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阿曼注意缺陷多动障碍儿童辍学及相关因素的横断面研究。

School Dropout and Associated Factors Among Omani Children with Attention-Deficit Hyperactivity Disorder: A Cross-Sectional Study.

机构信息

Department of Behavioural Medicine, Sultan Qaboos University Hospital, Muscat, Oman.

Department of Psychological Medicine, King's College London, London, United Kingdom.

出版信息

J Dev Behav Pediatr. 2018 Feb/Mar;39(2):109-115. doi: 10.1097/DBP.0000000000000522.

Abstract

OBJECTIVE

Despite the rising incidence of attention-deficit hyperactivity disorder (ADHD), there is a dearth of studies examining the rate of school dropout and its correlates in non-Western populations.

METHODS

Medical records were scrutinized to identify Omani children diagnosed with ADHD from 2006 to 2014 in a tertiary care hospital in Oman. The persistence of ADHD symptoms, school performance and dropout, as well as sociodemographic characteristics were examined.

RESULTS

Three hundred sixty-seven children fulfilled the diagnosis of ADHD based on Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) (DSM-IV) criteria and 16.6% of them had dropped out of school. School dropout was associated with poor school performance, comorbid conduct disorder, and parental divorce.

CONCLUSION

This study from Oman concurs with existing literature that school dropout is common among children with ADHD. Concerted efforts are needed to mitigate this trend. Management strategies should incorporate the treatment of comorbid conduct disorder.

摘要

目的

尽管注意力缺陷多动障碍(ADHD)的发病率不断上升,但在非西方人群中,研究辍学率及其相关因素的研究却很少。

方法

对 2006 年至 2014 年在阿曼一家三级护理医院被诊断为 ADHD 的阿曼儿童的医疗记录进行了仔细审查。检查了 ADHD 症状的持续存在、学习成绩和辍学情况以及社会人口学特征。

结果

根据《精神障碍诊断与统计手册》(第四版)(DSM-IV)标准,有 367 名儿童符合 ADHD 的诊断标准,其中 16.6%的儿童辍学。辍学与学习成绩差、合并品行障碍和父母离婚有关。

结论

这项来自阿曼的研究与现有的文献一致,即 ADHD 儿童辍学很常见。需要共同努力来减轻这种趋势。管理策略应包括治疗合并的品行障碍。

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