Emotional, developmental and behavioural co-morbidities of children with chronic health conditions
Emotional, developmental and behavioural co-morbidities of children with chronic health conditions
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DOI：
10.1111/j.1440-1754.2011.02044.x
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发表时间：
2011-10-01
影响因子：
1.7
通讯作者：
Oliver, M. Norman
中科院分区：
文献类型：
--
作者：
Blackman, James A.;Gurka, Matthew J.;Oliver, M. Norman
目的：本研究估计和比较率的情绪，发展和行为（EDB）问题的儿童慢性health conditions.Methods：EDB问题的发生率估计使用的数据从2005-2007年全国调查的儿童与特殊医疗保健需求。全国儿童健康调查（NSCH）2003年被用来提供国家估计作为referent values.Results：EDB问题的儿童慢性健康状况的整体率为15%，约三倍的儿童在美国一般人口的速度。注意力缺陷障碍/注意力缺陷/多动障碍的比率为18%，是一般人口中儿童的两倍多。偏头痛或其他类型的复发性头痛的儿童有最高的EDB问题的比率（47%），约九倍的NSCH样本的速率;那些与关节炎或其他关节问题有近30%，约五倍的NSCH.Conclusions率：慢性健康状况与EDB问题的高利率。患有复发性头痛和关节炎的儿童发病率特别高，可能与这些疾病相关的疼痛有关。慢性健康状况管理方案应通过多层面的护理方法解决医疗和EDB共病问题。
Aim: This study estimated and compared rates of emotional, developmental and behavioural (EDB) problems among children with chronic health conditions.Methods: Rates of EDB problems were estimated using data from the 2005-2007 National Survey of Children with Special Health Care Needs. The National Survey of Children's Health (NSCH) 2003 was used to provide national estimates as referent values.Results: The overall rate of EDB problems for children with chronic health conditions was 15%, about three times the rate for children in the general US population. The rate of attention deficit disorder/attention-deficit/hyperactivity disorder was 18%, over twice that for children in the general population. Children with migraine or other types of recurrent headaches had the highest rate of EDB problems (47%), about nine times the rate for the NSCH sample; those with arthritis or other joint problems had nearly 30%, about five times the rate for the NSCH.Conclusions: Chronic health conditions are associated with high rates of EDB problems. Children with recurrent headaches and arthritis have particularly high rates, possibly related to pain associated with these conditions. Chronic health condition management programmes should address both medical treatment as well as EDB co-morbid problems through a multidimensional approach to care.