积极的童年经历与护理人员报告的ADHD诊断和严重程度之间的关联
Elizabeth Crouch1, Elizabeth Radcliff, Emma Boswell
1Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC.
Journal of developmental and behavioral pediatrics : JDBP
|October 8, 2024
概括
积极的童年经历 (PCE),如志愿服务和有联系的照顾者,与较低的注意力缺陷多动症 (ADHD) 诊断几率有关. 患有ADHD的儿童报告了较少的PCE,强调了它们在减轻负面结果方面的重要性.
科学领域:
- 儿童心理学 儿童心理学
- 神经发育障碍 神经发育障碍
- 公共卫生 公共卫生
背景情况:
- 积极的童年经历 (PCE) 是对不利的童年经历 (ACE) 的保护因素.
- 关于在被诊断患有注意力缺陷多动症障碍 (ADHD) 的儿童中PCEs的流行情况的研究有限.
- 了解PCE和ADHD之间的关系对于开发有针对性的干预措施至关重要.
研究的目的:
- 调查PCE和ADHD诊断之间的关联.
- 为了检查PCE和ADHD严重程度之间的关系.
- 在全国代表性样本中调整儿童,家庭和家庭特征.
主要方法:
- 利用了2020-2021年全国儿童健康调查 (n=56,224) 的数据.
- 包括6岁及以上的儿童,以获得PCE数据.
- 采用多变量逻辑回归来分析PCE,ADHD诊断和严重程度之间的关联.
主要成果:
- 在社区志愿服务的儿童患ADHD诊断的几率较低 (aOR 0.83).
- 带有护理人员的儿童患ADHD诊断的可能性较低 (aOR 0.66).
- 与轻度多动症儿童相比,中度至重度多动症儿童报告任何PCE的可能性较低.
结论:
- 社区志愿服务和护理人员联系等PCE与ADHD诊断的几率降低有关.
- 在患有更严重ADHD症状的儿童中,PCE报告较少.
- 研究结果可以为临床医生和家庭提供关于减轻ADHD儿童负面结果的策略的信息.
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