患有多动症症状的学龄前儿童中对立违抗障碍与品行障碍的共病情况。
Co-Occurrence of ODD and CD in Preschool Children With Symptoms of ADHD.
作者信息
Bendiksen Bothild, Svensson Elisabeth, Aase Heidi, Reichborn-Kjennerud Ted, Friis Svein, Myhre Anne M, Zeiner Pål
机构信息
1 Oslo University Hospital, Norway.
2 University of Oslo, Norway.
出版信息
J Atten Disord. 2017 Jul;21(9):741-752. doi: 10.1177/1087054714538655. Epub 2014 Jul 3.
OBJECTIVE
Patterns of co-occurrence between ADHD, Oppositional Defiant Disorder (ODD), and Conduct Disorder (CD) were examined in a sample of non-referred preschool children. ADHD subtypes and sex differences were also explored.
METHOD
Children aged 3.5 years ( n = 1,048) with high scores on ADHD characteristics were recruited from the Norwegian Mother and Child Cohort Study and clinically assessed, including a semi-structured psychiatric interview.
RESULTS
In children with ADHD, concurrent ODD was present more often than CD (31% vs. 10%), but having ADHD gave higher increase in the odds of CD than of ODD (ODD: odds ratio [OR] = 6.7, 95% confidence interval [CI] = [4.2, 10.8]; CD: OR = 17.6, 95% CI = [5.9, 52.9]). We found a greater proportion of children having the combined ADHD subtype as well as more severe inattentiveness among children with co-occurring CD compared with ODD. Sex differences were minor.
CONCLUSION
There are important differences in co-occurring patterns of ODD and CD in preschool children with ADHD.
目的
在一组未被转诊的学龄前儿童样本中，研究注意缺陷多动障碍（ADHD）、对立违抗性障碍（ODD）和品行障碍（CD）的共现模式。还探讨了ADHD亚型和性别差异。
方法
从挪威母婴队列研究中招募了1048名3.5岁且ADHD特征得分较高的儿童，并对其进行临床评估，包括半结构化精神科访谈。
结果
在患有ADHD的儿童中，并发ODD的情况比CD更常见（31%对10%），但患有ADHD时CD的患病几率增加幅度高于ODD（ODD：优势比[OR]=6.7，95%置信区间[CI]=[4.2,10.8]；CD：OR=17.6，95%CI=[5.9,52.9]）。我们发现，与并发ODD的儿童相比，并发CD的儿童中具有ADHD混合型亚型的比例更大，且注意力不集中情况更严重。性别差异较小。
结论
患有ADHD的学龄前儿童中，ODD和CD的共现模式存在重要差异。
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