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

Salud Mental ◽  
2018 ◽  
Vol 41 (6) ◽  
pp. 297-305 ◽  
Author(s):  
L Palacios-Cruz ◽  
◽  
F Galicia ◽  
A Arias-Caballero ◽  
EM Cárdenas Godínez ◽  
...  

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% CI[2.6, 16.2]; z = 4.0) and were more likely to present difficulties in both the behavior regulation index (OR = 104.9; 95% CI[31.8, 345.7]; z = 7.65) and the metacognitive index (OR = 94.79; 95% CI[29.10, 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.

2003 ◽  
Vol 62 (4) ◽  
pp. 241-249 ◽  
Author(s):  
M. Bolognini ◽  
B. Plancherel ◽  
J. Laget ◽  
P. Stéphan ◽  
O. Halfon

The aim of this study, which was carried out in the French-speacking part of Switzerland, was to examine the relationship between suicide attempts and self-mutilation by adolescents and young adults. The population, aged 14-25 years (N = 308), included a clinical sample of dependent subjects (drug abuse and eating disorders) compared to a control sample. On the basis of the Mini Neuropsychiatric Interview ( Sheehan et al., 1998 ), DSM-IV criteria were used for the inclusion of the clinical population. The results concerning the occurrence of suicide attempts as well as on self-mutilation confirm most of the hypotheses postulated: suicidal attempts and self-mutilation were more common in the clinical group compared to the control group, and there was a correlation between suicide attempts and self-mutilation. However, there was only a partial overlap, attesting that suicide and self-harm might correspond to two different types of behaviour.


2010 ◽  
Vol 25 (7) ◽  
pp. 390-395 ◽  
Author(s):  
J. Soukup ◽  
H. Papežová ◽  
A.A. Kuběna ◽  
V. Mikolajová

AbstractObjectiveThe purpose of this study was to examine psychometric properties of the Czech language version of the Adolescent Dissociative Experiences Scale (A-DES) [2].Method653 non-clinical participants and 162 adolescent psychiatric inpatients completed Czech versions of the A-DES and the Somatoform Dissociation Questionnaire (SDQ-20), and provided further information (data regarding demographic variables, diagnoses, further psychopathology).ResultsThe Czech A-DES has very good internal consistency, test-retest reliability and a good validity, though its predictive power is limited. The ADES scores significantly correlate with the measure of somatoform dissociation, a presence of clinician-observed dissociative symptoms, reported traumatic experiences, self injurious behavior, and polysymptomatic diagnostic picture. A-DES scores were significantly higher in ADHD group, but not in a group with a diagnosis of a dissociative disorder.ConclusionThe authors stress that all adolescent psychiatric patients who show more complex behavioral disturbances, have histories of trauma, show self-injurious behaviors or have ADHD diagnosis should be screened for dissociation.


2017 ◽  
Vol 46 (3) ◽  
pp. 292-301 ◽  
Author(s):  
Katherine Berry ◽  
Paul Fleming ◽  
Samantha Wong ◽  
Sandra Bucci

Background: Childhood adversity, dissociation and adult attachment have all been implicated in the development of hallucinations or ‘voice-hearing’. Testing psychological models in relation to subclinical phenomena, such as proneness to hallucinations in non-clinical samples, provides a convenient methodology to develop understanding of the processes and mechanisms underlying clinical symptoms. Aims: This paper investigates the relative contribution of childhood adversity, dissociation and adult attachment in explaining hallucination proneness in a non-clinical sample. Methods: Students and staff with no previous contact with secondary care at the University of Manchester were recruited. Participants completed a series of self-report measures: the Launay‒Slade Hallucination Scale (LSHS), the Relationship Scale Questionnaire (RSQ), the Childhood Trauma Questionnaire (CTQ), the Dissociative Experiences Schedule (DES II) and the Positive and Negative Affect Schedule (PANAS). Results: As hypothesized, insecure attachment, childhood adversity and dissociative symptoms were correlated with hallucination proneness. Multiple regression analysis, controlling for confounds of age and negative affect, indicated that the RSQ, CTQ and DES II predicted hallucination proneness. Only DES II and RSQ avoidant attachment were significant independent predictors in the final model. Conclusions: This study provides further evidence to support the idea that attachment and dissociation are important psychological mechanisms involved in voice-hearing proneness. Further testing is required with a clinical population.


