在接受言语治疗的注意力缺陷和多动症儿童中,随后出现的精神疾病
Ruu-Fen Tzang1,2, Yu-Wen Lin3, Kai-Liang Kao4
1Department of Psychiatry, Mackay Memorial Hospital, Taipei 104, Taiwan.
World journal of psychiatry
|June 11, 2025
概括
语音和语言治疗 (ST) 可以降低患有注意力缺陷和多动症障碍 (ADHD) 的儿童随后精神疾病的风险. 当ST与药物治疗和行为干预相结合时,这种益处最为显著.
科学领域:
- 儿科精神病学 儿科精神病学
- 发展心理学 发展心理学
- 语音语言病理学 语言病理学
背景情况:
- 注意缺陷和多动障碍 (ADHD) 经常伴随着并发性言语迟缓.
- 语音和语言治疗 (ST) 对ADHD儿童的长期精神病学结果的影响尚未完全理解.
- 早期干预对于管理ADHD和相关的发展挑战至关重要.
研究的目的:
- 确定言语和语言治疗 (ST) 是否与被诊断为ADHD的儿童随后精神疾病的风险降低有关.
- 调查ST对ADHD预后的缓解作用,特别是在并发症语音延迟的情况下.
- 评估ADHD综合干预措施的有效性.
主要方法:
- 利用台湾国家健康保险研究数据库进行基于人口的研究.
- 采用倾向分数匹配,创建可比的ADHD儿童组,接受ST与没有接受ST的儿童.
- 进行了考克斯回归分析,以比较两组之间后续精神疾病的风险.
主要成果:
- 在11987名患有多动症的儿童中,有2911名 (24%) 接受了性传播.
- 与对照组相比,接受ST治疗的ADHD儿童对任何随后的精神疾病的调整后危险比率 (0.72) 显著降低.
- 仅在接受联合药物和行为干预措施的小组中,ST的保护作用在统计学上是显著的.
结论:
- 语音和语言治疗 (ST) 可以积极缓解ADHD和言语迟缓儿童的综合早期干预结果.
- 在ADHD的综合管理中,ST似乎是一个有价值的组成部分,有可能减轻未来精神疾病的风险.
- 这些发现强调了多学科方法对儿童多动症治疗的重要性.
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