2016年から2021年までの心疾患と心疾患のない米国の子どもの精神的,行動的,発達的障害

Amanda N Dorsey^1,2, Karrie F Downing², Melissa Danielson²

¹Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.

Cardiology in the young

|August 20, 2025

まとめ

心臓病の子どもは精神的,行動的,発達的障害の割合が著しく高いのです焦慮症,ADHD,学習障害は最も一般的であり,しばしば子供の頃の不良経験と関連しています.

科学分野:

小児心臓科
発達に関する小児科
子どもの心理

背景:

生まれながらの心疾患 (CHD) を含む心疾患を持つ子どもは,神経発達や心理的社会的課題のリスクが高くなります.
この集団における精神的,行動的,発達的障害の有病率を理解することは早期の介入に不可欠です

研究の目的:

精神的,行動的,発達的障害の全国的流行を心臓病の状態に基づいて比較する.
心臓病の子供たちの間でこれらの障害に関連した特徴を特定する.

主な方法:

6歳から17歳までの米国の子供 (ダウン症を除く) について,全国的に代表的なデータ (2016-2021) の分析.
診断された精神的,行動的,発達的障害に関する介護者報告データ.
流行を比較し,関連因子を特定するために,ロジスティック回帰を用いた.

主要な成果:

心臓病の有病児の罹患率は42%で,心臓病の無病児の罹患率は23%でした (APR=1. 8).
分析されたすべての障害は心臓疾患の子供においてより一般的であり,不安 (22. 1%),ADHD (20. 4%),学習障害 (19. 6%) が最も一般的であった.
心臓病の子どもでは,障害は一貫して子供の頃の悪質な経験の多くと関連していました.

結論:

この発見は,心疾患の子供の神経発達と精神的健康のスクリーニングのための臨床ガイドラインの重要性を強調しています.
この研究は,これらの重要なガイドラインの実施を評価するための国家ベースラインを提供します.

キーワード:

小児心臓病心臓疾患神経発達

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