Screening of attention deficit hyperactivity disorder in children aged 3 to 6 years and 11 month olds

S. Amiri, Ayyoub Malek, H. Sadeghi-Bazargani, Mona Mansouri, L. Fanid, Salman Abdi, Habibeh Barzegar, Ali Bahari Gharehgoz
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Abstract

Background ADHD (Attention deficit hyperactivity disorder) is a multifactorial disorder, defined by hyperactivity, impulsivity and attention deficits. Symptoms of ADHD begins during early childhood and negatively affects functionality at various levels. Aims This descriptive and cross-sectional study was conducted in 2016 to screen for Attention Deficit Hyperactivity Disorder in children aged 3 to 6 years, 11 months olds of Tabriz in Iran. Methods A total of 737 children aged 36 months to 6 years, 11 months in Tabriz were randomly selected from kindergarten and preschool centres. Both the Conners Early ChildhoodParent and -Teacher forms were used to estimate the prevalence of ADHD. Results The results indicated that the prevalence of ADHD was 337 (45.7 per cent) based on Conners EC-Parent, 416 (56.4 per cent) according to Conners EC-Teacher, and 225 (30.5 per cent) based on the both Conners EC-Teacher & Parent scales. The results of Fischer's exact test showed that the prevalence of ADHD in boys (n=117, 35.3 per cent) was significantly higher than that of the girls (n=108, 26.6 per cent) (p=0.01, X 2 =6.57). The results of Chi-square test indicated that there was no difference among different age groups in terms of the prevalence of ADHD (X 2 =2.86, p=0.41). Conclusion ADHD screening based on the Conners EC-Teacher & Parent forms was estimated to be 30.5 per cent. The regional prevalence of ADHD appears to be greater among children under the age of 7, although the use of the new Conners EC tool in this study could have possibly affected the ADHD prevalence estimates.
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3 - 6岁及11个月大儿童注意缺陷多动障碍的筛查
ADHD(注意缺陷多动障碍)是一种多因素障碍,由多动、冲动和注意缺陷所定义。多动症的症状开始于儿童早期,并在各个层面上对功能产生负面影响。本研究于2016年对伊朗大不里士3 - 6岁11个月大的儿童进行了描述性和横断面研究,以筛查注意缺陷多动障碍。方法随机选取大不里士市幼儿园和学龄前中心36个月~ 6岁11个月的儿童737名。康纳斯早期儿童家长和教师表格都被用来估计ADHD的患病率。结果Conners EC-Parent量表的ADHD患病率为337例(45.7%),Conners EC-Teacher量表的ADHD患病率为416例(56.4%),Conners EC-Teacher和Parent量表的ADHD患病率为225例(30.5%)。Fischer精确检验结果显示,男孩(n=117, 35.3%)的ADHD患病率明显高于女孩(n=108, 26.6%) (p=0.01, x2 =6.57)。卡方检验结果显示,不同年龄组ADHD患病率差异无统计学意义(x2 =2.86, p=0.41)。结论:基于Conners EC- teacher & Parent表格的ADHD筛查估计为30.5%。尽管在本研究中使用新的Conners EC工具可能会影响ADHD患病率估计,但ADHD在7岁以下儿童中的区域患病率似乎更高。
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Australasian Medical Journal
Australasian Medical Journal MEDICINE, GENERAL & INTERNAL-
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