Reilly Colin, Atkinson Patricia, Das Krishna B, Chin Richard F M, Aylett Sarah E, Burch Victoria, Gillberg Christopher, Scott Rod C, Neville Brian G R
1 Young Epilepsy, Lingfield, UK.
2 University of Gothenburg, Sweden.
J Atten Disord. 2017 Sep;21(11):887-897. doi: 10.1177/1087054714558117. Epub 2014 Nov 21.
Provide data on the distribution of parent- and teacher-reported symptoms of ADHD in childhood epilepsy and describe coexisting cognitive and behavioral disorders in children with both epilepsy and ADHD.
Eighty-five (74% of those eligible) children (5-15 years) in a population-based sample with active epilepsy underwent psychological assessment. The ADHD Rating Scale-IV (ADHD-RS-IV) scale was completed by parents ( n = 69) and teachers ( n = 67) of participating children with an IQ > 34. ADHD was diagnosed with respect to Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.).
Parents reported significantly more symptoms of ADHD than teachers ( p < .001). Symptoms of inattention were more commonly reported than symptoms of hyperactivity-impulsivity ( p < .001). Neurobehavioral comorbidity was similar in those with ADHD and non-ADHD with the exception of oppositional defiant disorder (ODD) and developmental coordination disorder (DCD), which were more common in those with both epilepsy and ADHD.
Symptoms of ADHD are very common in childhood epilepsy but prevalence is influenced by informant.
提供关于儿童癫痫中家长和教师报告的多动症症状分布的数据,并描述癫痫和多动症患儿共存的认知及行为障碍。
在一个基于人群的活动性癫痫样本中,85名(占符合条件者的74%)5至15岁儿童接受了心理评估。参与研究且智商>34的儿童的家长(n = 69)和教师(n = 67)完成了多动症评定量表第四版(ADHD-RS-IV)。根据《精神疾病诊断与统计手册》(第4版,修订版)诊断多动症。
家长报告的多动症症状显著多于教师(p <.001)。注意力不集中症状比多动-冲动症状更常被报告(p <.001)。除对立违抗障碍(ODD)和发育协调障碍(DCD)外,多动症患儿和非多动症患儿的神经行为共病情况相似,对立违抗障碍和发育协调障碍在癫痫和多动症患儿中更为常见。
多动症症状在儿童癫痫中非常常见,但患病率受报告者影响。