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Sex-specific association between maternal mild anemia and children's behavioral development: a birth cohort study. 母亲轻度贫血与儿童行为发育之间的性别差异:一项出生队列研究。
IF 6 2区 医学 Q1 PEDIATRICS Pub Date : 2024-10-01 Epub Date: 2024-03-22 DOI: 10.1007/s00787-024-02411-z
Xuemei Hao, Yufan Guo, Jingru Lu, Linlin Zhu, Shuangqin Yan, Fangbiao Tao, Kun Huang

There has been limited research on maternal anemia affecting children's behavioral development, with a lack of studies focusing on sex differences in this association. Based on the Ma'anshan Birth Cohort, 2132 mother-child pairs were included. Maternal anemia was evaluated based on the hemoglobin concentration and children's behavioral development was assessed by Achenbach Child Behavior Checklist 1.5-5. Binary logistic regression models indicated that compared with children born of mothers without anemia throughout pregnancy, maternal mild anemia during pregnancy or only anemia in the 3rd trimester was associated with increased risks of aggressive behaviors in boys. Maternal mild anemia only in the 2nd trimester was associated with increased risks of attention problems in boys. In girls, maternal mild anemia during pregnancy was associated with increased risks of withdrawn, internalizing problems and total problems. Girls born of mothers with mild anemia only in the 2nd trimester had higher risks of total problems. Maternal mild anemia in both 2nd and 3rd trimesters was associated with increased risks of internalizing problems in girls. Our study identified sex-specific effects of maternal mild anemia during pregnancy on children's behavioral development problems.

有关母亲贫血影响儿童行为发育的研究十分有限,而且缺乏对这种关联的性别差异的研究。本研究以马鞍山出生队列为基础,纳入了 2132 对母婴。二元逻辑回归模型显示,与整个孕期无贫血的母亲所生子女相比,孕期轻度贫血或仅在怀孕第 3 个月贫血的母亲所生子女与男孩攻击性行为风险增加有关。母亲仅在怀孕第 2 个月出现轻度贫血与男孩出现注意力问题的风险增加有关。在女孩中,母亲孕期轻度贫血与孤僻、内化问题和总问题的风险增加有关。仅在怀孕后三个月患有轻度贫血的母亲所生的女孩出现全面问题的风险较高。母亲在怀孕的第二和第三个月都患有轻度贫血与女孩出现内化问题的风险增加有关。我们的研究确定了孕期母亲轻度贫血对儿童行为发育问题的性别特异性影响。
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引用次数: 0
Diagnostic conversion to bipolar disorder among adolescents and young adults with major depressive disorder: a nationwide longitudinal study. 患有重度抑郁障碍的青少年和年轻成年人诊断为双相情感障碍:一项全国范围的纵向研究。
IF 5.3 2区 医学 Q1 PEDIATRICS Pub Date : 2024-10-01 Epub Date: 2024-03-29 DOI: 10.1007/s00787-024-02401-1
Fan-Hsuan Kung, Chia-Kuang Tsai, Chih-Ming Cheng, Shih-Jen Tsai, Tung-Ping Su, Tzeng-Ji Chen, Ya-Mei Bai, Chih-Sung Liang, Mu-Hong Chen

Although several studies have examined a diagnostic conversion from major depressive disorder (MDD) to bipolar disorder (BD), only a few studies specifically focused on adolescents and young adults who are at the peak ages of BD onset. Data from participants (N = 130,793) aged 10-29 years who were diagnosed with MDD were extracted from the Taiwan National Health Insurance Research Database. We applied demographic analyses, survival analysis, Aalen Johansen curves, and Cox regression, investigating the diagnostic conversion rate and factors that were most or less predictive of conversion. Among the adolescents and young adults with MDD, the number of participant conversion subsample is 14,187 and the conversion rate was 13.80% (95% confidence interval: 13.54-14.06%) during the 11-year follow-up. The conversion rate was highest in the first year (4.50%; 4.39-4.61%) and decreased over time. The significant predictors were younger age of diagnosis with MDD (p < 0.001), moderate and high antidepressant resistance (p < 0.001), obesity (p < 0.001), psychiatric comorbidities (attention-deficit/hyperactivity disorder, substance use disorder, and cluster B and C personality disorder, all p < 0.001), a family history of mental disorders (schizophrenia and mood disorders, all p < 0.05), lower monthly income (p < 0.001), and more mental health visits to the clinic each year (p < 0.001). A composite of demographic characteristics, antidepressant resistance, physical and psychiatric comorbidities, and family history significantly predicted diagnostic conversion from MDD to BD (area under the curve = 0.795, p < 0.001). Compared to adult population, the adolescents and young adults had different factors that were most or less predictive of conversion, which warrants further investigation.

