风险注意力缺陷/多动症,自闭症谱系障碍,执行功能障碍的风险在metopic关突
Mariana N Almeida1, David P Alper1, Aaron S Long1
1From the Division of Plastic Surgery, Department of Surgery, Yale School of Medicine.
Plastic and reconstructive surgery
|December 19, 2023
概括
近一半的经过手术纠正的美托皮性静止症的儿童表现出注意力缺陷/多动性障碍症状. 手术时的年龄较大与执行功能较差相关,这表明及时干预可能会改善长期行为结果.
科学领域:
- 儿科神经外科 儿科神经外科
- 发展心理学 发展心理学
- 行为科学 行为科学
背景情况:
- 头骨前骨的过早融合,即metopic synostosis,与需要进一步调查的行为障碍有潜在的联系.
- 了解这些行为结果对于受影响儿童的学业和人际关系成功至关重要.
研究的目的:
- 为了评估学校年龄儿童的行为功能障碍,这些儿童接受了为metopic synostosis进行手术纠正.
- 在这个人群中识别常见的行为异常及其预测因素.
主要方法:
- 使用的父母完成的评级表:康纳斯-3 (ADHD),SRS-2 (ASD),BRIEF-2 (执行功能) 和CBCL (行为/情绪功能).
- 包括儿童的神经认知测试.
- 采用多变量回归来识别显著行为障碍的预测因素.
主要成果:
- 在60名儿童中,近50%的儿童表现出注意力缺陷/多动障碍 (ADHD) 的临床边缘症状.
- 手术纠正时的年龄增加与更差的执行功能有关.
- 康纳斯-3和BRIEF-2的特定子尺度显示了与手术时的年龄有显著的关联.
结论:
- 经过手术纠正的美托皮综合症与ADHD症状的显著患病率有关.
- 延迟手术干预可能会对执行功能发展产生负面影响.
- 早期手术纠正metopic synostosis可能对长期的行为和情绪健康有益.
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