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Co-morbidity of adult attention-deficit/hyperactivity disorder with focus on personality traits and related disorders in a tertiary referral center
- Source :
- European archives of psychiatry and clinical neuroscience. 257(6)
- Publication Year :
- 2006
-
Abstract
- The prevalence and consequences of co-morbid axis-I and axis-II disorders as well as personality traits were examined in a large cohort of adult attention-deficit/hyperactivity disorder (AADHD) at a tertiary referral center.In- and outpatients referred for diagnostic assessment of AADHD were screened. 372 affected probands were examined by means of the Structured Clinical Interview of DSM-IV axis-I/II disorders, the Revised NEO Personality Inventory (NEO-PI-R), and the Tridimensional Personality Questionnaire (TPQ).Lifetime co-morbidity with mood disorders was 57.3%, with anxiety disorders 27.2%, and with substance use disorders 45.0%. The histrionic personality disorder (35.2%) was the most frequent personality disorder. AADHD patients exhibited significantly altered scores on most of the NEO-PI-R and TPQ personality dimensions. The extent of substance abuse and dependence, as well as the presence of antisocial personality disorder alone or the cumulative number of other specific personality disorders was associated with lower psychosocial status (p.0001).In a cohort of patients with AADHD referred to a single tertiary center co-morbidity with axis-I/II disorders was remarkably prevalent. In AADHD co-morbid mood, anxiety, and personality disorders as well as substance abuse/dependence is likely to be predictive of poor outcome.
- Subjects :
- Adult
Male
Personality Tests
medicine.medical_specialty
Adolescent
Child psychopathology
Substance-Related Disorders
Psychopathy
Sadistic personality disorder
Personality Disorders
Cohort Studies
Prevalence of mental disorders
medicine
Attention deficit hyperactivity disorder
Humans
Pharmacology (medical)
Big Five personality traits
Psychiatry
Biological Psychiatry
Aged
Psychiatric Status Rating Scales
Mood Disorders
Mental Disorders
General Medicine
Middle Aged
medicine.disease
Psychiatry and Mental health
Social Class
Schizophrenia
Attention Deficit Disorder with Hyperactivity
Referral center
Female
Psychology
Clinical psychology
Personality
Subjects
Details
- ISSN :
- 09401334
- Volume :
- 257
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- European archives of psychiatry and clinical neuroscience
- Accession number :
- edsair.doi.dedup.....b46f2302d567a5b65e0a0688c059f1ad