尽管有多项研究探讨了从重度抑郁障碍(MDD)到双相情感障碍(BD)的诊断转换问题,但只有少数研究特别关注处于双相情感障碍发病高峰年龄段的青少年和年轻成人。我们从台湾国民健康保险研究数据库中提取了10-29岁被诊断为MDD的参与者(N = 130,793)的数据。我们运用了人口统计学分析、生存分析、Aalen Johansen 曲线和 Cox 回归等方法,研究了诊断转换率以及最能或较不能预测转换的因素。在患有 MDD 的青少年和年轻成人中,参与转换子样本的人数为 14,187 人,11 年随访期间的转换率为 13.80%(95% 置信区间:13.54-14.06%)。第一年的转换率最高(4.50%;4.39%-4.61%),随后逐渐下降。重要的预测因素是确诊为 MDD 的年龄较小(p
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引用次数: 0
Unresolved questions in the link between maternal sleep patterns during pregnancy and infant developmental outcomes. 孕产妇孕期睡眠模式与婴儿发育结果之间尚未解决的问题。
IF 6 2区 医学 Q1 PEDIATRICS Pub Date : 2024-10-01 DOI: 10.1007/s00787-024-02588-3
Wei-Zhen Tang, Zhe-Ming Kang, Bei-Ning Deng, Wen-Xin Deng, Zhi-Mou Li, Xue-Bing Chen, Yue Tang, Tai-Hang Liu
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引用次数: 0
Early psychopathology: a persistently misunderstood and overlooked issue? 早期心理病理学:一个长期被误解和忽视的问题?
IF 6 2区 医学 Q1 PEDIATRICS Pub Date : 2024-10-01 Epub Date: 2024-11-04 DOI: 10.1007/s00787-024-02584-7
Franziska Schlensog-Schuster, Michael Kaess
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引用次数: 0
Child- and parent-related determinants for out-of-home care in a nationwide population with neurodevelopmental disorders: a register-based Finnish birth cohort 1997 study. 全国范围内患有神经发育障碍的人群中与儿童和家长相关的家庭外护理决定因素:基于登记的 1997 年芬兰出生队列研究。
IF 5.3 2区 医学 Q1 PEDIATRICS Pub Date : 2024-10-01 Epub Date: 2024-03-02 DOI: 10.1007/s00787-024-02406-w
Sanni Penttilä, Mika Niemelä, Helinä Hakko, Markus Keski-Säntti, Tiina Ristikari, Sami Räsänen

Neurodevelopmental disorders (NDDs) are among the most common health issues in childhood and adolescence. Psychiatric disorders are known to be overrepresented among children using child welfare services and placed in out-of-home care (OHC). Child- and parent-related determinants for OHC among a national population with NDDs were evaluated utilising longitudinal register data from the national Finnish Birth Cohort 1997 (n = 58,802) from birth to 18 years (1997-2015). The cohort members with NDDs (n = 5,143, 9% of total cohort) formed our study population. Based on their history of OHC, cohort members with NDD were categorised to OHC (n = 903) and non-OHC groups (n = 4,240). Of all cohort members with NDDs, 17.6% had a history of OHC. Within NDDs, a significant excess of ADHD diagnosis was observed in the OHC group compared to the non-OHC group (49% vs. 26%). The OHC group with NDDs was significantly characterised by having comorbid psychiatric diagnosis for conduct and oppositional disorders (adj. RR 2.21), substance use disorders (adj. RR 1.61) and depression and anxiety disorders (adj. RR 1.60). Of all parent-related determinants, the most prevailing in the OHC group compared to the non-OHC group, was social assistance received by parent (88% vs. 44.5%). The longer the period (in years) for received social assistance, the greater the likelihood for OHC (adj. RRs range from 2.41 for one year to 5.24 for over 4 years). Further, significantly associating determinants for OHC were parental psychiatric disorders (adj. RR 1.42) and parental death (adj. RR 1.23). Our findings from the population-based cohort of children and adolescents with NDDs highlight the importance of screening and assessment of family situation. Also, effective prevention and treating of comorbid psychiatric disorders, especially conduct and oppositional disorders is essential.

