Objective:To summarize and analyze recent articles investigating self-esteem in adults with ADHD, focusing on the impact of demographic and clinical characteristics, and methodological issues.Method:Following PRISMA guidelines, a systematic search for literature published between 2010 and 2022 was conducted in the Web of Science, Ovid, Pubmed, and EBSCO databases.Results:Eleven studies met inclusion criteria. Five of the six studies including healthy controls reported lower self-esteem in participants with ADHD. ADHD symptoms correlated negatively with self-esteem. Gender differences were not observed. Self-esteem mediated several outcomes associated with ADHD. There was a lack of studies that examined potential mechanisms behind the reduced self-esteem, and studies controlling for confounding variables.Conclusion:A robust association between ADHD and low self-esteem in adults emerged, but the lack of control of confounding variables is critical to consider when interpreting the findings. Longitudinal studies addressing the limitations of the current studies are needed.

中文翻译：

---

使用罗森伯格自尊量表评估患有多动症的成年人的自尊：系统评价

目的：总结和分析最近调查 ADHD 成人自尊的文章，重点关注人口统计学和临床​​特征以及方法学问题的影响。方法：按照 PRISMA 指南，对 2010 年至 2022 年发表的文献进行系统检索Web of Science、Ovid、Pubmed 和 EBSCO 数据库。结果：11 项研究符合纳入标准。包括健康对照在内的六项研究中有五项报告称，多动症参与者的自尊心较低。 ADHD 症状与自尊呈负相关。没有观察到性别差异。自尊介导了与多动症相关的多种结果。缺乏研究自尊心降低背后的潜在机制，也缺乏控制混杂变量的研究。 结论：成人多动症和自尊心低下之间存在强有力的关联，但缺乏对混杂变量的控制是至关重要的解释研究结果时要考虑。需要进行纵向研究来解决当前研究的局限性。