多动症与小儿镰状细胞病:发病率和风险因素

IF 1.6 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Journal of Clinical Psychology in Medical Settings Pub Date : 2024-07-09 DOI:10.1007/s10880-024-10027-3
Sarah E Bills, Jeffrey Schatz, Sreya Varanasi, Julia D Johnston, Elizabeth Gillooly
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引用次数: 0

摘要

镰状细胞病 (SCD) 是一种遗传性血液病,它使青少年出现复杂注意力缺陷的风险增加,这表明他们患注意力缺陷/多动障碍 (ADHD) 的风险增加。我们采用系统筛查的方法,评估了以诊所为基础的 SCD 青少年样本中多动症的患病率,并探讨了与多动症相关的因素。107 名 SCD 患儿(7-11 岁)的照顾者完成了常规社会心理筛查,其中包括注意力不集中的多动症症状。对注意力不集中症状加重的患者完成了后续诊断程序,以评估多动症诊断。通过筛查和医疗记录对生物医学和社会环境变量进行了研究。26%的患者表现出注意力不集中症状,其中13%符合多动症诊断标准。大多数符合多动症诊断标准的儿童(75%)以前未被诊断过。疾病的严重程度并不能预测注意力不集中症状或多动症的诊断,但慢性炎症与多动症有关。家庭功能与注意力不集中症状的升高有关,但与多动症的诊断无关。SCD患儿的多动症发病率相对较高,许多病例并不是通过常规护理发现的。作为血液病护理的一部分,多动症筛查可能是一种可行的策略,可提高识别率和干预机会。
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Comorbid ADHD and Pediatric Sickle Cell Disease: Prevalence and Risk Factors.

Sickle cell disease (SCD) is a genetic blood condition that places youth at increased risk for deficits in complex attention suggestive of increased risk for Attention-Deficit/Hyperactivity Disorder (ADHD). We used systematic screening to assess the prevalence of ADHD in a clinic-based sample of youth with SCD and explored factors related to ADHD. Caregivers of 107 children with SCD (ages 7-11 years) completed routine psychosocial screening which included inattentive symptoms of ADHD. Follow-up diagnostic procedures were completed for patients with elevated inattentive symptoms to assess for ADHD diagnoses. Biomedical and social-environmental variables were examined from the screening and medical records. Twenty-six percent of patients showed elevated inattentive symptoms with 13% meeting diagnostic criteria for ADHD diagnoses. Most children (75%) who met criteria for ADHD had not been previously diagnosed. Disease severity did not predict inattentive symptoms or ADHD diagnoses, though a measure of chronic inflammation was associated with ADHD. Family functioning was related to elevated inattentive symptoms but not ADHD diagnoses. Children with SCD show relatively high rates of ADHD with many cases not detected through routine care. Screening for ADHD as part of hematology care may be a feasible strategy to improve identification and access to intervention.

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来源期刊
CiteScore
4.00
自引率
4.50%
发文量
93
期刊介绍: Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.
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