“情境性”多动儿童的青少年期结局：一项前瞻性对照随访研究。
Young adult outcome of children with "situational" hyperactivity: a prospective, controlled follow-up study.
作者信息
Mannuzza Salvatore, Klein Rachel G, Moulton John L
机构信息
NYU School of Medicine, NYU Child Study Center, New York, New York 10016, USA.
出版信息
J Abnorm Child Psychol. 2002 Apr;30(2):191-8. doi: 10.1023/a:1014761401202.
To examine the importance of symptom pervasiveness in ADHD, we conducted a prospective, 12-year follow-up study of boys (ages 6-12) considered hyperactive at school and home (Pervasive ADHD), boys considered hyperactive by teachers but not parents (School Only ADHD), boys considered hyperactive by parents but not teachers (Home Only ADHD), and nonhyperactive comparisons. Follow-up was completed on 82-94% participants. Clinicians interviewed participants and their parents, blind to childhood status. At follow-up, antisocial disorder was significantly more prevalent among Pervasive and School Only ADHD (29% for both) than Home Only ADHD (0%) and comparisons (8%). In a similar manner, severity of behavioral problems distinguished groups (Pervasive, School > Home, comparisons), as did educational attainment and academic performance (poorest for Pervasive and School). These findings stress the validity of teacher reports in the diagnosis of ADHD.
为了研究症状广泛性在注意力缺陷多动障碍（ADHD）中的重要性，我们对在学校和家中均被认为多动的男孩（6至12岁，广泛性ADHD）、仅被教师认为多动但父母不这样认为的男孩（仅学校ADHD）、仅被父母认为多动但教师不这样认为的男孩（仅家庭ADHD）以及非多动对照组进行了一项为期12年的前瞻性随访研究。82%至94%的参与者完成了随访。临床医生在对儿童期情况不知情的情况下对参与者及其父母进行了访谈。在随访时，广泛性和仅学校ADHD中反社会障碍的患病率（两者均为29%）显著高于仅家庭ADHD（0%）和对照组（8%）。同样，行为问题的严重程度区分了不同组（广泛性、学校组＞家庭组、对照组），教育程度和学业成绩也是如此（广泛性和学校组最差）。这些发现强调了教师报告在ADHD诊断中的有效性。
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