The clinical relevance of asking young psychiatric patients about childhood ADHD symptoms

Nord J Psychiatry. 2020 Jan;74(1):23-29. doi: 10.1080/08039488.2019.1667427. Epub 2019 Sep 26.

Abstract

Aim: The aim of this study was to explore the relevance of asking young psychiatric patients about childhood symptoms of attention deficit hyperactivity disorder (ADHD).Method: A total of 180 young adults (18-25 years of age) from a general psychiatric out-patient clinic in Uppsala filled in the Child and Adolescent Psychiatric Screening Inventory-Retrospect (CAPSI-R) as part of the diagnostic procedure. The study population was divided into groups based on number and subtype of reported ADHD symptoms, inattention (IN) or hyperactivity/impulsivity (HI). The clinical characteristics associated with different symptoms of ADHD were explored.Results: The groups with five or more self-reported ADHD childhood symptoms, of either IN or HI, had more psychiatric comorbid conditions, a significantly higher co-occurrence of substance use disorders and personality disorders, and experienced more psychosocial and environmental problems.Conclusion: High level of self-reported ADHD childhood symptoms in young psychiatric patients identified a group more burdened with psychiatric comorbid conditions and more psychosocial problems. This group should be offered a thorough diagnostic assessment of ADHD.

Keywords: ADHD; CAPSI-R; Child and Adolescent Psychiatric Screening Inventory-Retrospect; Childhood symptoms; attention deficit hyperactivity disorder.

MeSH terms

  • Adolescent
  • Adult
  • Attention Deficit Disorder with Hyperactivity / complications
  • Attention Deficit Disorder with Hyperactivity / diagnosis*
  • Child
  • Female
  • Humans
  • Impulsive Behavior*
  • Male
  • Mental Disorders / complications
  • Mental Disorders / diagnosis*
  • Self Report
  • Young Adult