2016 ◽  
Vol 6 (1) ◽  
pp. 204 ◽  
Author(s):  
Allen J. Brown ◽  
Beth M. Casey

<p>This study investigated whether problem behaviors,<strong> </strong>typically associated with a clinical diagnosis of ADHD, would also be associated with subclinical ADHD symptoms within a non-clinical college sample. These are symptoms characteristic of ADHD, which are insufficient to warrant a DSM-IV diagnosis of ADHD. Self-ratings of behaviors known to be comorbid with ADHD (Oppositional-Defiant Disorder (ODD) behaviors, risk-taking, and Executive-Functioning (EF) problems) were examined as predictors of self-ratings of ADHD symptoms. Measures of ODD symptoms, risk-taking, and EF behavioral problems (related to poor management of time) significantly predicted ADHD symptoms, as measured by Barkley’s ADHD Combined Subscale. These predictors accounted for 26% of the variance. The same measures predicted symptoms of ADHD, Inattentive type, as measured by Barkley’s Inattentiveness (IA) Subscale, and accounted for 30% of the variance. For the Hyperactivity-Impulsivity Subscale (HI), the ODD measure significantly entered the equation, while the other two measures were borderline significant, accounting altogether for 10% of the variance. As hypothesized, the EF measure was the strongest predictor for IA, and the ODD measure was the strongest predictor for HI. In conclusion, problem behaviors comorbid with a formal clinical ADHD diagnosis were found to be significantly associated with subclinical ADHD symptoms within a non-clinical sample of college students, as indicated by the substantial proportion of the variance they accounted for in predicting the Barkley’s’ Combined and Inattentiveness Subscales, and to a lessor extent for the Hyperactivity/Impulsivity Subscale. This indicates that college students with ADHD symptoms may have substantial problems not only with their ADHD symptoms, but also with executive functioning and externalizing behaviors associated with these symptoms.</p>


2019 ◽  
Vol 4 (Suppl 3) ◽  
pp. A14.1-A14
Author(s):  
Emilia Noormahomed ◽  
Robert Scooley

BackgroundCollaborations between lower- and middle-income countries (LMICs) and high-income countries (HICs) are often scientifically and structurally driven by the HICs. Here we aim to describe a paradigm shift in collaboration, exemplified by the collaboration between the Universidade Eduardo Mondlane and University of California, San Diego through the Medical Education Partnership Initiative (MEPI), in which the formulation of priorities and administrative infrastructure reside in the LMICs.MethodsWe outline critical features of the MEPI partnership and compare with traditional models of collaboration, key features of success, lessons learned and the way forward.ResultsLMIC programme partners translate broad programme goals and define metrics into priorities tailored to local conditions. Programme funds flow to a LMIC-based leadership group that contracts with HIC-based peers to provide technical and scientific advice and consultation in a reverse funds flow model. Emphasis is placed on strengthening administrative capacity within LMIC institutions and on creating communities of practice with common goals that resulted in expanded collaboration with European, Latin American, and African institutions. A rigorous monitoring and evaluation process modify programme priorities based on evolving opportunities to maximise programme impact.Over five years, more than 63 research projects were designed, 19 of which received external funding and more than 40 manuscripts were published. Mozambican first-authored publications rose from 29% in 2001–2010% to 38% in 2011–2013.Eighteen (18) residents completed internal medicine specialty training between 2010 and 2014. This represents a fourfold increase from over 1991 to 2000. Three (3) Master’s programmes were created at Lurio University and 50 students successfully finished dissertations.ConclusionVesting LMIC partners with the responsibility for programme leadership and building administrative capacity in LMIC institutions substantially enhances programme relevance, impact and sustainability, and facilitates continuing acquisition of research and training funds to support professional development and institutional capacity building.


