患有注意力缺陷/多动障碍的学龄前儿童的治疗利用模式
Raman Baweja1, Ritika Baweja1, Hunter Weidlich1
1Pennsylvania State College of Medicine, Hershey, PA, USA.
Journal of attention disorders
|December 12, 2023
概括
在学龄前儿童的注意力缺陷多动症 (ADHD) 治疗增加了,但往往偏离了指导方针,药物治疗经常在治疗之前. 伴随性疾病会影响治疗选择.
科学领域:
- 儿科精神病学 儿科精神病学
- 神经发育障碍 神经发育障碍
- 医疗保健服务研究 医疗保健服务研究
背景情况:
- 注意缺陷多动性障碍 (ADHD) 是幼儿常见的一种神经发育障碍.
- 基于证据的指导方针建议ADHD治疗的特定序列,通常优先考虑行为治疗.
- 了解学龄前儿童当前的治疗模式对于改善护理质量至关重要.
研究的目的:
- 确定注意力缺陷多动症 (ADHD) 关怀学龄前年轻人的模式.
- 检查影响多动症治疗选择和顺序的因素.
- 在六年时间内分析ADHD治疗的趋势.
主要方法:
- 追溯的队列研究.
- 使用大型电子健康记录数据库 (TriNetX).
- 包括近24000名3-6岁儿童被诊断患有多动症.
主要成果:
- 患有ADHD的三分之一的学龄前儿童接受了精神药物 (甲基酸盐,常见的guanfacine).
- 十分之一的人有心理治疗计费代码;药物治疗往往在心理治疗之前.
- 包括多药在内的治疗率随着伴随疾病和COVID-19大流行期间增加.
结论:
- 患有ADHD的治疗率有所上升,但仍然与偏好药物治疗前治疗的指导方针不一致.
- 临床医生似乎在选择治疗时优先考虑精神病并发症和睡眠问题.
- 目前的做法强调需要更好地遵守针对幼儿的基于证据的ADHD护理指南.
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