Informants' ratings of activity level in infancy predict ADHD symptoms and diagnoses in childhood.
Informants' ratings of activity level in infancy predict ADHD symptoms and diagnoses in childhood.
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受访者对婴儿期活动水平的评分可以预测儿童时期的多动症症状和诊断。
DOI：
10.1017/s0954579418000597
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发表时间：
2019
影响因子：
3.3
通讯作者：
Meeuwsen M
中科院分区：
文献类型：
--
作者：
Meeuwsen M
在一项对英国家庭（N = 321）的纵向研究中，我们检验了婴儿时期高活动水平可以预测自我调节问题和后来的注意缺陷和多动障碍（ADHD）症状的假设。在6个月时，使用3名被调查者在婴儿行为问卷（IBQ）和活动图上的报告来评估婴儿的活动水平，包括基线、注意和约束任务。在平均33个月时，对儿童进行自我调节任务评估；平均36个月时，有3名被调查者报告出现ADHD症状。在平均7岁时，对儿童的执行功能任务进行评估；报告了3名儿童ADHD症状的举报人；并使用学龄前儿童精神病学评估获得障碍诊断。信息者在6个月时的高活动水平报告预测了儿童早期ADHD症状和7岁时ADHD临床损害的诊断。IBQ活动量表也与儿童在童年早期和中期的自我调节任务中的表现有关。婴儿期的活动水平反映了正常的变化，而不是精神病理的标志；然而，这些发现表明，进一步研究婴儿期高活动水平的相关性可能有助于确定那些最有可能出现障碍的儿童。
We tested the hypothesis that high activity levels in infancy would predict self-regulatory problems and later symptoms of attention deficit and hyperactivity disorder (ADHD) in a longitudinal study of British families (N = 321). Infants’ activity levels were assessed at 6 months, using 3 informants’ reports from the Infant Behavior Questionnaire (IBQ) and ActiGraphs during baseline, attention, and restraint tasks. At a mean of 33 months, the children were assessed on self-regulatory tasks; at a mean of 36 months, 3 informants reported symptoms of ADHD. At a mean of 7.0 years, the children were assessed on executive function tasks; 3 informants reported on the child's symptoms of ADHD; and diagnoses of disorder were obtained using the Preschool Age Psychiatric Assessment. Informants’ reports of high activity levels at 6 months predicted ADHD symptoms in early childhood and diagnoses of ADHD with clinical impairment at age 7. The IBQ activity scale was also associated with the children's later performance on self-regulation tasks in early and middle childhood. Activity level in infancy reflects normal variation and is not a sign of psychopathology; however, these findings suggest that further study of the correlates of high activity level in infancy may help identify those children most at risk for disorder.