Do Symptoms of ADHD at Ages 7 and 10 Predict Academic Outcome at Age 16 in the General Population?

Do Symptoms of ADHD at Ages 7 and 10 Predict Academic Outcome at Age 16 in the General Population?
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DOI:
10.1177/1087054712452136
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发表时间:
2014-11-01
影响因子:
3
通讯作者:
Bolte, Sven
Bolte, Sven
中科院分区:
医学2区
文献类型:
--
作者:
Holmberg, Kirsten;Bolte, Sven

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目的:探讨Conners 10项量表对7岁和10岁学龄儿童16岁时学业成绩的预测价值。方法:对斯德哥尔摩县的一个市的N = 544名儿童进行了队列研究。使用家长和教师版本的Conners 10项量表,对7岁和10岁的儿童进行ADHD症状筛查,并在16岁时随访学校结果。结果如下:16岁时学校成绩的最佳预测因素是Conners项目,“儿童未能完成任务”和“注意力不集中,容易分心”,特异性高(90%-97%),但敏感性低(18%-39%)。结论:这项研究表明,在16岁时,学龄儿童注意力不集中的某些症状与学业成绩不佳之间存在相当大的关联。筛查一到两个学龄儿童注意力不集中的症状,可以确定30%到40%的参与者有以后学业成绩不佳的风险。
Objective: To examine the value of the Conners 10-item scale to predict academic outcomes at age 16 years in schoolchildren aged 7 and 10 years. Method: A cohort study of N = 544 children in a municipality of Stockholm County was conducted. Using the parent and teacher version of the Conners 10-item scale, 7- and 10-year-olds were screened for ADHD symptoms and followed-up for school outcome at age 16 years. Results: The best predictors for school outcome at age 16 years were the Conners items, "child failing to finish tasks" and "being inattentive, easily distracted," with a high specificity (90%-97%) but low sensitivity (18%-39%). Conclusion: This study indicates a considerable association between certain symptoms of inattentiveness in young schoolchildren and academic underachievement at age 16 years. Screening for one to two symptoms of inattention in schoolchildren identifies 30% to 40% of participants at risk for later poor school attainment.