神经发育障碍(NDDs)是儿童和青少年时期最常见的健康问题之一。众所周知,在使用儿童福利服务和被置于家庭外照料(OHC)的儿童中,精神障碍的比例过高。我们利用1997年芬兰全国出生队列(n = 58,802)中从出生到18岁(1997-2015年)的纵向登记数据,评估了全国NDD人群中与儿童和家长相关的家庭外照料决定因素。患有 NDD 的队列成员(n = 5143,占队列总人数的 9%)构成了我们的研究人群。根据他们的口腔健康病史,患有 NDD 的队列成员被分为口腔健康组(n = 903)和非口腔健康组(n = 4240)。在所有 NDD 患者中,17.6% 曾患 OHC。在 NDDs 中,与非 OHC 组(49% 对 26%)相比,OHC 组的 ADHD 诊断率明显偏高。患有 NDDs 的 OHC 组的显著特点是合并有行为和对立障碍(adj. RR 2.21)、药物使用障碍(adj. RR 1.61)以及抑郁和焦虑障碍(adj. RR 1.60)的精神病诊断。在所有与父母相关的决定因素中,与非孤儿健康中心组相比,孤儿健康中心组最普遍的决定因素是父母接受的社会援助(88%对44.5%)。接受社会援助的时间越长(以年为单位),发生 OHC 的可能性就越大(RR 值从 1 年的 2.41 到 4 年以上的 5.24 不等)。此外,父母患有精神疾病(adj. RR 1.42)和父母死亡(adj. RR 1.23)也是导致婴儿发生过早死亡的重要决定因素。我们从以人群为基础的 NDD 儿童和青少年队列中得出的研究结果凸显了筛查和评估家庭状况的重要性。此外,有效预防和治疗合并精神病,尤其是品行障碍和对抗障碍也至关重要。
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引用次数: 0
Problems in peer relationships and low engagement in romantic relationships in preterm born adolescents: effects of maternal warmth in early childhood. 早产青少年的同伴关系问题和恋爱关系参与度低:幼儿期母亲温暖的影响。
IF 5.3 2区 医学 Q1 PEDIATRICS Pub Date : 2024-10-01 Epub Date: 2024-03-16 DOI: 10.1007/s00787-024-02399-6
Ayten Bilgin, Dieter Wolke, Hayley Trower, Nicole Baumann, Katri Räikkönen, Kati Heinonen, Eero Kajantie, Daniel Schnitzlein, Sakari Lemola

This study examined whether maternal warmth in early childhood moderates the association between preterm birth and problems in peer relationships and low engagement in romantic relationships in adolescence. We studied 9193 individuals from the Millennium Cohort Study in the United Kingdom, 99 (1.1%) of whom were born very preterm (VPT; < 32 weeks of gestation) and 629 (6.8%) moderate-to-late preterm (MLPT; 32-36 weeks gestation). Maternal warmth was reported by the mothers when their children were 3 years old. Peer relationship problems were reported by both the participants and their mothers at 14 and 17 years. Further, participants reported their engagement in romantic relationships at 14 and 17 years. All outcome variables were z-standardized, and the moderation effect was examined via hierarchical linear regressions. Compared to full-term birth, both MLPT and VPT birth were associated with lower engagement in romantic relationships at 17 years of age (b = .04, p = .02; b = .11, p = .02, respectively), and VPT birth was associated with increased peer relationship problems at 14 (b = .29, p = .01) and 17 years of age (b = .22, p = .046). Maternal warmth in early childhood was similarly associated with lower peer relationship problems in MLPT, VPT and full-term born adolescents. However, there was no influence of maternal warmth on engagement in romantic relationships at 17 years of age. There is no major modifying effect of maternal warmth in early childhood on the association between PT birth and peer relationship problems and low engagement in romantic relationships at 14 and 17 years of ages.