2020 ◽  
Vol 10 (21) ◽  
pp. 7734
Author(s):  
Álvaro López-Escamilla ◽  
Rafael Herrera-Limones ◽  
Ángel Luis León-Rodríguez ◽  
Miguel Torres-García

The AURA 1.0 prototype is a sustainable social housing proposal, designed by the University of Seville and built for the first Latin American edition of the prestigious Solar Decathlon competition. Different conditioning strategies were integrated into this prototype, optimized for a tropical climate, and focused on contributing positively to the health of the most humble people in society. In this moment, in which a large part of the world population is confined to their homes due to the Covid-19 pandemic, we have the opportunity (and the obligation) to reconsider the relationship between architecture and medicine or in other words, between the daily human habitat and health. For this reason, this analysis of aspects derived from the interior conditioning of the homes is carried out. The main objective of the Aura proposal is to be able to extract data through a housing monitoring system, which allows us to transfer some design strategies to the society to which is a case study, in order to promote environmental comfort and, therefore, people’s health. The AURA 1.0 prototype develops flexible and adaptable living spaces, with a high environmental quality, in order to maintain the variables of temperature, relative humidity and natural lighting within a range of comfort required by the rules of the event. To achieve this end, the prototype develops an architectural proposal that combines passive and active conditioning strategies, using construction qualities and typical costs of social housing. These strategies allowed the project to achieve the first prize in the Comfort Conditions test. So, this paper presents an appropriate and tested solution that can satisfy comfortability and health of residents who live in social housing while maintaining low energy consumption.


2013 ◽  
Vol 42 (3) ◽  
pp. 297-311 ◽  
Author(s):  
Francesco Bulli ◽  
Gabriele Melli ◽  
Claudia Carraresi ◽  
Eleonora Stopani ◽  
Alberto Pertusa ◽  
...  

Background: Hoarding is associated with significant impairment. Although traditionally considered as a symptom of obsessive-compulsive disorder (OCD), some authors have proposed that pathological hoarding could be considered as a stand alone condition. The prevalence of pathological hoarding behaviour has been shown to be high in some countries, but little is known about the prevalence and correlates of hoarding in the non-clinical population in Italy. Method: We studied the prevalence of self-reported hoarding behaviour using the Italian version of the Saving Inventory-Revised, as well as the association between hoarding and various clinical correlates, including obsessive-compulsive symptoms, compulsive buying, anxiety, and depression. Results: The prevalence of pathological hoarding behaviour in two studies was between 3.7 and 6.0%. No differences were found between hoarding and non-hoarding participants with regard to gender, age, marital status, level of education, and employment status. Significant correlations were found between compulsive hoarding and obsessive-compulsive symptoms and also between hoarding and a measure of compulsive buying, even after controlling for anxiety and depressive symptoms. Conclusions: These results indicate that pathological hoarding may also be prevalent in Italy and highlight the need for further epidemiological studies using validated instruments to assess hoarding disorder.


2016 ◽  
Vol 6 (2) ◽  
pp. 26
Author(s):  
Wyara Ferreira Melo ◽  
Patrício Borges Maracajá ◽  
Wellington Ferreira de Melo ◽  
Thyffany Laurents Limeira de Oliveira ◽  
Thiago Alves Pimenta ◽  
...  

