[Modern management of attention-deficit and hyperactivity syndrome (ADHD) in preschool children]
Insights
Attention-Deficit/Hyperactivity Disorder (ADHD) syndrome was detected in preschool children, with more severe symptoms in those with a history of hypoxic-ischemic encephalopathy. Findings suggest hidden perinatal issues may contribute to ADHD symptoms.
Area of Science:
- Pediatric Neurology
- Child Psychology
Background:
- Attention-Deficit/Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder in children.
- Identifying ADHD in preschool years is crucial for timely intervention.
- Perinatal factors may influence ADHD development, but their impact requires further investigation.
Purpose of the Study:
- To detect ADHD syndrome in preschool children.
- To compare ADHD presentation in children with and without a history of perinatal pathology.
- To develop therapeutic recommendations for pediatric ADHD.
Main Methods:
- Study included 84 patients aged 6-10 years diagnosed with ADHD syndrome.
- Patients were divided into two groups: those with a history of hypoxic-ischemic encephalopathy (Group I) and those without perinatal pathology (Group II).
- Intellectual development (IQ 85-92) and physical data were assessed and found to be normal in both groups.
Main Results:
- ADHD syndrome was confirmed in all 84 patients across both groups.
- Children in Group I (with hypoxic-ischemic encephalopathy history) exhibited a higher incidence and more prominent ADHD symptoms.
- Subtle signs of perinatal pathology were noted in Group II, suggesting potential undiagnosed issues.
Conclusions:
- ADHD is prevalent in preschool children, regardless of perinatal history.
- A history of hypoxic-ischemic encephalopathy significantly exacerbates ADHD symptoms.
- Undiagnosed perinatal conditions may contribute to ADHD symptomatology, highlighting the need for thorough medical record review.
Abstract:
The aim of the study was to detect the ADHD syndrome in preschool children and elaboration of therapeutic recommendations. We have examined 84 patients with ADHD syndrome. Their age varies from 6 to 10 years. The first group of patients had the history of hypoxic-ischemic encephalopathy, while the second group had no perinatal pathology. Common level of intellectual development in the both groups of children was normal, which gave them ability to attend usual secondary school (IQ approximately equals 85-92). Physical data were normal as well. ADHD syndrome was revealed in the both groups of patients. Symptoms discovered in the II group of patients indicated to the preexistence of perinatal pathology, which was not noticed in the medical record. The incidence and expression of symptoms were more prominent in the I group of patients.
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