受创伤/未受创伤父母的子女中，注意缺陷多动障碍（ADHD）与创伤后应激障碍（PTSD）的共病/重叠与智商的关系。
Comorbidity/overlapping between ADHD and PTSD in relation to IQ among children of traumatized/non-traumatized parents.
作者信息
Daud Atia, Rydelius Per-Anders
机构信息
Karolinska Institutet, Department of Woman and Child Health, Astrid Lindgren Children's Hospital, Stockholm, Sweden.
出版信息
J Atten Disord. 2009 Sep;13(2):188-96. doi: 10.1177/1087054708326271. Epub 2009 Apr 24.
OBJECTIVE
This study explores the comorbidity between symptoms of ADHD and PTSD in relation to IQ among refugee children of traumatized parents (TP) and non-traumatized parents (NTP).
METHOD
The study compares 80 refugee children, 40 with TP with 40 with NTP. ADHD and PTSD are assessed using DICA. Children's cognitive functions are measured by WISC. Teacher ratings of YCI and SDQ are performed.
RESULTS
Overlapping between ADHD and PTSD symptoms are represented among children with TP. Cognitive functions, related to ADHD and PTSD, reveal associations between low IQ (<84) and having both ADHD and PTSD among children with TP.
CONCLUSIONS
Concerns are raised about how ADHD and PTSD symptoms in a child are to be interpreted. Some overlapping exists between the two syndromes, but further studies should determine whether true comorbidity exists between ADHD and PTSD symptoms to better understand how to correctly diagnose and treat refugee children with TP.
目的
本研究探讨受创伤父母（TP）和未受创伤父母（NTP）的难民儿童中，注意缺陷多动障碍（ADHD）症状与创伤后应激障碍（PTSD）症状之间的共病情况与智商的关系。
方法
该研究比较了80名难民儿童，其中40名儿童的父母受创伤，40名儿童的父母未受创伤。使用《精神障碍诊断访谈量表儿童版》（DICA）评估ADHD和PTSD。通过韦氏儿童智力量表（WISC）测量儿童的认知功能。进行教师对儿童行为问卷（YCI）和优势与困难问卷（SDQ）的评分。
结果
TP组儿童中存在ADHD和PTSD症状的重叠。与ADHD和PTSD相关的认知功能显示，TP组中智商低（<84）的儿童同时患有ADHD和PTSD之间存在关联。
结论
人们对如何解释儿童的ADHD和PTSD症状表示担忧。这两种综合征之间存在一些重叠，但进一步的研究应确定ADHD和PTSD症状之间是否存在真正的共病，以便更好地了解如何正确诊断和治疗父母受创伤的难民儿童。
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