Elevated attention deficit hyperactivity disorder symptoms in children who stutter
Elevated attention deficit hyperactivity disorder symptoms in children who stutter
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DOI：
10.1016/j.jfludis.2018.11.002
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发表时间：
2019-03-01
影响因子：
2.1
通讯作者：
Beilby, Janet
中科院分区：
文献类型：
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作者：
Druker, Kerianne;Hennessey, Neville;Beilby, Janet
目的：这项研究描述了表现出注意力缺陷多动障碍（ADHD）症状的口吃儿童的比例，表现为注意力不集中和过度活跃/冲动行为。那些有这些挑战性行为的孩子可能不会对口吃治疗做出快速和成功的反应。一个初步的探索，在治疗反应性的差异，为儿童和没有ADHD symptoms were carried.Method：参与者是185名学龄前儿童谁口吃谁已经完成了口吃治疗前3个月内研究开始。在治疗前口吃特征方面，研究了伴有和不伴有ADHD症状的口吃儿童组之间的差异（口吃严重程度和字体），人口统计学变量（发病时年龄、发病与开始治疗之间的时间、家族史和性别）和治疗数据结果：一半（50%）的参与者表现出ADHD症状升高。这些儿童比没有ADHD症状的儿童需要多25%的临床干预时间才能获得成功的流畅性结果。研究结果表明，更多的ADHD症状，增加预处理口吃的严重程度，和男性与不良反应口吃treatment.Conclusion：表现出ADHD症状升高的儿童的比例很大，并在这个亚组中所需的临床接触时间的增加，以实现成功的流畅性的结果，提示临床医生需要量身定制口吃干预，以解决这些伴随的行为挑战。研究结果支持使用谨慎的病例管理策略，以考虑儿童之间的个体差异，并加强预后信息提供给家长和临床医生。
Purpose: This study described the proportion of children who stutter who exhibit Attention Deficit Hyperactivity Disorder (ADHD) symptoms, manifesting in inattentive and hyperactive/impulsive behaviours. Children who stutter with these challenging behaviours may not respond as quickly and successfully to stuttering treatment. A preliminary exploration of differences in treatment responsiveness for children with and without ADHD symptoms was undertaken.Method: Participants were 185 preschool children who stutter who had completed stuttering therapy within 3 months prior to study commencement. Differences between groups of children who stutter with and without elevated ADHD symptoms were investigated, in terms of pretreatment stuttering features (stuttering severity and typography), demographic variables (age at onset, time between onset and commencement of therapy, family history and sex) and treatment data (post-treatment stuttering severity and number of sessions to achieve discharge criteria).Results: One-half (50%) of participants exhibited elevated ADHD symptoms. These children required 25% more clinical intervention time to achieve successful fluency outcomes than children without elevated ADHD symptoms. Findings suggest that more ADHD symptoms, increased pretreatment stuttering severity, and male sex were associated with poorer responsiveness to stuttering treatment.Conclusion: The large proportion of children exhibiting elevated ADHD symptoms, and the increase in clinical contact time required in this subgroup to achieve successful fluency outcomes, is suggestive of the need for clinicians to tailor stuttering intervention to address these concomitant behaviour challenges. Findings support the use of careful caseload management strategies to account for individual differences between children, and strengthen prognostic information available to parents and clinicians.