听力障碍和严重的注意力缺陷/多动障碍:全国性的研究
Nir Tsur, Yair Zloof, Mor Rittblat
1Department of Child Neurology and Development Schneider Children's Medical Center, Petah Tikva, Israel.
概括
听力障碍的青少年患有严重注意力缺陷/多动症障碍 (ADHD) 的风险高出70%. 这项研究强调了对有听力障碍的年轻人进行多动症查的必要性.
科学领域:
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 听力障碍和注意力缺陷/多动障碍 (ADHD) 之间的关系需要进一步研究.
- 青少年人口中很大一部分患有听力障碍,因此需要对同时发生的疾病进行研究.
研究的目的:
- 确定听力障碍与严重多动症多动症在大量青少年队列中的患病率之间的关联.
- 分析听力障碍类型和严重程度对严重多动症的可能性的影响.
主要方法:
- 一项全国性的,基于人口的,横截面研究对超过110万名以色列青少年 (2004-2020) 进行了调查.
- 听力障碍和严重ADHD的诊断得到了董事会认证的专家的证实.
- 用物流回归模型和灵敏度分析来评估关联,控制各种人口和临床因素.
主要成果:
- 与没有听力障碍的青少年 (0.29%) 相比,听力障碍的青少年患有严重多动症的患病率显著更高 (0.65%).
- 在听力障碍和严重的ADHD之间发现了强有力的关联 (OR=1.93),在多变量调整后仍然存在 (OR=1.70).
- 这种关联在不同类型 (神经传感与导电) 和严重程度的听力障碍中保持一致.
结论:
- 听力障碍的青少年面临70%的严重ADHD发展的可能性增加.
- 这些发现强烈支持在被诊断患有听力障碍的青少年中积极查ADHD的建议.
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