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对幼儿自闭症儿童注意力缺陷/多动障碍的评估
Naomi O Davis1,2,3, Kimberly L H Carpenter2,3, Maura Sabatos-DeVito2,3
1Duke ADHD Program, Duke University School of Medicine.
概括
在自闭症儿童中诊断注意力缺陷/多动障碍 (ADHD) 是复杂的. 这项研究提供了一个框架和实用提示,以改善自闭症儿童的ADHD评估,帮助临床决策.
科学领域:
- 神经发育障碍 神经发育障碍
- 儿童精神病学 儿童精神病学
- 临床心理学 临床心理学
背景情况:
- 同时出现的注意力缺陷/多动障碍 (ADHD) 在自闭症儿童中很常见,导致障碍增加和独特的治疗需求.
- 在学龄前和学龄早期的自闭症儿童中诊断ADHD存在重大临床挑战.
研究的目的:
- 描述一个临床信息的诊断框架来评估自闭症儿童的ADHD.
- 用描述性数据说明诊断复杂性,并探索影响临床医生的信心的因素.
主要方法:
- 从护理人员和临床医生对患有或没有ADHD的自闭症儿童中ADHD症状的评级的描述性数据.
- 后勤回归分析,以检查临床医生对诊断决策的信心.
主要成果:
- 在自闭症和自闭症+ADHD组中,照顾者评估的ADHD症状都较高,突出了诊断重叠.
- 临床医生和护理人员的协议有所不同,在注意力缺失症状上存在更多的分歧.
- 对ADHD诊断的临床医生信心对于女孩,年长的孩子和具有更高发育水平的孩子来说更高.
结论:
- 评估幼儿自闭症儿童的ADHD是临床上复杂的.
- 提供了解决诊断挑战的实际策略.
- 完善和验证诊断框架可以改善该群体的ADHD评估.
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