Co-existing symptoms and risk factors among African school children with hyperactivity-inattention symptoms in Kinshasa, Congo
Co-existing symptoms and risk factors among African school children with hyperactivity-inattention symptoms in Kinshasa, Congo
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DOI：
10.1007/s00787-006-0536-5
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发表时间：
2006-08-01
影响因子：
6.4
通讯作者：
Elgen, Irene
中科院分区：
文献类型：
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作者：
Kashala, Esperance;Lundervold, Astri;Elgen, Irene
该研究的目的是探讨多动-注意力不集中（HI）症状和非洲学龄儿童中情绪和行为问题的共存症状及其与健康状况，社会人口因素和学校表现的关系。方法：采用病例对照研究方法。优势和困难问卷（SDQ）被用来探索共存的情绪和行为症状和半结构化的采访与父母，探讨社会人口变量。样本包括357名7-9岁的学龄儿童，其中183名儿童被定义为病例，根据SDQ-HI量表的异常得分定义，174名儿童被定义为对照组。两组间无年龄和性别差异。结果：产妇分娩年龄较低，学习成绩差的病例比对照组更常见。根据SDQ，四分之三的多动症儿童有共存的症状，最常见的是行为问题。结论：在其他文化中，HI症状和情绪和行为问题的共存被发现在这个非洲设置。需要在非洲儿童中进一步验证行为筛查工具。
The aims of the study were to explore hyperactivity-inattention (HI) symptoms and co-existing symptoms of emotional and behavioural problems among African school children and their relationship with health status, socio-demographic factors, and school performance. Method: A case-control approach was used. The Strengths and Difficulties Questionnaire (SDQ) was used to explore the co-existing emotional and behavioural symptoms and a semi-structured interview with parents to explore the socio-demographic variables. The sample included 357 school children at the age of 7-9 years: 183 children were defined as cases, defined by abnormal scores on the SDQ-HI scale and 174 randomly selected children among those with normal scores on the SDQ-HI were defined as controls. No age and gender differences were noticed between the two groups. Results: A younger maternal age at childbirth, and poor school performances were more frequent among cases than controls. Three quarter of the hyperactive-inattentive children had co-existing symptoms according to SDQ, the most common being conduct problems. Conclusion: As in other cultures, co-existence of HI symptoms and emotional and behavioural problems was found in this African setting. Further validation of behavioural screening instruments in African children is called for.