患有德拉维特综合征的儿童的自闭症和注意力缺陷/多动性障碍:基于人口的研究
Colin Reilly1,2, Björn Bjurulf1,2, Tove Hallböök1,2
1Department of Paediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Developmental medicine and child neurology
|April 27, 2024
概括
患有德拉维特综合征的儿童经常表现出自闭症和注意力缺陷/多动症障碍 (ADHD). 由于这些疾病的高患病率和智力障碍等相关因素,建议对这些疾病进行查.
科学领域:
- 儿科神经学 儿科神经学
- 发育神经科学的发展神经科学.
- 儿童精神病学 儿童精神病学
背景情况:
- 德拉维特综合征是儿童的严重形式.
- 自闭症谱系障碍 (ASD) 和注意力缺陷/多动性障碍 (ADHD) 是神经发育障碍中常见的同时发生的疾病.
- 了解德拉维特综合征中ASD和ADHD的患病率和相关因素对于综合护理至关重要.
研究的目的:
- 确定诊断为德拉维特综合征的儿童中基于人口的自闭症和ADHD的患病率.
- 在这个群体中确定与自闭症和ADHD症状的存在和严重程度相关的因素.
- 为临床实践提供有关查和管理的信息.
主要方法:
- 评估了瑞典 (出生于2000年至2018年) 41名患有德拉维特综合征的儿童队列.
- 从DSM-5的诊断标准被用于自闭症和ADHD.
- 用回归分析来调查相关因素.
主要成果:
- 在41名儿童中,有25名儿童符合DSM-5自闭症谱系障碍 (ASD) 标准.
- 在37名儿童中,有12名儿童符合DSM-5的注意力缺陷/多动障碍 (ADHD) 标准.
- 严重的智力障碍与自闭症特征增加和ASD诊断相关. 年龄较小与更多的ADHD特征有关,主要是注意力不集中类型.
结论:
- 自闭症和ADHD在患有德拉维特综合征的儿童中非常普遍.
- 对ASD和ADHD的查应成为患有德拉维特综合征的儿童临床护理的标准部分.
- 这些发现强调了需要综合管理策略的必要性.
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