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Motor Activity in Adult Patients with Attention Deficit Hyperactivity Disorder
Ole Bernt Fasmer,Kristin Mjeldheim,Wenche Førland,Anita L. Hansen,Steven Dilsaver,Ketil J. Oedegaard,Jan Øystein Berle 대한신경정신의학회 2015 PSYCHIATRY INVESTIGATION Vol.12 No.4
ObjectiveaaHyperactivity is a core symptom of attention-deficit hyperactivity disorder (ADHD), but limited information is available on analysis of activity patterns in this disorder. The aim of the study was to analyze motor activity during daily living in adult patients with ADHD. MethodsaaPatients (n=76) from the private psychiatric practice of two of the authors were recruited, and were compared to patients with other psychiatric disorders and to normal controls. Actigraphs were used to record motor activity for six days, with one minute intervals, and data were analysed using linear and non-linear mathematical methods. ResultsaaFor short recording periods (300 minutes) the activity levels of ADHD patients do not differ from normal controls, but the autocorrelation (lag 1) is lower and Fourier analysis shows higher power in the high frequency range, corresponding to the period from 2–8 min. During recordings for six days there are no significant differences between ADHD patients and the control groups. The combined and inattentive subgroups differ only in the six days recordings. The Fourier analyses show that the combined type has lower power in the high frequency range, corresponding to the period from 4–8 hours, and in the analysis of rhythms the intra-daily variability is lower, compared to the inattentive type. ConclusionaaAdult ADHD patients do not show evidence of hyperactivity, but have levels of activity similar to normal controls. However, on several measures ADHD patients display altered activity patterns, indicating that the regulation of motor activity in this disorder is different from controls.