预测学前注意力缺陷/多动症诊断的预测因素:使用国家注册表进行的一项基于人口的研究
Wagner Gurgel1, Miguel Garcia-Argibay2,3, Brian M D'Onofrio3,4
1Department of Psychiatry, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil.
Journal of child psychology and psychiatry, and allied disciplines
|December 15, 2024
概括
学前注意力缺陷/多动症 (ADHD) 诊断与许多预测因素有关. 早期识别这些因素,包括新的因素,如胃食道逆流,可以改善预后.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 注意力缺陷/多动症 (ADHD) 的学前诊断表明严重程度和预后不佳.
- 识别早期预测因素对于干预和改善结果至关重要.
研究的目的:
- 调查与学龄前儿童的ADHD诊断相关的全面预测因素.
- 为了确定早期出现ADHD的新风险因素.
主要方法:
- 使用瑞典注册的基于人口的队列研究.
- 考克斯的比例危险模型分析了超过63万名儿童的41个预测因素.
- 随访延长至2013年12月,捕捉了3至5岁的诊断.
主要成果:
- 1,686名学龄前儿童 (2.7%) 接受了ADHD诊断.
- 在41个研究的预测因素中,有39个与ADHD风险增加有显著的关联.
- 发现的新型预测因素包括胃食道逆流性疾病,过早收缩和父母的犯罪史.
结论:
- 确定了许多学龄前多动症的既定和新型预测因素.
- 这种广泛的早期预测因素清单可以指导未来的临床研究.
- 这些发现支持提升学前多动症早期识别策略.
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