Ao longo dos anos, o crescimento da população mundial aumentou e com isso a demanda de produção de alimentos e a diminuição da população em áreas rurais e das fazendas tornou este problema mais difícil. A busca cada vez maior de alimentos, levou a agricultura a se caracterizar como monoculturas extensivas e de grande utilização de fertilizantes químicos sintéticos e agrotóxicos. No entanto, o uso de agrotóxicos na agricultura tem provocado uma serie de intoxicações, fazendo com que seja atualmente um grave problema de saúde, especialmente entre trabalhadores rurais. Com isso, o estudo objetiva identificar como ocorre a utilização de agrotóxicos e os riscos a saúde do trabalhador rural. No que concerne a metodologia utilizada no trabalho, a mesma trata-se de uma revisão bibliográfica advinda da seleção criteriosa de artigos científicos de base de dados como a Biblioteca Virtual em Saúde (BVS), a Literatura Latino Americana e do Caribe em Ciências da Saúde (LILACS) e a Scientific Eletronic Library On Line (SCIELO), entre os anos de 2004 até 2016. A partir de toda essa discussão, conclui-se que é primordial que a população esteja alerta acerca dos danos reais provocados a saúde pelos agrotóxicos. Cobrando dos órgãos responsáveis um controle maior no que se refere a qualidade dos alimentos que ingerimos, bem como, a saúde dos trabalhadores rurais que são expostos diariamente a esses produtos químicos que matam. Então, é indispensável não negligenciar esse assunto e a importância que ele possui.The use of pesticides and the risks to health of rural workersAbstract: Over the years, the growth of the world population has increased and with it the food production demand and declining population in rural areas and farms made this more difficult problem. The search for increasing food led agriculture to be characterized as extensive monocultures and large use of synthetic chemical fertilizers and pesticides. However, the use of pesticides in agriculture has led to a series of poisonings, making today is a serious health problem, especially among rural workers. Thus, the study aims to identify how does the use of pesticides and the risks to health of rural workers. Regarding the methodology used at work, the same it is one derived literature review of careful selection of scientific articles database as the Virtual Health Library (VHL), the Latin American and Caribbean Health Sciences (LILACS) and the Scientific Electronic Library Online (SciELO), between the years 2004 to 2016. from this discussion, it is concluded that it is essential that people be alert about the actual damage caused to health by pesticides. Charging the bodies greater control as regards the quality of the food we eat and the health of rural workers who are exposed daily to these chemical products that kill. So, it is essential not to neglect this issue and the importance it has. 


Author(s):  
Katarína Greškovičová ◽  
◽  
Barbora Zdechovanová ◽  
Rebeka Farkašová ◽  
◽  
...  

"Bonding represents an emotional tie that one experiences towards one´s own child. There are several instruments to measure the level and quality of bonding. Among them we chose and translated the Postpartum Bonding Questionnaire by Brockington et al. (2001) into Slovak language. The aim of this study was to analyse its psychometric qualities. Our non-clinical sample consisted of women (N= 372) 18 and 44 years (M= 29.74; SD= 5.25) who recently gave birth in Slovakian hospitals. Data collection was carried out from September 2015 until March 2018. Participants filled the Postpartum bonding questionnaire by Brockington et al. (2001) and some of them other three tools: Edinburgh Postnatal Depression Scale by Cox, Holgen and Sagovsky (1987), Depression Anxiety Stress scale-42 (Lovibond & Lovibond, 1995) and Parental Stress Scale (Berry & Jones, 1995). The distributions of the items of the bonding were mostly skewed and leptokurtic. Internal consistency is high for the overall Lack of Bonding (?= .897) and varies in factors- ?= .820 for Impaired Bonding, ?= .779 for Rejection and Anger, ?= .506 for Anxiety about Care and ?= .321 for Risk of Abuse. In order to prove convergent validity, we correlated overall Lack of Bonding with depression (Edinburgh Postnatal Depression Scale, rs= .251, Depression Anxiety Stress scale-42 depression rs=.404; n=79), stress and anxiety (Depression Anxiety Stress scale-42, stress rs=.392; anxiety rs=.496; n=79) and parental stress (Parental Stress Scale score; rs= .674, n=99). We did not confirm original factor structure via confirmatory factor analysis using principal axis factoring with oblimine rotation. Then, we used principal component analysis with varimax rotation method to reduce the items. 6 components were extracted. Component 1 was comprised of 15 items that explained 35,6 % of the variance with loadings from .306 to .733. Hence, we proposed new item-structure for the Slovak PBQ. We concluded that the Slovak version of the PBQ proved to have good overall reliability. We found evidences for the convergent validity with parental stress, anxiety, stress, and partly depression, because there were two different results. We also suggest creating a shorter version based on the analysis. Among limits we can see tools used for validity evidence and sample without participants for clinical population. We advise to use the Slovak version of the Postpartum Bonding Questionnaire as a tool to measure bonding in a research context and to use overall summary index (Lack of Bonding) instead of factors."


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