Department of Paediatric Rehabilitation, University Hospital of North Norway, Tromsø, Norway.
Department of Child and Adolescent Psychiatry, University Hospital of North Norway, Tromsø, Norway.
Res Dev Disabil. 2019 Feb;85:217-228. doi: 10.1016/j.ridd.2018.11.005. Epub 2018 Dec 20.
Most research does not address the overlap between neurodevelopmental disorders when investigating concomitant mental health problems. The purpose of the present study was to examine the association of intellectual disability (ID), autism spectrum disorder (ASD), and attention-deficit/hyperactivity disorder (ADHD) with the presence of behavioural and emotional problems after controlling for other well-known correlates and risk factors. The sample included 4- to 18-year-old children who attended neuropaediatric clinics (N = 331). After controlling for adversity, age, gender, other developmental/neurological disorders, parental emotional problems, and parenting strategies, the presence of ADHD but not ASD or ID was uniquely associated with behaviour problems. Neither ADHD nor ASD nor ID was significantly associated with emotional problems after controlling for other risk factors. However, ADHD, ASD and behavioural/emotional disorders but not ID were significantly associated with functional impairment in everyday activities after controlling for other risk factors. Because children with neurodevelopmental disorders have complex needs, a holistic approach to diagnosis and interventions is highly warranted, including the assessment and treatment of behavioural and emotional disorders.
大多数研究在调查伴随的心理健康问题时并未涉及神经发育障碍之间的重叠。本研究的目的是在控制其他已知的相关因素和风险因素后，研究智力障碍（ID）、自闭症谱系障碍（ASD）和注意缺陷/多动障碍（ADHD）与行为和情绪问题存在之间的关联。该样本包括在神经儿科诊所就诊的 4 至 18 岁儿童（N=331）。在控制逆境、年龄、性别、其他发育/神经发育障碍、父母情绪问题和育儿策略后，ADHD 的存在与行为问题存在显著关联，而 ASD 或 ID 则不存在。在控制其他风险因素后，ADHD 或 ASD 或 ID 与情绪问题均无显著关联。然而，在控制其他风险因素后，ADHD、ASD 和行为/情绪障碍与日常活动中的功能障碍显著相关，而 ID 则无显著关联。由于神经发育障碍的儿童存在复杂的需求，因此非常需要采取整体方法进行诊断和干预，包括对行为和情绪障碍的评估和治疗。
