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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Predictors of Attention-Deficit/Hyperactivity Disorder Within 6 Months After Pediatric Traumatic Brain Injury.
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Predictors of Attention-Deficit/Hyperactivity Disorder Within 6 Months After Pediatric Traumatic Brain Injury.

机译：小儿脑外伤后6个月内注意缺陷/多动障碍的预测指标。

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OBJECTIVE:: To assess the phenomenology and predictive factors of attention-deficit/hyperactivity disorder (ADHD) after traumatic brain injury (TBI), also called secondary ADHD (SADHD). METHOD:: Children without preinjury ADHD 5-14 years old with TBI from consecutive admissions (n = 143) to five trauma centers were observed prospectively for 6 months (baseline and 6 months), with semistructured psychiatric interviews. Injury severity, lesion characteristics, and preinjury variables including psychiatric disorder, family psychiatric history, family psychiatric history of ADHD, family function, socioeconomic status, psychosocial adversity, and adaptive function were assessed with standardized instruments. RESULTS:: SADHD in the first 6 months after injury occurred in 18 of 115 (16%) of returning participants. All subtypes of ADHD occurred. Socioeconomic status (p = .041) and orbitofrontal gyrus lesions (p = .005) independently significantly predicted SADHD. CONCLUSIONS:: These findings are consistent with research on developmental ADHD that implicate psychosocial factors and prefrontal structural and functional differences between those with and without the disorder.
机译：目的：评估脑外伤（TBI）后也称为继发性ADHD（SADHD）的注意力缺陷/多动障碍（ADHD）的现象学和预测因素。方法：前瞻性观察6个月（基线期和6个月）从连续入院（n = 143）到五个创伤中心的5-14岁患有TBI的儿童，没有损伤前多动症的儿童，接受了半结构性精神病学访谈。使用标准化工具评估伤害的严重程度，病变特征和伤害前变量，包括精神疾病，家庭精神病史，ADHD的家庭精神病史，家庭功能，社会经济状况，心理社会逆境和适应性功能。结果：115名返回参与者中有18名（16％）在受伤后的头6个月发生了SADHD。发生了多动症的所有亚型。社会经济状况（p = .041）和眶额回病变（p = .005）独立地显着预测了SADHD。结论：这些发现与发展性多动症的研究相一致，该研究暗示了有无精神障碍的人的社会心理因素以及额叶前额结构和功能的差异。

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