在患有1型糖尿病的学龄儿童患者中多中心查ADHD - 研究协议
Hanna Kuśmierczyk-Kozieł1, Arkadiusz Michalak1,2,3, Jędrzej Chrzanowski2
1Department of Pediatrics, Diabetology, Endocrinology and Nephrology, Medical University of Lodz, Lodz, Poland.
Nordic journal of psychiatry
|January 25, 2025
概括
这项研究开发了一种查方案,以确定波兰1型糖尿病 (T1D) 儿童的注意力缺陷多动性障碍 (ADHD). 在T1D患者中早期诊断ADHD对于更好的健康结果至关重要.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 神经发育障碍 神经发育障碍
- 临床心理学 临床心理学
背景情况:
- 注意缺陷多动症 (ADHD) 影响5%的儿童,在1型糖尿病 (T1D) 患者中患病率更高.
- 未经治疗的ADHD可能会对T1D管理产生负面影响,并且在波兰可能被诊断不足.
- 国际指南建议对患有T1D的儿童进行神经发育评估,但缺乏具体的协议.
研究的目的:
- 设计和实施一个系统查协议,以评估波兰儿童T1D的ADHD患病率.
- 为临床实践提供一个框架,以在这个脆弱人群中识别ADHD.
主要方法:
- 针对8至16岁的患有T1D (持续时间≥1年) 且没有重大并发症的儿童,制定了一项多中心查方案.
- 该协议涉及两阶段的方法:使用康纳斯3问卷进行初步查,然后对高风险个体进行与心理学家和精神科医生的结构化咨询.
- 使用的工具包括康纳斯3和MINI-Kid问卷,现场和视频咨询.
主要成果:
- 查正在波兰四个儿科中心进行,覆盖了大约2500名患有T1D的青少年.
- 这项研究旨在在36个月的时间内在大约190名儿童中诊断ADHD.
- 在2023年1月至5月期间启动数据收集.
结论:
- 患ADHD和T1D的并发症在儿科护理中构成了重大,但往往未被认可的挑战.
- 需要有效的诊断方案来解决T1D儿童的ADHD.
- 开发的协议为这种人群的系统性ADHD查提供了潜在的解决方案.
相关概念视频
Attention-Deficit/Hyperactivity Disorder
50
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
50
Diabetes Mellitus: Overview and Type I Subtype
2.5K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.5K
Diabetes: Symptoms, Diagnosis, and Complications
520
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
520


