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根据亚型和性别,门诊转诊的患有注意力缺陷多动障碍的儿童和青少年的精神共病差异。

Psychiatric comorbidity differences in clinic-referred children and adolescents with ADHD according to the subtypes and gender.

作者信息

Ghanizadeh Ahmad

机构信息

Department of Psychiatry and Research Center for Psychiatry and Behavioral Sciences, Shiraz University of Medical Sciences, Hafez Hospital, Shiraz, Iran.

出版信息

J Child Neurol. 2009 Jun;24(6):679-84. doi: 10.1177/0883073808331086.

DOI:10.1177/0883073808331086
PMID:19491114
Abstract

There are controversial or even opposite findings about gender and prevalence of comorbid psychiatric disorders among different subtypes of attention-deficit hyperactivity disorder (ADHD). The participants were children with attention-deficit hyperactivity disorder. Gender, subtype of attention-deficit hyperactivity disorder, and the interaction effects were evaluated by logistic regression. Of the 171 children, 73 (42.7%) were of the combined subtype, 45 (26.3%) inattentive, and 52 (31.0%) were hyperactive/impulsive. The prevalence of attention-deficit hyperactivity disorder subtypes was not different between genders. There was no significant difference of gender by subtype interaction effects on the children's age. This study does not provide evidence supporting attention-deficit hyperactivity disorder subtypes as distinct clinical entities in terms of comorbidity. Association of attention-deficit hyperactivity disorder subtypes and psychiatric disorders in Iran is somehow different from that in some studies conducted in the Western culture. It is more similar to that of other Asian countries.

摘要

关于注意缺陷多动障碍(ADHD)不同亚型中合并精神障碍的性别差异及患病率,存在有争议甚至相反的研究结果。研究参与者为患有注意缺陷多动障碍的儿童。通过逻辑回归评估性别、注意缺陷多动障碍亚型以及交互作用。在171名儿童中,73名(42.7%)为混合型,45名(26.3%)为注意力不集中型,52名(31.0%)为多动/冲动型。注意缺陷多动障碍各亚型的患病率在性别之间无差异。各亚型与性别的交互作用对儿童年龄无显著差异。本研究未提供证据支持注意缺陷多动障碍各亚型在合并症方面为不同的临床实体。伊朗注意缺陷多动障碍亚型与精神障碍之间的关联在某种程度上与西方文化背景下的一些研究不同。它与其他亚洲国家的情况更为相似。

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