Attention-deficit/hyperactivity disorder (ADHD) as a risk factor for persistent nocturnal enuresis in children:: A two-year follow-up study
Attention-deficit/hyperactivity disorder (ADHD) as a risk factor for persistent nocturnal enuresis in children:: A two-year follow-up study
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DOI：
10.1080/08035250510041240
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发表时间：
2005-11-01
期刊：
影响因子：
3.8
通讯作者：
Vande Walle, J
中科院分区：
文献类型：
--
作者：
Baeyens, D;Roeyers, H;Vande Walle, J
目的：以前的患病率研究表明，多动症的患病率是高度增加的遗尿儿童。在目前的2年随访研究中，我们进一步研究了这两种疾病之间的关系。我们的目标是确定ADHD的诊断是否可以被重新确认，以及ADHD儿童是否更容易患上难以治愈的遗尿症。此外，我们还探讨了药物遗尿参数对排尿问题的影响。方法：对86例遗尿症患儿进行两次ADHD筛查，间隔2年。多方法，多信息评估多动症，儿童的医疗档案进行了咨询，并完成了家长问卷调查的儿童目前的排尿问题。结果如下：虽然73%的2岁ADHD儿童仍然符合该疾病的标准，但只有66%的亚型诊断可以重新确认。患有ADHD的孩子在2年后仍然有排尿问题的几率是没有ADHD的孩子的3.17倍。虽然注意到ADHD组的处方治疗数量略有增加，但两组之间在遗尿症治疗方法方面没有其他显著差异。的医疗参数与治疗outcome.Conclusion：由于73%的ADHD诊断可以重新确认，数据表明，ADHD综合征的患病率，而不是反应性ADHD的发病率增加遗尿儿童。患有ADHD的儿童有持续性遗尿的风险。两岁的医学遗尿症参数似乎对目前存在/不存在遗尿症的影响不大。
Aims: A previous prevalence study indicated that the prevalence of ADHD is highly increased in enuretic children. In the current 2-y follow-up study we investigate the relationship between both disorders further. Our goal is to determine whether the ADHD diagnoses can be reconfirmed and whether children with ADHD are more at risk for difficult-to-cure enuresis. Moreover, we explore the effect of medical enuresis parameters on the course of the voiding problem. Methods: Eighty-six children with enuresis were screened twice on the presence of ADHD with a 2-y interval. A multi-method, multi-informant assessment of ADHD was used, the child's medical file was consulted, and a parent questionnaire on the child's current voiding problems was completed. Results: Although 73% of all children with a 2-y-old diagnosis of ADHD still meet the disorder's criteria, only 66% of all subtype diagnoses can be reconfirmed. The odds that a child with ADHD still has voiding problems after 2 y are 3.17 times higher than for a child without ADHD. Although a slightly increased number of prescribed therapies in the ADHD group was noticed, no other significant differences in enuresis treatment methods were found between the groups. The medical parameters were not associated with treatment outcome.Conclusion: Since 73% of ADHD diagnoses can be reconfirmed, the data suggest that the prevalence of the ADHD syndrome rather than reactive ADHD symptomatology is increased in enuretic children. Children with ADHD are at risk for persistent enuresis. Two-year-old medical enuresis parameters seem to have little effect on the current presence/absence of enuresis.