儿童注意缺陷及破坏性行为障碍4年与8年随访比较

发布时间：2018-07-06 21:17

本文选题：儿童注意缺陷与破坏性行为障碍 + 随访　；参考：《中国公共卫生》2017年03期

【摘要】：目的探讨注意缺陷与破坏性行为障碍(ADDBD)儿童的自愈率、其他精神障碍发生率随时间的变化状况。方法对2005年3—4月在河南省唐河县22所小学中诊断出的182例ADDBD儿童,分别于2009年(4年)、2013年(8年)后进行随访,依据精神障碍诊断与统计手册(第4版)进行ADDBD及其他精神障碍诊断。运用χ~2检验比较分析2次随访之间的差异。结果注意缺陷/多动障碍(ADHD)、对立违抗性障碍(ODD)自愈率均随时间而明显增高(ADHD:P=0.001,ODD:P=0.003);ADHD、ODD、ADHD+ODD儿童其他精神障碍总发生率2次随访差异无统计学意义(P0.05);患者焦虑障碍、抑郁障碍、网络成瘾障碍及双相情感障碍发生率在2次随访间差异均无统计学意义(P0.05)。结论 ADDBD的发展呈现随年龄逐渐减轻趋势,以ADHD、ODD表现明显;ADDBD预示着后来发生情感障碍的可能性高。
[Abstract]:Objective to investigate the self-healing rate and other mental disorders in children with attention deficit and destructive behavior disorder (ADDBD). Methods 182 ADDBD children diagnosed in 22 primary schools in Tanghe County, Henan Province in March-April 2005 were followed up in 2009 (4 years) and 2013 (8 years), respectively. ADDBD and other mental disorders were diagnosed according to the Manual of diagnosis and Statistics of Mental Disorder (4th Edition). 蠂 2 test was used to compare and analyze the difference between the two follow-up procedures. Results the self-healing rate of ADHD / ADHD and ODD increased significantly with time (ADHD: P0. 001 ODD: P0. 003). There was no significant difference in the total incidence of other mental disorders in ADHD / ADHD odd children (P0.05), anxiety disorder, depressive disorder, and depressive disorder. There was no significant difference in the incidence of iad disorder and bipolar affective disorder between the two follow-up (P0.05). Conclusion the development of ADDBD tends to decrease with age, and ADDDBD is a good predictor of affective disorder.
【作者单位】：天津医科大学精神医学教研室;天津市安定医院;
【分类号】：R749.94

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