症儿童同时出现ADHD的查工具和风险因素的有效性:系统性审查和元分析
1Department of Neurology, The First Clinical Medical College, Gansu University of Chinese Medicine, Lanzhou, China; School of Journalism and Communication, Shanghai Jian Qiao University, Shanghai, China.
Epilepsy & behavior : E&B
|February 25, 2026
概括
在患有的儿童中,注意力缺陷/多动症 (ADHD) 查至关重要. SDQ-过度活动子度表现出高准确度,而外部化行为测量则为ADHD提供了强烈的歧视性有效性.
科学领域:
- 儿科神经学 儿科神经学
- 神经发育障碍 神经发育障碍
- 儿童精神病学 儿童精神病学
背景情况:
- 注意缺陷/多动障碍 (ADHD) 是患有的儿童常见的并发症,发生率明显高于一般人群.
- 患有ADHD和同时出现的儿童体验到更差的健康结果,包括更差的控制,生活质量降低和学术困难.
- 在这一群体中,由于症状重叠和诊断复杂性,ADHD往往仍未得到确诊,这凸显了对有效查工具的需求.
研究的目的:
- 评估患有的儿童中ADHD查工具的诊断准确性和区分有效性.
- 系统地审查和对患有的儿童中与ADHD相关的风险因素进行元分析.
主要方法:
- 按照PRISMA的指导方针,对主要数据库 (PubMed,Embase,PsycINFO,Cochrane,Web of Science) 进行了系统的文献搜索.
- 质量评估使用QUADAS-2用于诊断准确性,纽卡斯尔-太华尺度用于区分有效性,以及风险因素的叙述综合.
- 用DerSimonian-Laird随机效应模型进行了元分析,以评估聚合效应和异质性.
主要成果:
- SDQ-高活性分量表现出最高的诊断准确度 (灵敏度为86.4%,特异性为97.8%).
- 外化行为指标,特别是DBD评级尺度,表现出最强的区分有效性 (聚合效应大小g=0.54).
- 对伴随性ADHD的确定的风险因素包括较早发作,神经发育问题,男性性别,医疗伴随性疾病和较高的抗药物负担.
结论:
- 建议使用SDQ-超活跃度子尺度对患有的儿童进行ADHD查,并与ILAE指南保持一致.
- 针对高危子组的有针对性的查 (例如,控制不良的发作,早期发作的,多疗法) 可以改善早期识别和干预.
- 实施系统的ADHD查协议对于更好的治疗和儿童的治疗结果至关重要.
关键词:
更多关于 ADHD ADHD 的文章抗药物是一种抗药物.孩子 孩子 孩子 孩子诊断的准确性 诊断的准确性不同的有效性歧视性有效性.是一种病.进行元分析分析.风险因素 风险因素选工具 选工具 选工具扣押控制 扣押控制 扣押控制更多相关视频
10:02Event Related Potentials ERPs and other EEG Based Methods for Extracting Biomarkers of Brain Dysfunction: Examples from Pediatric Attention Deficit/Hyperactivity Disorder ADHD
Published on: March 12, 2020
16.8K
05:48The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
Published on: June 12, 2020
6.5K
相关概念视频
Attention-Deficit/Hyperactivity Disorder
1.1K
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
1.1K
Epilepsy and Seizures: Overview
1.5K
Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
1.5K
