School of Medicine, Child and Adolescent Psychiatry, Bahçeşehir University, Beşiktaş/İstanbul, Turkey.
School of Education, Bahçeşehir University, Beşiktaş/İstanbul, Turkey.
Scand J Psychol. 2019 Aug;60(4):304-308. doi: 10.1111/sjop.12540. Epub 2019 May 2.
Several studies have reported that being younger for grade increases the risk of having attention deficit hyperactivity disorder (ADHD) diagnosis and being on ADHD medication among students. The aim of this study was to investigate this association in a low-middle income country setting. Sample included 2,627 children from first to fourth grades. We compared students who were older than the 75th and younger than the 25th percentiles in consecutive grades. Teachers completed SNAP-4 scale. Results indicated that teacher rated ADHD symptoms were 2.5 to 3.6 times more common in students who were younger for their grade, after age, gender, and Fluid IQ scores were controlled. Teacher SNAP-4 scores were also significantly associated with grade. Our results suggested that the phenomenon of higher rates of teacher rated ADHD symptoms among younger for grade students was not limited to Western countries and that the teacher reported symptom loads were higher in these children.
几项研究报告称，在学生中，年级较小与注意缺陷多动障碍（ADHD）诊断和服用 ADHD 药物的风险增加有关。本研究的目的是在中低收入国家环境中调查这种关联。样本包括来自一至四年级的 2627 名儿童。我们比较了在连续年级中年龄大于第 75 百分位和小于第 25 百分位的学生。教师完成了 SNAP-4 量表。结果表明，在控制年龄、性别和流体智力分数后，与年龄较大的学生相比，年龄较小的学生的 ADHD 症状被教师评定为更常见，为 2.5 至 3.6 倍。教师 SNAP-4 评分也与年级显著相关。我们的结果表明，教师评定的 ADHD 症状在年级较小的学生中发生率较高的现象不仅限于西方国家，而且这些儿童的教师报告的症状负担更高。
