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本文引用的文献

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Parental mental health screening in the NICU: a psychosocial team initiative.新生儿重症监护病房(NICU)中的父母心理健康筛查:一个心理社会团队的倡议。
J Perinatol. 2022 Mar;42(3):401-409. doi: 10.1038/s41372-021-01217-0. Epub 2021 Sep 27.
2
Implementing a standardized screening protocol for parental depression, anxiety, and PTSD symptoms in the Neonatal Intensive Care Unit.在新生儿重症监护病房实施父母抑郁、焦虑和创伤后应激障碍症状的标准化筛查方案。
Early Hum Dev. 2021 Mar;154:105279. doi: 10.1016/j.earlhumdev.2020.105279. Epub 2020 Nov 16.
3
Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2016.2016 年,美国 11 个监测点自闭症和发育障碍监测网络对 8 岁儿童自闭症谱系障碍流行率的调查。
MMWR Surveill Summ. 2020 Mar 27;69(4):1-12. doi: 10.15585/mmwr.ss6904a1.
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Maternal and family factors differentiate profiles of psychiatric impairments in very preterm children at age 5-years.产妇和家庭因素可区分极低出生体重儿在 5 岁时的精神障碍特征。
J Child Psychol Psychiatry. 2020 Feb;61(2):157-166. doi: 10.1111/jcpp.13116. Epub 2019 Aug 26.
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Evidence of Assortative Mating in Autism Spectrum Disorder.自闭症谱系障碍中的交配偏好证据。
Biol Psychiatry. 2019 Aug 15;86(4):286-293. doi: 10.1016/j.biopsych.2019.04.014. Epub 2019 Apr 22.
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Autism Spectrum Disorders and ADHD: Overlapping Phenomenology, Diagnostic Issues, and Treatment Considerations.自闭症谱系障碍和注意力缺陷多动障碍:重叠的表现、诊断问题和治疗注意事项。
Curr Psychiatry Rep. 2019 Mar 22;21(5):34. doi: 10.1007/s11920-019-1020-5.
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Prevalence of Autism Spectrum Disorder in Preterm Infants: A Meta-analysis.早产儿自闭症谱系障碍患病率的 Meta 分析。
Pediatrics. 2018 Sep;142(3). doi: 10.1542/peds.2018-0134. Epub 2018 Aug 3.
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Association of Gestational Age at Birth With Symptoms of Attention-Deficit/Hyperactivity Disorder in Children.出生时的胎龄与儿童注意缺陷多动障碍症状的关联。
JAMA Pediatr. 2018 Aug 1;172(8):749-756. doi: 10.1001/jamapediatrics.2018.1315.
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Analysis of shared heritability in common disorders of the brain.脑常见疾病的遗传共享分析。
Science. 2018 Jun 22;360(6395). doi: 10.1126/science.aap8757.
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Prevalence of Parent-Reported ADHD Diagnosis and Associated Treatment Among U.S. Children and Adolescents, 2016.2016 年美国儿童和青少年父母报告的 ADHD 诊断患病率及相关治疗情况。
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父母的注意缺陷多动障碍(ADHD)和自闭症谱系障碍(ASD)症状,以及心理社会风险对极早产儿儿童注意缺陷多动障碍(ADHD)和自闭症谱系障碍(ASD)症状的影响。

Parental ADHD and ASD symptoms and contributions of psychosocial risk to childhood ADHD and ASD symptoms in children born very preterm.

机构信息

Medical Education, Washington University School of Medicine, St Louis, MO, USA.

Department of Psychiatry, Washington University School of Medicine, St Louis, MO, USA.

出版信息

J Perinatol. 2023 Apr;43(4):458-464. doi: 10.1038/s41372-022-01463-w. Epub 2022 Jul 15.

DOI:10.1038/s41372-022-01463-w
PMID:35840709
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9840718/
Abstract

OBJECTIVES

Examine maternal and paternal ADHD and ASD symptoms in relation to very preterm (VPT) and full-term (FT) children's ADHD and ASD symptoms.

STUDY DESIGN

In this longitudinal study, maternal- and teacher-report of child ADHD and ASD symptoms were obtained for 119 children (VPT = 79, FT = 40) at age 5-years using the Conner's Rating Scale-Revised (CRS-R) and Social Responsiveness Scale-2 (SRS-2). A biological parent completed self- and observer-report CRS-R and SRS-2, and measures of mood/affect, stress, and social support to assess psychosocial distress. Data were analyzed using mixed-effect models adjusted for covariates.

RESULTS

Child ADHD symptoms were associated with VPT birth, maternal distress, and maternal ADHD symptoms (p ≤ 0.02), and paternal ADHD symptoms (p < 0.001). Regarding ASD, VPT birth and parental ASD symptoms were associated with child ASD symptoms (p ≤ 0.009). Parental symptoms and birth group had no interaction.

CONCLUSIONS

VPT birth and parental psychopathology represent independent risks for ADHD and ASD.

摘要

目的

研究母体和父体注意缺陷多动障碍(ADHD)和自闭症谱系障碍(ASD)症状与极早产儿(VPT)和足月产(FT)儿童 ADHD 和 ASD 症状的关系。

研究设计

在这项纵向研究中,使用康纳氏评定量表修订版(CRS-R)和社会反应量表-2(SRS-2),在 5 岁时,对 119 名儿童(VPT=79,FT=40)的母亲和教师报告的儿童 ADHD 和 ASD 症状进行了评估。一位生物学上的父母完成了自我和观察报告的 CRS-R 和 SRS-2,以及情绪/情感、压力和社会支持的测量,以评估心理社会困扰。使用混合效应模型分析数据,并对协变量进行调整。

结果

儿童 ADHD 症状与 VPT 出生、母亲困扰和母亲 ADHD 症状(p≤0.02)以及父亲 ADHD 症状(p<0.001)相关。关于 ASD,VPT 出生和父母的 ASD 症状与儿童 ASD 症状相关(p≤0.009)。父母的症状和出生组之间没有相互作用。

结论

VPT 出生和父母的精神病理学是 ADHD 和 ASD 的独立风险因素。