Yousefi Chaijan Parsa, Sharafkhah Mojtaba, Abdolrazaghnejad Ali, Amiri Mohammad, Ebrahimi Monfared Mohsen, Fatemi Tabaei Saghi
Department of Pediatrics, School of Medicine, Arak University of Medical Sciences, Arak, Iran.
Department of Medicine, School of Medicine, Arak University of Medical Sciences, Arak, Iran.
Acta Med Iran. 2016 Nov;54(11):718-723.
Attention deficit hyperactivity disorder (ADHD) and Anxiety is the most common childhood psychiatric disorder. Based on studies, these disorders are more prevalent in some chronic disease. This study aimed at investigating the prevalence of ADHD and anxiety in children with malignancy and anxiety in their parents and comparing the results with those of the control group. One hundred, 3-15-year-old children with malignancy and 100 healthy children without malignancy or any chronic disease were included in this case-control study as case and control groups, respectively. Subjects were selected from children who were referred to the pediatric ward of Amir Kabir Hospital of Arak, Iran, in the form of simple probability and based on inclusion and exclusion criteria. ADHD and Anxiety were diagnosed by Conner's Parent Rating Scale-48 (CPRS-48) and Hamilton Anxiety Rating Scale (HARS) and were confirmed by psychologist consult. Data were analyzed by Student t-test in SPSS18. ADHD was observed in 23 cases (23%) with malignancy and 5 controls (5%) (P=0.001). In the case group, 57 children (57%) and 45 of their parents (45%) were suffering from anxiety while in the control group the figure was observed in 12 children (12%) and 11 of their parents (11%) (P=0.001). ADHD and anxiety are more common in children with malignancy as compared with children without malignancy and anxiety is also more common in their parents. Therefore, implementing interventions and psychiatric counseling are recommended for these children and their parents.
注意力缺陷多动障碍(ADHD)和焦虑症是最常见的儿童精神疾病。基于研究,这些疾病在一些慢性病中更为普遍。本研究旨在调查恶性肿瘤患儿中ADHD和焦虑症的患病率以及其父母的焦虑情况,并将结果与对照组进行比较。本病例对照研究分别纳入了100名3至15岁的恶性肿瘤患儿和100名无恶性肿瘤或任何慢性病的健康儿童作为病例组和对照组。研究对象从转诊至伊朗阿拉克阿米尔卡比尔医院儿科病房的儿童中以简单概率抽样的方式选取,并依据纳入和排除标准进行筛选。ADHD和焦虑症通过康纳父母评定量表-48(CPRS-48)和汉密尔顿焦虑评定量表(HARS)进行诊断,并经心理学家会诊确认。数据在SPSS18中采用学生t检验进行分析。在恶性肿瘤患儿中观察到23例(23%)患有ADHD,而对照组有5例(5%)(P = 0.001)。病例组中,57名儿童(57%)及其45名父母(45%)患有焦虑症,而对照组中这一数字分别为12名儿童(12%)及其11名父母(11%)(P = 0.001)。与无恶性肿瘤的儿童相比,ADHD和焦虑症在恶性肿瘤患儿中更为常见,并且焦虑症在其父母中也更为常见。因此,建议对这些儿童及其父母实施干预措施和心理辅导。