Racial/Ethnic Differences in the Prevalence of Anxiety Using the Vanderbilt ADHD Scale in a Diverse Community Outpatient Setting.
Racial/Ethnic Differences in the Prevalence of Anxiety Using the Vanderbilt ADHD Scale in a Diverse Community Outpatient Setting.
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DOI：
10.1097/dbp.0000000000000330
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发表时间：
2016-10
期刊：
影响因子：
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通讯作者：
Downs SM
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文献类型：
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作者：
Bauer NS;Yoder R;Carroll AE;Downs SM
儿科焦虑症很普遍，但与初级保健实践中的其他行为状况相比，经常被低估。儿科医生经常使用范德比尔特评定量表筛查注意力缺陷多动障碍，其中包括一个短屏幕的焦虑。我们试图检查其父母最初对多样化环境中的破坏性行为感到担忧的患者中潜在焦虑的患病率，并使用Vanderbilt ADHD诊断评定量表(VADRS)检查不同种族之间焦虑的差异。这是对5-12岁儿童的医疗记录数据的横断面分析，这些儿童的父母担心有破坏性行为，并在2010年5月25日至2014年1月31日期间在印第安纳波利斯的两家儿科社区卫生诊所接受了初级护理。在父母担心破坏性行为的儿童中，有16%的儿童在VADRS筛查的焦虑筛查中呈阳性。与白人和黑人家庭相比，西班牙裔父母报告焦虑症状的可能性较小(西班牙语：AOR 0.4，95%CI 0.2-0.8；英语：AOR 0.3，95%CI 0.1-0.9)。在使用VADRS的西班牙裔儿科患者中，焦虑的发生率较低。这可能表明说西班牙语的家庭在VADR的表现上存在差异。
Pediatric anxiety is prevalent but frequently under-diagnosed compared to other behavioral conditions in primary care practice. Pediatricians routinely screen for attention deficit hyperactivity disorder using the Vanderbilt Rating Scale, which includes a short screen for anxiety. We sought to examine the prevalence of potential anxiety among patients whose parents originally had concerns of disruptive behavior in a diverse setting and examine differences in anxiety across ethnic groups using the Vanderbilt ADHD Diagnostic Rating Scale (VADRS). This was a cross-sectional analysis of medical records data of children between the ages of 5–12 years whose parents had concerns of disruptive behavior and received primary care from May 25, 2010 to January 31, 2014 at 2 pediatric community health clinics in Indianapolis. 16% of children whose parents had concerns for disruptive behavior screened positive for anxiety based on the VADRS screen. Hispanic parents were less likely to report symptoms of anxiety (Spanish-speaking: AOR 0.4, 95% CI 0.2 – 0.8; English-speaking: AOR 0.3, 95% CI 0.1 – 0.9) compared to white and black families. Anxiety is detected at a lower rate among Hispanic pediatric patients using the VADRS. This may suggest differences in the performance of the VADRS among Spanish speaking families.