本研究探讨了幼儿期的母性温暖是否会调节早产与青春期同伴关系问题和恋爱关系参与度低之间的关联。我们研究了英国千年队列研究(Millennium Cohort Study)中的 9193 人,其中 99 人(1.1%)为极早产儿(VPT;
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引用次数: 0
The science of child and adolescent mental health in Greece: a nationwide systematic review. 希腊儿童和青少年心理健康科学:全国性系统回顾。
IF 5.3 2区 医学 Q1 PEDIATRICS Pub Date : 2024-10-01 Epub Date: 2023-05-14 DOI: 10.1007/s00787-023-02213-9
Anastasia Koumoula, Lauro Estivalete Marchionatti, Arthur Caye, Vasiliki Eirini Karagiorga, Panagiota Balikou, Katerina Lontou, Vicky Arkoulaki, André Simioni, Aspasia Serdari, Konstantinos Kotsis, Maria Basta, Efi Kapsimali, Andromachi Mitropoulou, Nikanthi Klavdianou, Domna Zeleni, Sotiria Mitroulaki, Anna Botzaki, Giorgos Gerostergios, Giorgos Samiotakis, Giorgos Moschos, Ioanna Giannopoulou, Katerina Papanikolaou, Katerina Aggeli, Nikolaos Scarmeas, Panagiotis Koulouvaris, Jill Emanuele, Kenneth Schuster, Eirini Karyotaki, Lily Kalikow, Katerina Pronoiti, Natan Pereira Gosmann, Julia Luiza Schafer, Kathleen R Merikangas, Peter Szatmari, Pim Cuijpers, Katholiki Georgiades, Michael P Milham, Mimi Corcoran, Sarah Burke, Harold Koplewicz, Giovanni Abrahão Salum

Evidence-based information is essential for effective mental health care, yet the extent and accessibility of the scientific literature are critical barriers for professionals and policymakers. To map the necessities and make validated resources accessible, we undertook a systematic review of scientific evidence on child and adolescent mental health in Greece encompassing three research topics: prevalence estimates, assessment instruments, and interventions. We searched Pubmed, Web of Science, PsycINFO, Google Scholar, and IATPOTEK from inception to December 16th, 2021. We included studies assessing the prevalence of conditions, reporting data on assessment tools, and experimental interventions. For each area, manuals informed data extraction and the methodological quality were ascertained using validated tools. This review was registered in protocols.io [68583]. We included 104 studies reporting 533 prevalence estimates, 223 studies informing data on 261 assessment instruments, and 34 intervention studies. We report the prevalence of conditions according to regions within the country. A repository of locally validated instruments and their psychometrics was compiled. An overview of interventions provided data on their effectiveness. The outcomes are made available in an interactive resource online [ https://rpubs.com/camhi/sysrev_table ]. Scientific evidence on child and adolescent mental health in Greece has now been cataloged and appraised. This timely and accessible compendium of up-to-date evidence offers valuable resources for clinical practice and policymaking in Greece and may encourage similar assessments in other countries.

以证据为基础的信息对于有效的心理健康护理至关重要,然而,科学文献的范围和可获取性对于专业人士和政策制定者来说是至关重要的障碍。为了了解这些必要条件并使有效资源便于获取,我们对希腊儿童和青少年心理健康的科学证据进行了系统性回顾,包括三个研究主题:患病率估计、评估工具和干预措施。我们对 Pubmed、Web of Science、PsycINFO、Google Scholar 和 IATPOTEK 进行了搜索,搜索时间从开始到 2021 年 12 月 16 日。我们纳入了评估患病率、报告评估工具数据和实验性干预措施的研究。对于每个领域,我们都使用手册告知数据提取情况,并使用经过验证的工具确定方法质量。本综述已在 protocols.io [68583] 上注册。我们纳入了 104 项研究,报告了 533 项患病率估计值,223 项研究提供了 261 种评估工具的数据,以及 34 项干预研究。我们根据国内各地区的情况报告了患病率。我们还汇编了经当地验证的评估工具及其心理测量学资料库。干预措施概述提供了有关其有效性的数据。相关成果可通过在线互动资源获取[ https://rpubs.com/camhi/sysrev_table ]。有关希腊儿童和青少年心理健康的科学证据现已编目并进行了评估。这份及时且易于查阅的最新证据汇编为希腊的临床实践和政策制定提供了宝贵的资源,并可能鼓励其他国家进行类似的评估。
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引用次数: 0
The prevalence of self-injury in adolescence: a systematic review and meta-analysis. 青少年自我伤害的发生率:系统回顾和荟萃分析。
IF 5.3 2区 医学 Q1 PEDIATRICS Pub Date : 2024-10-01 Epub Date: 2023-07-24 DOI: 10.1007/s00787-023-02264-y
Bernadett Frida Farkas, Zsofia K Takacs, Nóra Kollárovics, Judit Balázs

