Undertreatment of Motor Problems in Children with ADHD
Undertreatment of Motor Problems in Children with ADHD
复制标题
DOI：
10.1111/j.1475-3588.2009.00538.x
复制
发表时间：
2010-05-01
影响因子：
6.1
通讯作者：
Buitelaar, Jan K.
中科院分区：
文献类型：
--
作者：
Fliers, Ellen A.;Franke, Barbara;Buitelaar, Jan K.
研究背景：30%~ 50%的ADHD患儿存在运动障碍，严重影响日常生活。在临床实践中，似乎很少注意到这种合并症，其可能的后果是这些运动问题治疗不足。方法：对235例ADHD儿童和108例对照儿童进行了物理治疗的临床访谈和问卷调查，并对运动问题的治疗预测因素进行了分析。结果：一半的运动障碍儿童接受了物理治疗。接受治疗的儿童有更严重的运动问题，较少出现共病焦虑和行为障碍。治疗和未治疗的儿童年龄相似，ADHD注意力不集中和多动-冲动量表评分和父母社会经济状况相似。结论：目前，ADHD的运动问题治疗不足。行为因素在转诊和干预中发挥作用。
Background: Motor problems occur in 30% to 50% of children with ADHD, and have a severe impact on daily life. In clinical practice there seems to be little attention for this comorbidity with the possible consequence that these motor problems go undertreated. Method: Clinical interview and questionnaire survey of treatment by physiotherapy and factors predicting treatment of motor problems in 235 children with ADHD and 108 controls. Results: Half of motor-affected children had received physiotherapy. Treated children had more severe motor problems, and less frequently presented with comorbid anxiety and conduct disorder. Treated and untreated children were similar in age, and rated similarly on ADHD inattentive and hyperactive-impulsive scales and parental socio-economic status. Conclusion: Currently, undertreatment of motor problems in ADHD occurs. Behavioural factors play a role in referral and intervention.