정신과 외래에서 처음으로 성인 ADHD로 진단받은 환자들의 역학적 양상 (2012년 이전과 이후의 양상)에 대한 비교연구 = A Comparative Study on Demographic Features of the First Time in the Psychiatric Outpatients Diagnosed with Adult ADHD (Before and After 2012)

다국어 초록 (Multilingual Abstract)

This study investigated the epidemiological characteristics of adult patients diagnosed with attention deficit hyperactivity disorder in mental health outpatient clinic from 2012. Through the collection and analysis the data of 189 outpatients initially diagnosed with adult ADHD by DSM-IV criteria, sociodemographic data, and diagnostic data (school record, ASRS:Adult ADHD Self-Report Scale, CPT: Continuous Performance Test, Emotional dysregulation scale, BAI:Beck Anxiety Inventory, BDI:Beck Depression Inventory, self esteem scale) since January 1, 2012, we confirmed the sociodemographic characteristics of patients diagnosed with adult ADHD, and identified the changes in the demographic characteristics by comparing the previous epidemiological study (Journal of Society of Korean Women Psychiatrists, Volume 11, No. 1, 2013). The results showed that the first diagnosed with ADHD in adulthood age was 29.8 year and the first diagnosed with ADHD in adulthood age of 183 participants except for 6 diagnosed ADHD prior to adulthood was 29.97 year, therefore the age of first diagnosed with ADHD in adulthood was slower than the 27.5 years of previous research and showed the delay compared to 28.1 years of age, except for people who were diagnosed prior to adulthood. However, there was no significant difference in first diagnosed age between the two studies. In the age groups, there was significantly increased the 30 age group, and the education level also significantly increased over University Student group. In this study, there was significantly high proportion of married status. The proportion of main complaining with ADHD-related problem was 33.3% (n=63), it showed significantly elevated compared to 13.3% in the previous study. In accordance with ADHD subtype, Inattentive type was 36.8%, Combined type and Hyperactive/Impulsive type was 61.4%, it showed that the proportion of Combined type significantly elevated compared with previous study. However, the history of ADHD diagnosis in the study group was significantly lower than in previous research group. Through this research, especially, the raising of public perception about adult ADHD was judged by the significant elevation of the proportion of main complaining with ADHD-related problem at first psychiatric clinic visit. Since the extension of national insurance to cover adult ADHD patients began from September 1, 2016, we will compare the future changes in the epidemiological characteristics through further research. In addition, because it is possible to apply the DSM-5 criteria much more relaxed than rigid DSM-IV criteria, the more changes in the epidemiological characteristics will be expected. Through this, it will be able to compare the epidemiological characteristics of adult ADHD patients in the present and future policy changes, and we expect to provide the future direction of health policy and practice.