In the past 10 years, there has been a growing interest in self-injurious behavior (SIB) among adolescents. The lifetime prevalence of SIB is between 16 and 22% in community sample with females more likely to engage in SIB. There are conflicting results about the global distribution of the prevalence of SIB and whether the SIB has increased in the 21st century. Our aim in the current study was to conduct a systematic search of and meta-analysis on the prevalence of SIB in adolescents over the past 5 years' worth of published papers and to examine gender, continental, and year differences. We conducted a systematic search in June 2020 of six databases (PubMed, Scopus, Web of Science, OVID Medline, PsycINFO, EBSCO) with three main search terms: "self-injurious behavior," "prevalence," and "adolescence." Article inclusion criteria were (a) written in English; (b) published between January 1, 2015, and June 18, 2020; and (c) focused on a community sample. Titles and abstracts of the articles were screened first. Then, the relevant full texts were read, and those that met the inclusion criteria were collected. We used Comprehensive Meta-Analysis software was used to conduct the analyses. After the screening process 97, articles were included in the meta-analysis. The age of the samples ranged from 11.00 to 18.53 years. The overall average prevalence of nonsuicidal self-injury in the studies was 16%. There was a significant gender difference: females reported a higher prevalence than males (19.4% and 12.9%, respectively). A significantly higher prevalence was found among Asian articles than those from other continents (19.5% and 14.7%, respectively). The prevalence of SIB did not change significantly between 2013 and 2018. The current research draws attention to the high prevalence of SIB among adolescents, especially among females and those living in Asia. It is important to address this behavior, both in terms of prevention and intervention.

在过去 10 年中,人们对青少年自伤行为(SIB)的关注与日俱增。在社区抽样调查中,SIB的终生发生率在16%到22%之间,其中女性更有可能实施SIB。关于 SIB 流行率在全球的分布情况,以及 SIB 在 21 世纪是否有所增加,目前尚存在相互矛盾的结果。本研究的目的是对过去 5 年发表的有关青少年 SIB 发生率的论文进行系统检索和荟萃分析,并研究性别、大陆和年份的差异。我们于 2020 年 6 月对六个数据库(PubMed、Scopus、Web of Science、OVID Medline、PsycINFO、EBSCO)进行了系统检索,主要检索词有三个:"自伤行为"、"流行程度 "和 "青春期"。文章纳入标准为:(a) 以英语撰写;(b) 发表于 2015 年 1 月 1 日至 2020 年 6 月 18 日之间;(c) 以社区样本为研究对象。首先筛选文章的标题和摘要。然后,阅读相关全文,收集符合纳入标准的文章。我们使用综合元分析软件进行分析。经过筛选,97 篇文章被纳入荟萃分析。样本的年龄在 11.00 至 18.53 岁之间。这些研究中,非自杀性自我伤害的总体平均发生率为 16%。性别差异明显:女性的发病率高于男性(分别为 19.4% 和 12.9%)。亚洲文章的发病率明显高于其他大洲的文章(分别为 19.5% 和 14.7%)。2013年至2018年期间,SIB的流行率没有明显变化。目前的研究引起了人们对青少年SIB高流行率的关注,尤其是在女性和生活在亚洲的青少年中。从预防和干预两方面来应对这一行为非常重要。
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引用次数: 0
Characteristics of single vs. multiple suicide attempters among adolescents: a systematic review and meta-analysis. 青少年中单一与多重自杀企图者的特征:系统回顾与荟萃分析。
IF 6 2区 医学 Q1 PEDIATRICS Pub Date : 2024-10-01 Epub Date: 2023-07-20 DOI: 10.1007/s00787-023-02260-2
Berta Ezquerra, Adrián Alacreu-Crespo, Inmaculada Peñuelas-Calvo, Sofía Abascal-Peiró, Laura Jiménez-Muñoz, Dasha Nicholls, Enrique Baca-García, Alejandro Porras-Segovia

There might be differential characteristics between those who have attempted suicide once in their lifetime (single attempters) and those who have attempted suicide two or more times (multiple attempters). We aimed to identify the factors that differentiate single and multiple attempters in child and adolescents. This study was conducted following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines, and the review protocol was registered in PROSPERO. We conducted a systematic literature search in three databases to identify original studies exploring the characteristics of single attempters vs. multiple attempters among adolescents. We considered a wide range for the definition of adolescent, following most recent recommendations: 10-24 years. We carried out a meta-analysis. Fourteen studies were included in the systematic review and 13 in the meta-analysis with a total sample of with a total of 4286 participants. The factors statistically significantly associated with being a multiple attempter in the meta-analysis were: anxiety disorders, depression severity, alcohol abuse, substance abuse, aggressiveness, and hopelessness. Multiple attempters have a more severe clinical profile, with greater severity of symptoms. Knowledge of the risk factors associated with being a multiple attempter could help us to predict which patients are more likely to reattempt suicide and need further monitoring and a tailored treatment. Prevention programs tailored for the adolescent population, along with identification of early risk factors, could help to prevent suicidal behavior among this vulnerable population.

