Early markers in infants and toddlers for development of ADHD
Mina Gurevitz1, Ronny Geva, Maya Varon
11Maccabi Health Services, Herzliya, Israel.
Insights
Identifying early risk factors for Attention Deficit Hyperactivity Disorder (ADHD) in infancy, such as maternal age and developmental delays, can aid in early intervention strategies for children.
Area of Science:
- Pediatric neurology
- Developmental psychology
- Child psychiatry
Background:
- Attention Deficit Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder.
- Early identification of risk factors is crucial for timely intervention.
- Infancy and toddlerhood present a critical window for observing developmental trajectories.
Purpose of the Study:
- To characterize risk factors for ADHD observable in infancy.
- To identify early markers that may predict later ADHD diagnosis.
- To inform potential early intervention strategies.
Main Methods:
- Retrospective analysis of well-baby clinic records from birth to 18 months.
- Comparison of 58 children diagnosed with ADHD later in life against 58 control children.
- Statistical analysis to identify significant differences between groups.
Main Results:
- Eight infant parameters significantly associated with ADHD: advanced maternal age, lower maternal education, family history of ADHD, social problems, decreased head circumference percentile, delayed motor and language development, and difficult temperament.
- A predictive regression model explained 58% of the variance in ADHD development.
- Specific risk markers identified at 0-1 months, 3-18 months, and 9-18 months.
Conclusions:
- Early risk markers in infancy and toddlerhood can predict ADHD development.
- Findings highlight the importance of monitoring developmental milestones and environmental factors.
- This research supports the potential for early screening and intervention in at-risk infants.
Objective:
Characterization of risk factors for ADHD in infancy may enable early intervention to diminish the symptoms that ensue.
Method:
In a retrospective study, the well-baby-care clinic records from birth to 18 months of age of 58 children diagnosed at school age for ADHD were compared with those of 58 control children, and the differences between the two groups were statistically analyzed.
Results:
Eight parameters during infancy were found to be significantly associated with later development of ADHD: at 0 to 1 month-advanced maternal age, lower maternal education, family history of ADHD, and social problems; at 3 and 18 months-decrease in head circumference percentile; at 9 and 18 months-delay in motor and language development, and difficult temperament. The predictive regression model accounted for 58% of the variance.
Conclusion:
This study highlights early risk markers in infants and toddlers that may predict the development of ADHD.
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