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注意力缺陷多动障碍、重度抑郁症和单纯恐惧症是患有腭心面综合征的青少年中普遍存在的精神疾病。

ADHD, major depressive disorder, and simple phobias are prevalent psychiatric conditions in youth with velocardiofacial syndrome.

作者信息

Antshel Kevin M, Fremont Wanda, Roizen Nancy J, Shprintzen Robert, Higgins Anne Marie, Dhamoon Amit, Kates Wendy R

机构信息

Drs. Antshel, Fremont, Kates, and Mr. Dhamoon are with the Department of Psychiatry and Behavioral Sciences, Dr. Roizen is with the Department of Pediatrics, and Dr. Shprintzen and Ms. Higgins are with the Department of Otolaryngology and Communication Sciences, State University of New York Upstate Medical University, Syracuse; Dr. Kates is also with the Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore.

Drs. Antshel, Fremont, Kates, and Mr. Dhamoon are with the Department of Psychiatry and Behavioral Sciences, Dr. Roizen is with the Department of Pediatrics, and Dr. Shprintzen and Ms. Higgins are with the Department of Otolaryngology and Communication Sciences, State University of New York Upstate Medical University, Syracuse; Dr. Kates is also with the Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore.

出版信息

J Am Acad Child Adolesc Psychiatry. 2006 May;45(5):596-603. doi: 10.1097/01.chi.0000205703.25453.5a.

Abstract

OBJECTIVE

To examine prevalence rates of psychopathology in children with velocardiofacial syndrome (VCFS).

METHOD

One hundred fifty-four children ages 6 to 15 participated in our between-group design with three samples, 84 children with VCFS (37 girls, 47 boys), 32 sibling controls (18 girls, 14 boys), and 38 community controls (12 girls, 26 boys). The Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version and several other parent report measures were used to assess for psychopathology.

RESULTS

Compared to both control samples, children with VCFS had higher prevalence rates of major depressive disorder, attention-deficit/hyperactivity disorder, simple phobias, and enuresis. Additional findings from our analyses include (1) no gender differences in VCFS psychopathology prevalence rates, (2) children with VCFS who have comorbid psychopathology were rated by their parents as having less well-developed executive functions, and (3) across all three samples, the higher the IQ was, the higher the level of global functioning.

CONCLUSIONS

These findings are consistent with previous research and suggest that major depressive disorder, attention-deficit/hyperactivity disorder, and simple phobias are salient features of the VCFS psychiatric phenotype.

摘要

目的

研究腭心面综合征(VCFS)患儿的精神病理学患病率。

方法

154名6至15岁的儿童参与了我们的组间设计,分为三个样本,84名VCFS患儿(37名女孩,47名男孩),32名同胞对照(18名女孩,14名男孩),以及38名社区对照(12名女孩,26名男孩)。使用儿童情感障碍和精神分裂症量表(适用于学龄儿童,当前和终生版本)以及其他几份家长报告量表来评估精神病理学。

结果

与两个对照样本相比,VCFS患儿的重度抑郁症、注意力缺陷多动障碍、单纯恐惧症和遗尿症的患病率更高。我们分析的其他结果包括:(1)VCFS精神病理学患病率无性别差异;(2)患有共病精神病理学的VCFS患儿被其父母评为执行功能发育较差;(3)在所有三个样本中,智商越高,整体功能水平越高。

结论

这些发现与先前的研究一致,表明重度抑郁症、注意力缺陷多动障碍和单纯恐惧症是VCFS精神疾病表型的显著特征。

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