Health-related impairments in young children with ADHD: a community-based study

被引：10

作者：

Sciberras, E. ^{[1
,2
,3
,4
]}

Bisset, M. ^{[1
,2
]}

Hazell, P. ^{[5
]}

Nicholson, J. M. ^{[2
,6
]}

Anderson, V. ^{[2
,3
,4
]}

Lycett, K. ^{[2
]}

Jongeling, B. ^{[7
,8
]}

Efron, D. ^{[2
,3
,4
]}

机构：

[1] Deakin Univ, Sch Psychol, Geelong, Vic, Australia

[2] Murdoch Childrens Res Inst, Melbourne, Vic, Australia

[3] Royal Childrens Hosp, Melbourne, Vic, Australia

[4] Univ Melbourne, Melbourne, Vic, Australia

[5] Sydney Med Sch, Discipline Psychiat, Sydney, NSW, Australia

[6] La Trobe Univ, Melbourne, Vic, Australia

[7] Child Dev Serv, Joondalup, WA, Australia

[8] Univ Western Australia, Perth, WA, Australia

来源：

CHILD CARE HEALTH AND DEVELOPMENT | 2016年 / 42卷 / 05期

基金：

澳大利亚国家健康与医学研究理事会; 英国医学研究理事会;

关键词：

accidental injury; attention-deficit disorder with hyperactivity; BMI; child; obesity; sleep problems; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; DEFICIT HYPERACTIVITY DISORDER; SLEEP PROBLEMS; OBESITY; OUTCOMES; RELIABILITY; QUESTIONNAIRE; ADOLESCENTS; OVERWEIGHT; VALIDITY;

D O I：

10.1111/cch.12363

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

BackgroundWe aimed to examine health-related impairments in young children with attention-deficit/hyperactivity disorder (ADHD) and non-ADHD controls and explore differences in children with ADHD by gender, ADHD subtype and mental health co-morbidity status. MethodsChildren with ADHD (n=177) and controls (n=212) aged 6-8years were recruited across 43 schools in Melbourne, Australia following a screening (Conners 3 ADHD Index) and case confirmation procedure (Diagnostic Interview Schedule for Children IV). Direct and blinded assessments of height and weight were used to calculate body mass index z-score and to identify overweight/obesity. Parents reported on child global health, sleep problems and physical injuries. Unadjusted and adjusted (socio-demographic factors and co-morbidities) logistic and linear regression were conducted to compare health-related impairments between (1) children with and without ADHD; (2) boys and girls with ADHD; (3) children with ADHD-inattentive and ADHD-combined types; and (4) children with ADHD by internalizing and externalizing disorder status. ResultsChildren with ADHD had poorer global health than controls when adjusted for socio-demographic characteristics (OR: 2.0; 95% CI 1.1, 3.9); however, this attenuated after adjusting for co-morbidities. In adjusted analyses, children with ADHD had increased odds of moderate/large sleep problems (OR: 3.1; 95% CI 1.4, 6.8), compared with controls. There were no differences between children with and without ADHD in terms of physical injuries or overweight/obesity. Findings were similar when excluding children taking ADHD medication, and health-related impairments did not differ between boys and girls with ADHD. Children with ADHD-combined type had higher BMI z-scores than controls in adjusted analyses (P=0.04). Children with ADHD and co-occurring internalizing and externalizing co-morbidities were particularly vulnerable to health-related impairments. ConclusionYoung children with ADHD experience a number of health-related impairments, which are exacerbated by the presence of internalizing and externalizing co-morbidities. Clinicians should consider the broader health of children with ADHD in clinical consultations.

引用

页码：709 / 717

页数：9

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