DSM-IV diagnoses and obstructive sleep apnea in children before and I year after adenotonsillectomy
DSM-IV diagnoses and obstructive sleep apnea in children before and I year after adenotonsillectomy
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DOI：
10.1097/chi.0b013e31814b8eb2
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发表时间：
2007-11-01
影响因子：
13.3
通讯作者：
Chervin, Ronald D.
中科院分区：
文献类型：
--
作者：
Dillon, James E.;Blunden, Sarah;Chervin, Ronald D.
目的：阻塞性睡眠呼吸暂停是儿童腺扁桃体切除术的常见适应症，与行为障碍有关。我们评估了儿童在扁桃体扁桃体切除术前后的精神诊断，并检查了基线睡眠呼吸暂停是否预示着手术后的改善。方法：这项前瞻性队列研究的对象为计划行腺扁桃体切除术的儿童(n=79)或接受非相关手术治疗的儿童(n=27，其中13人在基线评估后接受手术)。干预前和干预1年后，受试者接受结构化诊断访谈和多导睡眠图检查。主要的结果测量是在基线和随访时DSM-IV注意力和破坏性行为障碍的诊断频率。结果：基线时，36.7%的扁桃体摘除术者和11.1%的对照组被诊断出注意力和破坏性行为障碍(p
Objective: Obstructive sleep apnea, a common indication for adenotonsillectomy in children, has been linked to behavioral morbidity. We assessed psychiatric diagnoses in children before and after adenotonsillectomy and examined whether baseline sleep apnea predicted improvement after surgery. Method: Subjects of this prospective cohort study were children ages 5.0 to 12.9 years old who had been scheduled for adenotonsillectomy (n = 79) or care for unrelated surgical conditions (n = 27, among whom 13 had surgery after baseline assessment). Before intervention and 1 year later, subjects underwent structured diagnostic interviews and polysomnography. The main outcome measure was frequency of DSM-IV attention and disruptive behavior disorder diagnoses at baseline and follow-up. Results: At baseline, attention and disruptive behavior disorders were diagnosed in 36.7% of adenotonsillectomy subjects and 11.1 % of controls (p