Diagnosis of attention-deficit/hyperactivity disorder and use of psychotropic medication in very young children.
Diagnosis of attention-deficit/hyperactivity disorder and use of psychotropic medication in very young children.
复制标题
幼儿注意力缺陷/多动症的诊断和精神药物的使用。
DOI：
10.1001/archpedi.153.10.1039
复制
发表时间：
1999
影响因子：
--
通讯作者：
Joseph C. Gardiner
中科院分区：
文献类型：
--
作者：
M. Rappley;Patricia B. Mullan;Francisco J. Alvarez;Ihouma U. Eneli;Jenny Wang;Joseph C. Gardiner
上下文
CONTEXT
Increases in diagnosis and treatment of attention-deficit/hyperactivity disorder (ADHD) have elicited public and professional concern. Research suggests that this trend warrants the inclusion of previously underdiagnosed children and adults. It is not clear whether this trend includes young children.
OBJECTIVE
To identify patterns of diagnosis and treatment of ADHD in very young children over time.
DESIGN
Descriptive study of Michigan Medicaid claims data.
PATIENTS
Inclusion criteria included recorded ADHD diagnosis, continuous Medicaid eligibility during a 15-month period, and age 3 years or younger at the first date of service.
MAIN OUTCOME MEASURES
Diagnoses of ADHD, conditions commonly comorbid with ADHD, other chronic health conditions, and injuries; treatments such as psychological services and psychotropic medication; and the number of ambulatory visits.
RESULTS
We identified 223 children aged 3 years or younger diagnosed with ADHD. Many had conditions commonly comorbid with ADHD (44%), other chronic health conditions (41%), and injuries (40%). More than half received psychotropic medication (57%); fewer received psychological services (27%). Twenty-two different psychotropic medications were used. Patterns included more than 1 psychotropic medication (46%) in 30 combinations of simultaneous use and 44 combinations of sequential use. The mean number of ambulatory visits was 18.
CONCLUSIONS
Children aged 3 years or younger had ADHD diagnosed and received markedly variable psychotropic medication regimens. Little information is available to guide these practices. The presence of comorbid conditions and injuries attests to these children's vulnerability. Resources must be identified that will enable physicians to better respond to the compelling needs of these children and their families.
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DOI：
10.1097/00004583-199807000-00008
发表时间：
1998-07-01
影响因子：
13.3
作者：
Lahey, BB;Pelham, WE;Baumann, B
通讯作者：
Baumann, B
与自闭症儿童氟哌啶醇反应和运动障碍相关的因素。
影响因子：
--
作者：
Locascio,JJ;Malone,RP;Small,AM;Kafantaris,V;Ernst,M;Lynch,NS;Overall,JE;Campbell,M
通讯作者：
Campbell,M
马里兰州为拥有医疗补助保险的青少年开出的精神药物方面存在种族差异。
DOI：
10.1097/00004583-199802000-00010
发表时间：
1998
期刊：
Journal of the American Academy of Child and Adolescent Psychiatry.
影响因子：
--
作者：
Zito,JM;Safer,DJ;dosReis,S;Riddle,MA
通讯作者：
Riddle,MA
母乳喂养期间的抗抑郁治疗。
DOI：
10.1176/ajp.153.9.1132
发表时间：
1996
期刊：
The American journal of psychiatry.
影响因子：
--
作者：
Wisner,KL;Perel,JM;Findling,RL
通讯作者：
Findling,RL