儿科注意力缺陷/多动障碍和扰乱性情绪失调障碍:分析国家治疗趋势
Raman Baweja1, Daniel A Waschbusch2, Lan Kong3
1Department of Psychiatry and Behavioral Health, Pennsylvania State College of Medicine, Hershey, PA; Department of Public Health Sciences, Pennsylvania State College of Medicine, Hershey, PA.
患有多动症儿童的扰乱性情绪失调障碍 (DMDD) 诊断导致更广泛的治疗,包括更多的抗精神病药物和情绪稳定剂等药物. 治疗模式因种族和种族而异,通常在优化ADHD护理之前.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 神经发育障碍 神经发育障碍
- 药理疗法 药理疗法 药理疗法
背景情况:
- 注意缺陷/多动障碍 (ADHD) 是儿童常见的一种神经发育障碍.
- 扰乱性情绪失调障碍 (DMDD) 是一种以持续的易怒和频繁的气暴发为特征的疾病.
- 由于ADHD和DMDD的同时出现,这给治疗带来了复杂的挑战.
研究的目的:
- 调查扰乱性情绪失调障碍 (DMDD) 诊断对患有注意力缺陷/多动症障碍 (ADHD) 的年轻人治疗选择和顺序的影响.
- 为了比较患有ADHD的青少年和患有并发性ADHD和DMDD的青少年之间的治疗模式.
- 分析ADHD与DMDD治疗方法中的种族和民族差异.
主要方法:
- 一个多中心,基于人口的,回顾性队列研究,利用TriNetX研究网络 (2013年6月~2024年7月).
- 分析了两个队列:患有ADHD的年轻人 (对照组,n=631,295) 和患有ADHD + DMDD的年轻人 (研究,n=24,723).
- 统计分析包括赔率比率 (ORs) 和相对风险来确定关联.
主要成果:
- 在ADHD+DMDD队列中,非西班牙裔族群,精神病相关疾病,住院/急诊服务和心理治疗的比例较高.
- 患有ADHD + DMDD的年轻人更有可能接受ADHD药物,抗抑郁药物,情绪稳定剂和抗精神病药物.
- 治疗模式因种族/种族而异;患有DMDD的西班牙裔年轻人使用了更多的精神药物,但使用了更少的心理治疗,而白人年轻人则更多地使用了所有服务. 抗精神病药物和情绪稳定剂的处方显著增加,往往在心理治疗或ADHD药物优化之前.
结论:
- 在患有ADHD的年轻人中,DMDD诊断与广泛的药物和非药物治疗有关.
- 对于ADHD + DMDD的治疗模式因种族和种族而异.
- 抗精神病药物和情绪稳定剂更频繁地被处方,通常在心理治疗或ADHD药物优化之前,突出了对最佳治疗序列和差异的研究的需要.
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