次于同龄青年,约15%未能进入初中(对照组仅1%);3)多动儿童成年后职业层次较低;4)多动儿童成年后出现严重品行问题的机会与对照组无明显差异.

According to previous investigation, about 1-5% children in school may be diagnosed as 'Hyperactive Child' (Attention Defit Hyperactive Disorder, ADHD) in , Shanghai, but little is known about the adult life of hyperactive children. The present report is the 3rd controlled, prospective, longitudinal study into adulthood of hyperactive children to date in the world. The author evaluated 197 hyperactive children and 103 normal controls about 15 years after diagnosing of ADHA symptoms at the average age of 25 years. The results are as follows: 1) Continueing to reveal ADHD symptoms: About 70% of the probands still have some of the 3 typical symptoms of ADHD in adulthood. 2) Showing poorer academic histories: The probands completed less formal schooling than that of the controls. Nearly 15% of the probands never completed 7th grade (vs 1 % of the controls) and only 4 probands (2.03% vs 10.68% of the controls) completed a graduate degree. 3) Displaying lower occupational rankings: The occupational ranking of the probands (3.48) was lower than that of the controls (3.22, p<0.05). 4) Exhibiting similar pervasive conduct problems. No significant differences in the risk of antisocccial personal disorder or the incarceration for criminal behaviors.