早期和反复的查可以检测患有持续注意力缺陷/多动症障碍的儿童
Kristin Romvig Overgaard1,2, Beate Oerbeck3, Svein Friis3,4
1Division of Mental Health and Addiction, Oslo University Hospital, Nydalen, PO box 4959, 0424, Oslo, Norway. kristin.romvig.overgaard@ous-hf.no.
European child & adolescent psychiatry
|August 25, 2023
概括
在儿童中重复查注意力缺陷/多动障碍 (ADHD) 提高了准确性. 两阶段查过程显著减少了假阳性,提高了识别持续性ADHD病例的临床实用性.
科学领域:
- 发展心理学 发展心理学
- 儿童精神病学 儿童精神病学
- 流行病学 流行病学
背景情况:
- 由于症状不稳定和一次性点评,注意力缺陷/多动障碍 (ADHD) 的学前查缺乏临床实用性.
- 跨发育阶段持续存在的ADHD症状对于准确诊断至关重要.
- 提高查准确度对于儿童早期干预至关重要.
研究的目的:
- 通过识别从学龄前到学龄的持续性多动症儿童来提高ADHD查的临床有用性.
- 评估持续性ADHD的单阶段与双阶段查方法的准确性.
- 通过重复评估方法减少ADHD查中的错误阳性.
主要方法:
- 挪威母亲,父亲和儿童队列的前性纵向研究 (n=707).
- 在3.5岁时进行诊断性家长采访,随后在5岁和8岁时进行家长问卷.
- 使用儿童行为检查清单 ADHD DSM导向的尺度用于查3.5岁和5岁的准确性分析.
主要成果:
- 只有4%的儿童从学龄前到学龄表现出持续的ADHD.
- 与所有值的单次查相比,双阶段查在识别持久性ADHD方面表现出更高的准确性.
- 双阶段查的主要好处是,虚假阳性结果大幅减少.
结论:
- 一小部分儿童患有持续性多动症,需要在查研究中与症状波动的儿童区分开来.
- 建议采用两阶段查过程,以提高ADHD查的准确性和临床效用.
- 减少虚假阳性是有效早期识别和持续多动症的干预的关键.
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