细菌性脑膜炎是发展为注意缺陷多动障碍的危险因素吗?

Israel journal of psychiatry Pub Date : 2017-01-01
Eldira Hadzic, Osman Sinanovic, Haris Memisevic
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引用次数: 0

摘要

细菌性脑膜炎是一种严重的高发病率疾病。众所周知,许多疾病都与脑膜炎有关,包括注意缺陷多动障碍(ADHD)。本研究的目的是检查患有细菌性脑膜炎的儿童患多动症的频率。另一个目标是评估患过脑膜炎的儿童和未患过脑膜炎的儿童患多动症的比值比。方法:样本包括60名一岁前患脑膜炎的儿童和60名未患脑膜炎的对照组儿童。根据DSM-IV中设定的标准,通过与父母的结构性临床访谈来评估ADHD。结果:患有脑膜炎的儿童出现ADHD的总频率为62%,而未患脑膜炎的儿童出现ADHD的总频率为5%。脑膜炎组患儿发展为ADHD的优势比为30.5 (95% CI = 8.5 ~ 109)。结论:脑膜炎是儿童后期发展为ADHD的重要危险因素。患有脑膜炎的儿童需要进行监测,以便及时发现和治疗ADHD症状。
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Is Bacterial Meningitis a Risk Factor for Developing Attention Deficit Hyperactivity Disorder.

Introduction: Bacterial meningitis is a severe disease with high morbidity. Many medical conditions are known to be associated with meningitis including Attention Deficit Hyperactivity Disorder (ADHD). The goal of the present study was to examine the frequency of ADHD in children who had had bacterial meningitis. An additional goal was to assess the odds ratio for ADHD in children who had had meningitis and children who had not had it.

Methods: The sample comprised 60 children who had had meningitis in the first year of their lives and 60 control children who had not had the disease. ADHD was assessed through the structural clinical interviews with parents according to the criteria set in DSM-IV.

Results: The total frequency of ADHD in children who had had meningitis was 62%, as compared to 5% in children who had not had the disease. The odds ratio for developing ADHD was 30.5 (95% CI = 8.5 to 109) in favor of children in the meningitis group.

Conclusion: Meningitis is a significant risk factor for developing ADHD later in childhood. Children who had meningitis need to be monitored for timely detecting and treating ADHD symptoms.

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