治疗方法和儿童多动症的生长参数:研究种族差异
Ayman Saleh1, Laura Willing2, Mi-Young Ryee2
1Psychiatry and Behavioral Sciences Department, George Washington University School of Medicine and Health Sciences, Children's National Hospital, Washington, DC, USA. asaleh@childrensnational.org.
Child psychiatry and human development
|September 24, 2025
概括
在儿童多动症治疗中存在种族差异. 白人儿童接受的抗抑郁药比黑人和西班牙裔儿童更多,尽管有相似的并发症,这表明潜在的护理不平等.
科学领域:
- 儿科心理健康 儿科心理健康
- 药理治疗 药理治疗
- 卫生公平性健康公平性
背景情况:
- 儿童心理健康诊断和治疗的种族差异是公认的.
- 兴奋剂药物主要用于注意力缺陷/多动障碍 (ADHD),但引起了生长问题.
- 了解跨种族群体的治疗差异对于公平的护理至关重要.
研究的目的:
- 调查儿童注意力缺陷/多动障碍 (ADHD) 药理治疗中的种族差异.
- 分析儿童多动症患者的种族,社会经济地位,治疗模式和成长结果之间的关系.
主要方法:
- 对197名儿童多动症患者的治疗史,生长数据和人口统计数据进行了回顾性分析.
- 跨种族群体的药物处方 (兴奋剂,阿托莫克赛丁,抗抑郁药,抗精神病药) 的比较.
- 评估与种族和治疗有关的身高和BMIZ分数.
主要成果:
- 黑人和西班牙裔患者比白人患者年轻,社会经济地位较低,随访时间较长.
- 白人患者接受的抗抑郁药处方明显多于其他种族群体 (p < 0.001),尽管并发症率相似.
- 在整体队列中观察到身高Z-score的下降,在西班牙裔患者中观察到BMI Z-score的增加.
结论:
- 在儿科多动症的药理管理中,仍然存在显著的种族差异.
- 进一步的研究是必要的,以确定和解决导致ADHD治疗不平等的偏见,并改善患者的治疗结果.
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