患有多动症儿童和青少年的脑震荡特征:探索症状负担和恢复轨迹
Hillary E Swann-Thomsen1, Naida Dillion1, Elyse A C Palumbo1
1Applied Research Division, St. Luke's Health System, Boise, Idaho, USA.
Applied neuropsychology. Child
|February 1, 2025
概括
儿童脑震荡患者注意力缺陷/多动障碍 (ADHD) 经历了延迟的初次访问,但类似的恢复时间. 然而,患有ADHD和脑震荡的青少年的抑郁和焦虑率更高.
科学领域:
- 儿科神经学 儿科神经学
- 神经科学是一个神经科学.
- 儿童心理学 儿童心理学
背景情况:
- 脑震荡对参加体育运动的儿童和青少年构成重大健康风险.
- 脑震荡的症状可能会与注意力缺陷/多动障碍 (ADHD) 重叠,使诊断和管理复杂化.
- 了解患有多动症的儿童群体中脑震荡结果对于有效的护理至关重要.
研究的目的:
- 为了比较脑震荡特征,症状负担和儿童患有或没有多动症的儿童患者的康复时间表.
- 研究ADHD对青少年脑震荡的表现和过程的影响.
- 为了确定共同发生的心理健康状况的潜在差异.
主要方法:
- 对316名被诊断患有脑震荡的6-18岁患者的回顾性图表审查.
- 包括患有或没有ADHD的患者,根据年龄进行匹配.
- 从初始采访和Rivermead脑震荡后症状问卷收集数据通过Epic EHR.
主要成果:
- 患有多动症的年轻患者在寻求初始脑震荡护理方面有较长的延迟.
- 诊断ADHD并没有显著影响整体脑震荡恢复时间.
- 患有ADHD和脑震荡的青少年有更高的共同诊断的抑郁症和焦虑症.
结论:
- 虽然ADHD与儿童脑震荡患者的延迟寻求护理和抑郁/焦虑风险增加有关,但它不会显著改变症状负担或恢复时间.
- 这些发现强调了多动症和青年的脑震荡结果之间的复杂相互作用.
- 对于脑震荡的青少年,特别是ADHD的青少年,对心理健康并发症的临床关注是必不可少的.
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