概括
被诊断为ADHD的年轻儿童的诊断不会比较年长的儿童更容易持续. 这项研究发现,相对年龄和老年儿童的多动症持续性之间没有显著的关联.
科学领域:
- 儿童心理学 儿童心理学
- 神经发育障碍 神经发育障碍
- 流行病学 流行病学
背景情况:
- 在一个班级中,年轻的孩子比年长的孩子更常被诊断出注意力缺陷/多动障碍 (ADHD).
- 对ADHD诊断的相对年龄影响在老年学年级儿童中不那么明显.
- 没有先前的研究研究了相对年龄和老年人多动症诊断的持久性之间的联系.
研究的目的:
- 确定相对年龄与注意力缺陷/多动症 (ADHD) 诊断在老年儿童的持续性之间的关联.
- 量化在学校队伍中年轻或年长对长期ADHD诊断的影响.
主要方法:
- 在2022年4月1日之前,对多个数据库 (MEDLINE,Embase,CINAHL,PsycINFO,PubPsych) 进行了系统的搜索.
- 分析了来自57个潜在队伍的个人参与者数据,其中包括6504名在10岁之前被诊断患有多动症的儿童.
- 一个两阶段的随机效应元分析评估了重新评估时的ADHD状态 (至少在初始评估后4年和10岁之后).
主要成果:
- 主要分析包括来自15个国家的41项研究中的4708名儿童,随访期从4年到33年不等.
- 较年轻的相对年龄与随访时ADHD的持续性没有显著相关 (OR1.02,95% CI 0.99-1.06,p=0.19).
- 观察到显著的异质性 (Q=75.82,p=0.0011,I2=45%),敏感性分析证实了结果.
结论:
- 随着时间的推移,注意力缺陷/多动症 (ADHD) 诊断的持久性不会根据孩子在学校班级中的相对年龄而有所不同.
- 在ADHD诊断中观察到的初始相对年龄效应可能会随着时间的推移而减少,或者受到初始诊断之外的因素的影响.
- 需要进一步的研究来探索初始相对年龄效应的根本原因及其潜在的转移影响.
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