儿童和青少年注意缺陷多动障碍的全球患病率:系统评价和荟萃分析。

The global prevalence of ADHD in children and adolescents: a systematic review and meta-analysis.

机构信息

Department of Biostatistics, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.

出版信息

Ital J Pediatr. 2023 Apr 20;49(1):48. doi: 10.1186/s13052-023-01456-1.

Abstract

BACKGROUND

Attention-Deficit / Hyperactivity Disorder is a developmental neurological disorder that has three basic characteristics: Attention Deficit, Hyperactivity, and impulsivity. This study aimed to investigate the prevalence of ADHD in children and adolescents.

METHODS

This investigation was carried out using the meta-analysis method under PRISMA guidelines. Until October 2020, the articles were gathered by scanning PubMed, Scopus, WOS, and Science Direct databases. The second version of Comprehensive Meta-Analysis software was used to run analyses after extracting data from chosen papers. At a significance level of 0.05, the I test was used to analyze study heterogeneity, and the Egger test was used to assess publication bias.

RESULTS

This analysis includes 61 cross-sectional research, with 53 research used to determine the prevalence of ADHD in children, 7.6% of 96,907 children aged 3 to 12 years had ADHD (95% confidence interval: 6.1-9.4%), and 5.6% of teenagers aged 12 to 18 years have ADHD (95% confidence interval: 4.8-7%). The prevalence of ADHD in children and adolescents according to the DSM-V criterion is also higher than previous diagnostic criteria, according to studies.

CONCLUSION

The findings of this study based on meta-analysis show the high prevalence of attention deficit hyperactivity disorder (ADHD). The findings of this study demonstrate the importance of management and policy in the treatment and control of ADHD in children and adolescents.

摘要

背景

注意缺陷多动障碍是一种发育性神经障碍,具有三个基本特征:注意力缺陷、多动和冲动。本研究旨在调查儿童和青少年注意缺陷多动障碍的患病率。

方法

本研究采用 PRISMA 指南下的荟萃分析方法进行。截至 2020 年 10 月,通过扫描 PubMed、Scopus、WOS 和 Science Direct 数据库收集文章。使用 Comprehensive Meta-Analysis 软件的第二版在从选定论文中提取数据后运行分析。在 0.05 的显著水平下,使用 I 检验分析研究异质性,使用 Egger 检验评估发表偏倚。

结果

本分析包括 61 项横断面研究,其中 53 项研究用于确定儿童注意缺陷多动障碍的患病率,3 至 12 岁的 96907 名儿童中,7.6%(95%置信区间:6.1-9.4%)患有注意缺陷多动障碍,12 至 18 岁的青少年中,5.6%(95%置信区间:4.8-7%)患有注意缺陷多动障碍。根据研究结果,根据 DSM-V 标准,儿童和青少年注意缺陷多动障碍的患病率也高于以前的诊断标准。

结论

本荟萃分析研究结果表明,注意缺陷多动障碍(ADHD)的患病率较高。本研究结果表明,管理和政策对于儿童和青少年注意缺陷多动障碍的治疗和控制非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe13/10120242/63fec423e12b/13052_2023_1456_Fig1_HTML.jpg

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