产前和产后母亲的ADHD诊断:丹麦基于人口的队列研究
Kathrine Bang Madsen1,2, Mette Winther3, Amalie Thea Jensen1
1Research Unit of Child and Adolescent Psychiatry, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
妇女的ADHD诊断在分娩后显著增加,在分娩后2-5年达到顶峰. 这凸显了对患有多动症的母亲产后心理健康支持的需要.
科学领域:
- 生殖精神病学是一种精神病学.
- 神经发育障碍 神经发育障碍
- 公共卫生 公共卫生
背景情况:
- 在生育年龄的女性中,ADHD的诊断正在上升.
- 关于怀孕和分娩期间的ADHD症状变化和诊断时间的了解很少.
研究的目的:
- 调查妇女在分娩前5年至分娩后5年期间的ADHD诊断的发生率.
主要方法:
- 基于人口的队列研究,使用丹麦全国性的登记册 (2010-2018年分娩).
- 通过ICD-10代码或药物处方 (1994-2023) 识别的ADHD诊断.
- 在怀孕前期,怀孕期和产后期 (长达5年) 的发病率比较.
主要成果:
- 在怀孕期间,ADHD的发病率下降 (IRR=0.28),并在产后2年保持较低 (IRR=0.82).
- 在产后2-5年内,ADHD发病率显著超过怀孕前的水平 (IRR=1.24).
- 超过50%的产后诊断的母亲之前曾与精神病医生接触过或使用非ADHD药物.
结论:
- 母亲的ADHD诊断在分娩后增加,在分娩后2-5年达到顶峰.
- 产后可能是ADHD症状恶化的关键窗口.
- 针对性心理健康查和支持对妇女在分娩后的几年至关重要.
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