患有童年缺席的儿童患有多动症的风险与对照:基于人口的研究
Saskia L Vanderwiel1, Brandon Jones2, Katherine C Nickels3
1Wellesley College, Wellesley, MA, USA.
Epilepsy & behavior : E&B
|November 8, 2024
概括
患有童年缺席 (CAE) 的儿童患有注意力缺陷多动症障碍 (ADHD) 的风险增加了5.7倍. 用兴奋剂治疗ADHD是有效的,并且不会在这个人群中恶化发作.
科学领域:
- 儿科神经学 儿科神经学
- 神经发育障碍 神经发育障碍
- 的研究研究.
背景情况:
- 儿童缺席 (CAE) 与注意力缺陷多动症障碍 (ADHD) 的风险增加有关.
- 这种并发症风险的基于人群的规模以前没有确定.
研究的目的:
- 评估在被诊断患有CAE的儿童中基于人口的ADHD风险.
- 评估ADHD诊断对CAE儿童的时间,治疗和发作过程的影响.
主要方法:
- 一项基于人口的队列研究,使用罗切斯特流行病学项目数据库 (1980-2018).
- 确定了41名患有CAE的儿童,并将他们与164名没有的对照进行了匹配.
- 审查医疗记录以确认ADHD诊断,并评估治疗对发作的影响.
主要成果:
- 在41.5%的CAE儿童中诊断出ADHD,而对照组为7.3% (p < 0.001),增加了5.7倍的可能性.
- 在CAE中,ADHD诊断通常发生在缓解后,并且更频繁地由心理健康专业人员进行.
- 用兴奋剂治疗ADHD是有效的,并没有导致任何CAE患者的发作恶化.
结论:
- 与没有的同龄人相比,患有CAE的儿童患有ADHD的患病率明显高.
- 对ADHD的兴奋剂治疗在患有CAE的儿童中是安全有效的,对活动没有不良影响.
- 初级保健提供者应该主动查CAE儿童的ADHD.
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