阿普加评分与注意力缺陷/多动障碍症状严重程度相关。
Apgar Scores Are Associated with Attention-Deficit/Hyperactivity Disorder Symptom Severity.
作者信息
Grizenko Natalie, Eberle Maria Loren, Fortier Marie-Eve, Côté-Corriveau Gabriel, Jolicoeur Claude, Joober Ridha
机构信息
Department of Psychiatry, McGill University, Montreal, Quebec Child and Adolescent Psychiatry Program, Douglas Mental Health University Institute, Montreal, Quebec
McGill University, Montreal, Quebec.
出版信息
Can J Psychiatry. 2016 May;61(5):283-90. doi: 10.1177/0706743716635544. Epub 2016 Feb 23.
OBJECTIVE
Adverse events during pregnancy and delivery have been linked to attention-deficit/hyperactivity disorder (ADHD). Previous studies have investigated Apgar scores, which assess the physical condition of newborns, in relation to the risk of developing ADHD. We propose to go one step further and examine if Apgar scores are associated with ADHD symptom severity in children already diagnosed with ADHD.
METHOD
ADHD symptoms severity, while off medication, was compared in 2 groups of children with ADHD: those with low (≤6, n = 52) and those with higher (≥7, n = 400) Apgar scores sequentially recruited from the ADHD clinic.
RESULTS
Children with low Apgar at 1 minute after birth had more severe symptoms as assessed by the externalizing scale of the Child Behaviour Checklist, the Conners' Global Index for Parents, and the DSM-IV hyperactivity symptoms count (P = 0.02, <0.01, <0.01, respectively).
CONCLUSION
Low 1-minute Apgar scores are associated with a significant increase in ADHD symptom severity. These findings underline the importance of appropriate pregnancy and perinatal care.
目的
妊娠和分娩期间的不良事件与注意力缺陷多动障碍（ADHD）有关。先前的研究调查了评估新生儿身体状况的阿氏评分与患ADHD风险之间的关系。我们建议更进一步，研究阿氏评分是否与已被诊断为ADHD的儿童的ADHD症状严重程度相关。
方法
对从ADHD诊所依次招募的两组ADHD儿童在未服药时的ADHD症状严重程度进行比较：阿氏评分低（≤6分，n = 52）的儿童和阿氏评分高（≥7分，n = 400）的儿童。
结果
根据儿童行为检查表的外化量表、康纳斯父母全球指数和DSM-IV多动症状计数评估，出生后1分钟时阿氏评分低的儿童症状更严重（P值分别为0.02、<0.01、<0.01）。
结论
1分钟时阿氏评分低与ADHD症状严重程度显著增加有关。这些发现强调了适当的孕期和围产期护理的重要性。
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