作为注意力缺陷多动性障碍晚期诊断中的突出早期发现,发现词语困难是显著的
Esther Ganelin-Cohen1,2, Tammy Pilowsky Peleg3,4, Noa Leibovich1,2
1Institute of Pediatric Neurology, Schneider Children's Medical Center of Israel, Petach Tikvah, Israel.
Neuropediatrics
|November 29, 2023
概括
幼儿园词汇难度 (WFDs) 强烈预测了以后的注意力缺陷多动症 (ADHD) 诊断. 早期识别WFD对于及时的ADHD干预和改善结果至关重要.
科学领域:
- 神经心理学 神经心理学
- 发育儿科 发育儿科
- 语音语言病理学 语言病理学
背景情况:
- 注意缺陷多动性障碍 (ADHD) 是一种流行的神经发育障碍,影响儿童发育.
- 早期识别和干预对于改善ADHD儿童的长期结果至关重要.
- 对ADHD的预测标志物对于及时的临床治疗至关重要.
研究的目的:
- 在接受神经学评估的儿童中调查ADHD的早期预测因素.
- 探索学前发展史和后来ADHD诊断之间的关系.
- 确定特定的早期标记物,可以帮助早期识别ADHD.
主要方法:
- 从儿童神经病诊所招募了一组92名疑似ADHD或其他神经疾病的儿童和青少年.
- 护理人员报告的发育史被收集,重点是幼儿时期的经历.
- 儿童接受了ADHD的评估,并比较了ADHD诊断和没有ADHD诊断的儿童之间的发展细节.
主要成果:
- 在30.4%的样本中报告了学前语言难度 (WFDs).
- 与没有WFD (5%) 的儿童相比,有WFD病史的儿童被诊断为ADHD (43%) 的可能性要高得多.
- 经历过WFD是对学龄儿童ADHD的最强有力的预测因素,除了家族病史.
结论:
- 初步证据表明,学龄前儿童的WFD和随后的ADHD诊断之间存在显著的预测联系.
- 在学龄前儿童中,早期对WFD的临床关注是有必要的.
- 识别WFD可能会促进对ADHD的早期干预,可能改善发育轨迹.
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