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注意缺陷/多动障碍患儿中破坏性心境失调障碍的持续存在。

Persistence of disruptive mood dysregulation disorder in children with attention-deficit/hyperactivity disorder.

机构信息

Murdoch Children's Research Institute, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Melbourne, Australia.

Murdoch Children's Research Institute, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Melbourne, Australia; School of Psychology, Deakin University, Geelong, Australia.

出版信息

J Affect Disord. 2021 Jan 1;278:502-505. doi: 10.1016/j.jad.2020.09.109. Epub 2020 Sep 28.

DOI:10.1016/j.jad.2020.09.109
PMID:33017677
Abstract

Disruptive mood dysregulation disorder (DMDD) is common in children with ADHD yet it is not known how persistent DMDD is in this population. As such we aimed to investigate the persistence of disruptive mood dysregulation disorder (DMDD) in a community sample of children with ADHD. The sample comprised children (n = 136) participating in a cohort study with data available at age 7 and age 10. DMDD status was ascertained using proxy items from the Diagnostic Interview Schedule for Children, Version IV. Of those with DMDD at age 7 (n = 30), eight (21.1%) had DMDD that persisted at age 10. In the first study investigating the longitudinal course of DMDD in ADHD one in five children with ADHD+DMDD at age 7 continued to meet diagnostic criteria for DMDD three years later.

摘要

破坏性心境失调障碍 (DMDD) 在 ADHD 儿童中很常见,但尚不清楚该人群中 DMDD 的持续性如何。因此,我们旨在调查 ADHD 儿童的社区样本中破坏性心境失调障碍 (DMDD) 的持续性。该样本包括参加队列研究的儿童(n=136),并在 7 岁和 10 岁时获得数据。DMDD 状态是通过儿童诊断访谈表第四版的代理项目确定的。在 7 岁时患有 DMDD 的儿童中(n=30),有 8 名(21.1%)在 10 岁时仍患有 DMDD。在第一项调查 ADHD 中 DMDD 纵向病程的研究中,在 7 岁时患有 ADHD+DMDD 的儿童中有五分之一在三年后继续符合 DMDD 的诊断标准。

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