Preschool onset attention-deficit/hyperactivity disorder: course and predictors of stability over 24 months.

Preschool onset attention-deficit/hyperactivity disorder: course and predictors of stability over 24 months.
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学龄前发病的注意力缺陷/多动障碍:24 个月内的病程和稳定性预测因素。

DOI:
10.1089/cap.2010.0045
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发表时间:
2011
影响因子:
1.9
通讯作者:
Luby,Joan
Luby,Joan
中科院分区:
医学3区
文献类型:
--
作者:
Tandon,Mini;Si,Xuemei;Luby,Joan

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目的:本研究调查了学龄前儿童ADHD病程超过24个月的情况。方法:年龄3.0~5.11岁的48名学龄前儿童,在3个年度时间点对306名患有抑郁症和其他障碍的学龄前儿童进行前瞻性的纵向随访。结果:学龄前MDD、ODD和CD的基线诊断是该学龄前儿童24个月以上ADHD诊断的危险因素。在年龄较大的学龄前儿童中,在控制了关键的人口统计学变量后,ADHD与其他重要的危险因素--奇怪的基线诊断和/或破坏性障碍的家族史,以及应激性生活事件--一起预测了较晚的ADHD诊断。结论:ADHD在较晚的学龄前表现出更大的同型连续性。其他破坏性的合并症也是ADHD病程稳定的关键预测指标。研究结果可能有助于告知哪些学龄前ADHD人群应作为早期干预的目标。需要更大的样本量来证实这些发现,并进一步探索学龄前起病ADHD的稳定性、病程和预后预测因素。
Objective:The present study examined the course of ADHD over 24 months in a preschool population.Method:n=48 preschoolers with ADHD, aged 3.0-5.11 years, subjects included in a larger sample of preschoolers with depression and other disorders (n=306) were comprehensively assessed at 3 annual time points over 24 months in a prospective longitudinal follow-up study.Results:Baseline diagnoses of preschool MDD, ODD, and CD were risk factors for ADHD diagnosis over 24 months in this preschool population. Among older preschoolers and after controlling for key demographic variables, ADHD predicted later ADHD diagnosis, along with other significant risk factors - baseline diagnosis of ODD, and/or family history of disruptive disorders, and stressful life events.Conclusions:ADHD showed greater homotypic continuity at later rather than earlier preschool ages. Other disruptive comorbidities also emerged as key predictors of stable ADHD course. Study findings may help to inform which preschool ADHD populations to target for early intervention. Larger sample sizes are needed to confirm these findings and to further explore the stability, course, and predictors of outcome of preschool onset ADHD.
严重抑郁的学龄前儿童。
DOI: --
发表时间: 1987
期刊:
影响因子: --
作者:
Kashani Jh;Carlson Ga
通讯作者: Carlson Ga
早期干预能有效预防多动症吗?
DOI: --
发表时间: 1998
影响因子: 0.4
作者:
G. C. Rappaport;A. Ornoy;A. Tenenbaum
通讯作者: A. Tenenbaum
DOI: 10.1097/00001163-200604000-00004
发表时间: 2006-04-01
影响因子: 1.1
作者:
Egger, HL;Kondo, D;Angold, A
通讯作者: Angold, A
DOI: 10.1097/00004583-199807000-00008
发表时间: 1998-07-01
影响因子: 13.3
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Lahey, BB;Pelham, WE;Baumann, B
通讯作者: Baumann, B
DOI: 10.1111/1469-7610.00012
发表时间: 2002-02-01
影响因子: 7.6
作者:
Gadow, KD;Nolan, EE
通讯作者: Nolan, EE