患有多动症儿童的兴奋剂短缺:伴随性疾病患者的脆弱性更大
Tuğba Acehan1,2, Esra Güngör Bağlıcakoğlu3, Ecem Selin Akbaş Aliyev3
1Department of Child and Adolescent Psychiatry, Ankara Etlik City Hospital, University of Health Sciences, Varlık Neighborhood, Halil Sezai Erkut Street Yenimahalle, Ankara, 06170, Turkey. tugbaacehan@gmail.com.
兴奋剂短缺严重扰乱了土耳其ADHD儿童的治疗,特别是那些患有并发症的儿童. 药物改变会加剧易怒和睡眠问题,突出需要更好的供应系统和支持.
科学领域:
- 儿童精神病学 儿童精神病学
- 药理治疗 药理治疗
- 儿童心理学 儿童心理学
背景情况:
- 儿童注意力缺陷/多动症 (ADHD) 治疗通常依赖于兴奋剂药物.
- 获得这些药物可能具有挑战性,影响治疗的连续性和患者的结果.
- 了解这些挑战对于优化儿童多动症患者的护理至关重要.
研究的目的:
- 调查土耳其学龄儿童与ADHD的兴奋剂获取困难.
- 检查家庭药物获取策略和与获取相关的药物变化的影响.
- 评估这些因素与各种困难之间的关联,考虑精神病相关疾病.
主要方法:
- 一项涉及149名患有ADHD的儿童 (6-16岁) 接受甲基酸治疗3个月以上的横截面研究.
- 通过社会人口统计表格,药物短缺经验评估表格和家长报告表格 (易怒,SDQ,SDSC) 收集的数据.
- 多变量通用线性模型 (GZLM) 用于分析药物变化和并发症相互作用效应.
主要成果:
- 几乎所有的家长 (97.3%) 报告说,他们难以获得兴奋剂; 55.7% 的家长经历过药物转换.
- 药物改变显著恶化了对健康,学术和社会运作的感知影响.
- 经过药物改变并发症的儿童表现出更高的易怒性,情绪和行为困难 (SDQ分数).
- GZLM证实了协同作用:药物改变加上并发症预测增加了易怒和睡眠障碍.
结论:
- 兴奋剂短缺的高患病率扰乱了土耳其的多动症治疗连续性.
- 患有精神伴随性疾病的儿童特别容易受到药物改变的影响,经历了放大了临床问题.
- 协调的供应系统和有针对性的心理社会支持对于解决兴奋剂不可用后果至关重要.
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