ADHD and epilepsy in childhood
ADHD and epilepsy in childhood
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DOI：
10.1017/s0012162203000094
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发表时间：
2003-01-01
影响因子：
3.8
通讯作者：
Ambrosius, WT
中科院分区：
文献类型：
--
作者：
Dunn, DW;Austin, JK;Ambrosius, WT
注意力缺陷多动障碍（ADHD）与儿童癫痫有关;患病率数字从8%到77%不等，这取决于研究的样本和诊断标准。在一般人群中，ADHD的患病率约为5%，大多数受影响的儿童患有ADHD综合型。作为癫痫儿童行为问题更大研究的一部分，我们评估了175名儿童（90名男性，85名女性;年龄范围9至14岁，平均年龄为11岁10个月，SD 1岁8个月）的ADHD证据。这些孩子至少有6个月的癫痫病史。主要照顾者完成儿童行为量表（CECL）和儿童症状量表-4（CSI）或青少年症状量表-4（ASI）。在CBCL上，青少年的平均注意力问题T评分为64.6（SD 10.5），儿童为67.9（SD 11.6）。在CSI或ASI上，175名儿童中有20名符合DSM-IV标准的ADHD混合型; 175名儿童中有42名ADHD主要为注意力不集中型; 175名儿童中有4名符合ADHD主要为多动-冲动型的标准。CBCL注意力得分与注意力不集中（r=0.68）和多动-冲动（r=0.59）之间存在显著相关。性别、癫痫发作类型和癫痫发作放电灶不是ADHD症状的预测因子。患有癫痫的儿童有患ADHD症状的风险。他们不同于其他样本的儿童多动症的儿童比例较高，主要是注意力不集中的类型和平等的男性：女性比例。
Attention-deficit-hyperactivity disorder (ADHD) has been associated with childhood epilepsy; prevalence figures have ranged from 8 to 77%, depending on the sample studied and the criteria used for diagnosis. In the general population the prevalence of ADHD is approximately 5%, with the majority of affected children having ADHD combined type. As part of a larger study of behavioral problems in children with epilepsy, we assessed 175 children (90 males, 85 females; age range 9 to 14 years, mean age was 11 years 10 months, SD 1 year 8 months) for evidence of ADHD. The children had at least a 6-month history of epilepsy. The primary caregiver completed both the Child Behavior Checklist (CECL) and the Child Symptom Inventory-4 (CSI) or Adolescent Symptom Inventory-4 (ASI). On the CBCL, the mean attention problem T score was 64.6 (SD 10.5) for adolescents and 67.9 (SD 11.6) for children. On the CSI or ASI, 20 of 175 children met DSM-IV criteria for ADHD combined type; 42 of 175 had ADHD predominantly inattentive type; and 4 of 175 met criteria for ADHD predominantly hyperactive-impulsive type. There were significant correlations between the CBCL attention score and inattention (r=0.68) and hyperactivity-impulsivity (r=0.59). Sex, seizure type, and focus of seizure discharge were not predictors of symptoms of ADHD. Children with epilepsy are at risk for symptoms of ADHD. They differ from other samples of children with ADHD by the higher proportion of children with ADHD predominantly inattentive type and by an equal male: female ratio.