Elevated rates of ADHD in mothers of children with comorbid ADHD and epilepsy.

Elevated rates of ADHD in mothers of children with comorbid ADHD and epilepsy.
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DOI:
10.2217/npy.12.53
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发表时间:
2012-10-01
期刊:
影响因子:
--
通讯作者:
Biederman J
Biederman J
中科院分区:
其他
文献类型:
--
作者:
Gonzalez-Heydrich J;Hamoda HM;Luna L;Rao S;McClendon J;Rotella P;Waber D;Boyer K;Faraone SV;Whitney J;Guild D;Biederman J

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描述ADHD和癫痫共病(ADHD+E)患儿母亲的ADHD患病率,并比较有(Fam+)和无(Fam−)额外亲属患有癫痫的母亲的ADHD症状。采用《学龄期儿童情感障碍和精神分裂症儿童时间表》ADHD模块和ADHD评定量表IV对患有ADHD+E儿童的母亲(n = 16)进行评估。收集样本中患有癫痫的一级或二级亲属存在(Fam+)或不存在(Fam -)的信息。总共有50%的母亲符合DSM-IV的ADHD标准。与Fam -母亲(36%,p = 0.14)相比,Fam+母亲(80%)中ADHD更为普遍。Fam+母亲比Fam−母亲有更多的当前多动症症状(p = 0.002),更高的当前多动症严重程度(p = 0.02)和更高的ADHD评定量表IV多动症评分(p = 0.008)。在这项初步研究中,ADHD+E患儿母亲的ADHD患病率升高,表明癫痫患儿及其母亲的ADHD症状反映了共同的家族遗传或环境风险,可能导致家庭成员中这两种疾病的患病率更高。这是一项初步研究,需要进行更大规模的对照研究。
To describe the prevalence of ADHD in mothers of children with comorbid ADHD and epilepsy (ADHD+E) and to compare ADHD symptoms in mothers with (Fam+) and without (Fam−) additional relative(s) with epilepsy. Mothers (n = 16) of children with ADHD+E were assessed by the Kiddie Schedule for Affective Disorders and Schizophrenia for School Age Children ADHD module and the ADHD Rating Scale IV. Information was collected on the presence (Fam+) or absence (Fam−) of first- or second-degree relatives with epilepsy in the sample. A total of 50% of mothers met the DSM-IV criteria for ADHD. ADHD was more prevalent in Fam+ mothers (80%) compared with Fam− mothers (36%; p = 0.14). Fam+ mothers had more current hyperactivity symptoms than Fam− mothers (p = 0.002), higher current ADHD severity (p = 0.02) and higher ADHD Rating Scale IV hyperactivity scores (p = 0.008). The prevalence of ADHD in mothers of children with ADHD+E is elevated in this pilot study, suggesting that ADHD symptoms in children with epilepsy and their mothers reflects shared familial genetic or environmental risks, potentially resulting in a higher prevalence of both disorders among family members. This is a pilot study and larger controlled studies are warranted.
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