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Possible confusion between primary hypersomnia and adult attention-deficit/hyperactivity disorder.

Abstract：

:We explored the possibility of diagnostic confusion between hypersomnias of central origin (narcolepsy and idiopathic hypersomnia, IH) and the adult form of attention-deficit/hyperactivity disorder (ADHD). We included 67 patients with narcolepsy, 7 with IH and 61 with ADHD. All patients completed the Epworth Sleepiness Scale and the ADHD Rating Scale. We found that 18.9% of the hypersomnia patients fulfilled the self-reported criteria for ADHD in adulthood, compared with 77% of the ADHD patients. A score > or =12 on the Epworth Sleepiness Scale (usually regarded to indicate excessive daytime sleepiness) was found in 37.7% of the ADHD patients compared 95.9% of the hypersomnia patients. In ADHD patients, inattention scores correlated with the excessive daytime sleepiness score. We conclude that one should be aware of possible diagnostic confusion between narcolepsy or IH and adult ADHD when using self-report questionnaires. The high percentage of symptom overlap found in our study raises questions about possible misdiagnosing of both conditions, comorbidity with sleep problems in adult ADHD, and the validation of the used scales. It remains unclear whether our findings indicate pathophysiological overlap.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Oosterloo M,Lammers GJ,Overeem S,de Noord I,Kooij JJ

doi

10.1016/j.psychres.2006.02.009

subject

Has Abstract

pub_date

2006-08-30 00:00:00

pages

293-7

issue

2-3

eissn

0165-1781

issn

1872-7123

pii

S0165-1781(06)00044-8

journal_volume

143

pub_type

杂志文章

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