Quality of general movements and psychiatric morbidity at 9 to 12 years
Quality of general movements and psychiatric morbidity at 9 to 12 years
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DOI：
10.1016/j.earlhumdev.2008.05.005
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发表时间：
2009-01-01
影响因子：
2.5
通讯作者：
Groen, Sabina E.
中科院分区：
文献类型：
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作者：
Hadders-Algra, Mijna;Bouwstra, Hylco;Groen, Sabina E.
背景：一般运动（General movements, GMs）构成幼儿的基本运动。基因质量可以预测神经预后，但基因质量与行为问题之间的关系知之甚少，包括那些导致明显精神疾病的行为问题。目的：探讨GMs异常与行为问题的关系，特别是GMs异常与学龄期伴有或不伴有精神疾病的注意缺陷多动障碍（ADHD）的关系。方法：对25例低危足月儿和16例无脑瘫的神经发育障碍高危儿进行前瞻性研究。在“扭动”期（足月前后至足月后2个月）和“烦躁”期（足月后2-4个月）评估转基因质量。GMs分为正常运动和异常运动。当孩子9-12岁时，父母完成儿童行为检查表（CBCL）并提供精神诊断的存在信息；填写教师报告表（TRF）。家长和老师都完成了一份关于adhd样行为的问卷。结果：“扭动”和“躁动”年龄的异常GMs与ADHD的存在和精神合并症有关(p
Background: General movements (GMs) form the basic motility of young infants. The quality of GMs may predict neurological outcome, but little is known about relationships between GM-quality and behavioral problems, including those resulting in overt psychiatric morbidity.Aim: To explore relationships between abnormal GMs and behavioral problems, in particular relationships between abnormal GMs and Attention Deficit Hyperactivity Disorder (ADHD) with or without psychiatric co-morbidity at school-age.Methods: Twenty-five low-risk full term infants and 16 infants at high risk for neurodevelopmental disorder but without cerebral palsy were studied prospectively. GM-quality was assessed during 'writhing' age (around term till 2 months post-term) and 'fidgety' age (2-4 months post-term). GMs were classified into normal and abnormal movements. When the children were 9-12 years, parents completed the Child Behavior Checklist (CBCL) and provided information on the presence of psychiatric diagnoses; teachers completed the Teachers Report Form (TRF). Both parents and teachers completed a questionnaire on ADHD-like behavior.Results: Abnormal GMs at 'writhing' and 'fidgety' age were related to the presence of ADHD with psychiatric co-morbidity (p