一生中自杀未遂过一次的人(单次自杀未遂者)和自杀未遂过两次或两次以上的人(多次自杀未遂者)可能有不同的特征。我们旨在找出儿童和青少年中区分单次自杀企图者和多次自杀企图者的因素。本研究遵照系统综述和元分析首选报告项目(PRISMA)指南进行,综述方案已在 PROSPERO 上注册。我们在三个数据库中进行了系统性文献检索,以确定探讨青少年中单次尝试者与多次尝试者特征的原创性研究。根据最新的建议,我们对青少年的定义范围进行了广泛的考虑:10-24 岁。我们进行了一项荟萃分析。14项研究被纳入系统综述,13项研究被纳入荟萃分析,样本总数为4286人。在荟萃分析中,与多重企图自杀者有明显统计学关联的因素包括:焦虑症、抑郁严重程度、酗酒、药物滥用、攻击性和绝望。多重企图自杀者的临床特征更为严重,症状更为严重。了解与多次企图自杀者相关的风险因素,有助于我们预测哪些患者更有可能再次企图自杀,并需要进一步的监测和有针对性的治疗。为青少年人群量身定制的预防计划,加上早期风险因素的识别,可以帮助预防这一弱势群体的自杀行为。
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引用次数: 0
Abnormal microstructure of corpus callosum in children with primary nocturnal enuresis: a DTI study. 原发性夜间遗尿症儿童胼胝体的异常微结构:一项 DTI 研究。
IF 6 2区 医学 Q1 PEDIATRICS Pub Date : 2024-10-01 Epub Date: 2024-03-21 DOI: 10.1007/s00787-024-02416-8
Jinqiu Li, Yang Zhang, Jing Chen, Xin Du, Yaqin Di, Qiaohui Liu, Chunxiang Wang, Quan Zhang

Primary nocturnal enuresis (PNE) is a common childhood disorder with abnormal sleep or arousal. The corpus callosum (CC) continues to develop into adulthood and plays an important role in sleep arousal. This study aimed to evaluate the microstructure of the CC in children with PNE. Diffusion tensor imaging (DTI) indices were extracted throughout the CC and its seven subregions were compared between the children with PNE and healthy children (HC). The correlation between abnormal DTI indices of the CC and cognitive condition was also tested. Compared to HC, decreased fiber number (NF) (F = 8.492, PFDR = 0.032) and fractional anisotropy (FA) value (F = 8.442, PFDR = 0.040) were found in the posterior midbody of the CC, increased RD was found in the posterior midbody (F = 6.888, PFDR = 0.040) and isthmus (F = 7.967, PFDR = 0.040) in children with PNE. The reduction of FA value was more obvious in boys than girls with PNE. In children with PNE, there was a significant positive correlation between the NF of the posterior midbody and full IQ (r = 0.322, P = 0.025) and between the FA value and the general knowledge memory (r = 0.293, P = 0.043). This study provides imaging evidence for abnormalities in the microstructure of the CC in children with PNE, especially in male PNE, which might affect the children's cognitive performance.

原发性夜间遗尿症(PNE)是一种常见的儿童疾病,会导致睡眠或觉醒异常。胼胝体(CC)一直发育到成年,在睡眠唤醒中扮演着重要角色。本研究旨在评估PNE患儿胼胝体的微观结构。研究人员提取了整个胼胝体及其七个亚区的弥散张量成像(DTI)指数,并比较了PNE患儿与健康儿童(HC)之间的差异。此外,还测试了CC的异常DTI指数与认知状况之间的相关性。与健康儿童相比,PNE患儿CC中后部的纤维数(NF)(F = 8.492,PFDR = 0.032)和分数各向异性(FA)值(F = 8.442,PFDR = 0.040)均有所减少,而RD则在中后部(F = 6.888,PFDR = 0.040)和峡部(F = 7.967,PFDR = 0.040)有所增加。与女孩相比,PNE 男孩的 FA 值下降更为明显。在 PNE 儿童中,后中体的 NF 值与全智商(r = 0.322,P = 0.025)以及 FA 值与常识记忆(r = 0.293,P = 0.043)之间存在显著的正相关。本研究提供了影像学证据,证明PNE患儿(尤其是男性PNE患儿)的CC微观结构存在异常,这可能会影响患儿的认知能力。
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引用次数: 0
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European Child & Adolescent Psychiatry
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