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美国有心脏病和没有心脏病的儿童的精神,行为和发育障碍,2016-2021
Amanda N Dorsey1,2, Karrie F Downing2, Melissa Danielson2
1Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Cardiology in the young
|August 20, 2025
概括
患有心脏病的儿童的精神,行为和发育障碍率显著增加. 焦虑症,多动症和学习障碍是最常见的,
科学领域:
- 儿童心脏病学
- 儿童发育医学
- 儿童心理学
背景情况:
- 患有心脏病的儿童,包括先天性心脏缺陷 (CHD),面临神经发育和心理社会挑战的风险增加.
- 了解这一群体中精神,行为和发育障碍的普遍性对于早期干预至关重要.
研究的目的:
- 根据心脏病状况,比较儿童精神,行为和发育障碍的全国流行情况.
- 在患有心脏病的儿童中确定与这些疾病相关的特征.
主要方法:
- 对美国6至17岁儿童 (不包括唐氏综合征患者) 国家儿童健康调查 (2016-2021) 的全国代表性数据的分析.
- 护理人员报告的精神,行为和发育障碍的数据.
- 使用后勤回归来比较患病率并确定相关因素.
主要成果:
- 患有心脏病的儿童患有42%的疾病,而没有心脏病的儿童患有23%的疾病 (APR=1. 8).
- 所有分析的疾病在患有心脏病的儿童中更为普遍,焦虑 (22.1%),多动症 (20. 4%) 和学习障碍 (19. 6%) 是最常见的.
- 在患有心脏病的儿童中,心脏病常常与更高数量的不良童年经历有关.
结论:
- 这些发现强调了对心脏病儿童神经发育和心理健康查的临床指南的重要性.
- 这项研究为评估这些关键指导方针的实施提供了国家基准.
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