Background:Attention deficit hyperactivity disorder(ADHD)is a neurodevelopmental disorder manifesting in early life.These children are more vulnerable to sexual abuse as victims and offenders.Here we describe a teenag...Background:Attention deficit hyperactivity disorder(ADHD)is a neurodevelopmental disorder manifesting in early life.These children are more vulnerable to sexual abuse as victims and offenders.Here we describe a teenager with previously undiagnosed ADHD presenting with an alleged act of sexual offending.Case report:According to the 14-year-old accused,he has engaged in penetrative anal intercourse with another school colleague.He also divulged past such incidents involving a teenage male relative and insertion of foreign bodies by him to his anus repeatedly.On assessment the accused had features of inattention such as difficulty in sustaining attention,failing to finish work and features of impulsivity such as difficulty waiting for his turn and intruding on others.He was diagnosed with ADHD according to DSM 5 clinical criteria which were supported by the Sinhalese adaptation of the Swanson,Nolan and Pelham questionnaire.The assessment of the non-verbal intelligence was in the normal range,but his school performance was far below the average.Discussion:Undiagnosed ADHD contributes to academic impairment and inappropriate sexual behaviour.It is possible that the described adolescent’s impulsiveness and inattention contributed to his academic failure and risky sexual behaviour.Early detection and proper management of this disorder may have reduced the risk of such behaviour in him.展开更多
Purpose:Given the increased risk of accidents in patients with attention deficit and hyperactivity dis-order(ADHD)or maternal anxiety/depression,we aimed to investigate the frequency of the two diseases in children wi...Purpose:Given the increased risk of accidents in patients with attention deficit and hyperactivity dis-order(ADHD)or maternal anxiety/depression,we aimed to investigate the frequency of the two diseases in children with penetrating eye injury(PEI).Methods:Altogether 79 children,39 with PEIs and 40 healthy individuals(control group),aged 5-15 years,underwent a complete ophthalmologic examination.Afterwards,schedule for affective disorders and schizophrenia for school-aged children was conducted to assess the psychiatric diagnosis of all children.Turgay diagnostic and statistical manual of mental disorders(DSM-Ⅳ)-based child and adolescent behavior disorders screening and rating scale(T-DSM-Ⅳ-S)was flled by parents to evaluate the severity of ADHD symptoms.The depression and anxiety levels of mothers of each group were evaluated by two self-report measures:the Beck depression scale and the state-trait anxiety inventory(STAI),respectively.Data were analyzed by IBM SPSS version 22.0.The Chi-square and Fisher's exact test were used to determine whether there is a significant difference between qualitative variables while independent sample t and Mann-Whitney U tests to compare quantitative variables.Results:The only diagnostic difference was a significantly higher frequency of ADHD among patients with PEIs(48.7%in PEI vs.17.5%in control group,χ^2=7.359,p=0.007).The total scores of the T-DSM-Ⅳ-S(attention subscale U=418.000,p=0.006;hyperactivity subscale U=472.000,p=0.022)and maternal state-trait anxiety inventory(maternal STAI-state U=243.00,p=0.003;maternal STAl-trait U=298.000,p=0.021)were significantly higher in the PEI group than in control group.In logistic regression,children with PEI had a tendency to have a 3.5-fold increased risk for ADHD(OR=3.538,CI=0.960-13.039,p=0.058).Conclusion:ADHD was detected almost 1 in 2 children with PEls.Besides,the maternal anxiety level was significantly higher in the PEI group than in the control group.This association should be further explored via a future prospective longitudinal study.Since a proper treatment of ADHD in children and anxiety treatment in mothers may prevent vision loss following PEIs in children.展开更多
目的了解6~16岁注意缺陷多动障碍(attention deficit and hyperactive disorder,ADHD)儿童的智力水平及其影响因素。方法采用回顾性研究方法收集2014年10月—2022年9月河南省儿童医院符合美国精神障碍诊断与统计手册第5版诊断标准的2861...目的了解6~16岁注意缺陷多动障碍(attention deficit and hyperactive disorder,ADHD)儿童的智力水平及其影响因素。方法采用回顾性研究方法收集2014年10月—2022年9月河南省儿童医院符合美国精神障碍诊断与统计手册第5版诊断标准的2861例ADHD儿童,采用韦氏儿童智力量表第4版测试ADHD儿童的智力水平。根据智商得分,总智商划分为临界(70~79分)、中下(80~89分)、中等(90~109分)、中上(110~119分)、优秀(≥120分)5个智力等级,并比较不同性别、不同年级、不同父母文化程度患儿智力水平的差异。结果2861例ADHD儿童中,总智商等级处于临界水平为569例(19.89%),中下为846例(29.57%),中等为1304例(45.58%),中上为111例(3.88%),优秀为31例(1.08%)。男童工作记忆、加工速度和总智商的得分低于女童(P<0.05);不同年级组间知觉推理、工作记忆、加工速度和总智商得分的比较差异具有统计学意义(P<0.05);ADHD儿童的言语理解、知觉推理、工作记忆、加工速度和总智商得分与父母文化程度相关(P<0.05)。结论ADHD儿童智力等级为中下和临界水平的比例较高,且其智商水平受到性别、年级和父母文化水平的影响。展开更多
文摘Background:Attention deficit hyperactivity disorder(ADHD)is a neurodevelopmental disorder manifesting in early life.These children are more vulnerable to sexual abuse as victims and offenders.Here we describe a teenager with previously undiagnosed ADHD presenting with an alleged act of sexual offending.Case report:According to the 14-year-old accused,he has engaged in penetrative anal intercourse with another school colleague.He also divulged past such incidents involving a teenage male relative and insertion of foreign bodies by him to his anus repeatedly.On assessment the accused had features of inattention such as difficulty in sustaining attention,failing to finish work and features of impulsivity such as difficulty waiting for his turn and intruding on others.He was diagnosed with ADHD according to DSM 5 clinical criteria which were supported by the Sinhalese adaptation of the Swanson,Nolan and Pelham questionnaire.The assessment of the non-verbal intelligence was in the normal range,but his school performance was far below the average.Discussion:Undiagnosed ADHD contributes to academic impairment and inappropriate sexual behaviour.It is possible that the described adolescent’s impulsiveness and inattention contributed to his academic failure and risky sexual behaviour.Early detection and proper management of this disorder may have reduced the risk of such behaviour in him.
文摘Purpose:Given the increased risk of accidents in patients with attention deficit and hyperactivity dis-order(ADHD)or maternal anxiety/depression,we aimed to investigate the frequency of the two diseases in children with penetrating eye injury(PEI).Methods:Altogether 79 children,39 with PEIs and 40 healthy individuals(control group),aged 5-15 years,underwent a complete ophthalmologic examination.Afterwards,schedule for affective disorders and schizophrenia for school-aged children was conducted to assess the psychiatric diagnosis of all children.Turgay diagnostic and statistical manual of mental disorders(DSM-Ⅳ)-based child and adolescent behavior disorders screening and rating scale(T-DSM-Ⅳ-S)was flled by parents to evaluate the severity of ADHD symptoms.The depression and anxiety levels of mothers of each group were evaluated by two self-report measures:the Beck depression scale and the state-trait anxiety inventory(STAI),respectively.Data were analyzed by IBM SPSS version 22.0.The Chi-square and Fisher's exact test were used to determine whether there is a significant difference between qualitative variables while independent sample t and Mann-Whitney U tests to compare quantitative variables.Results:The only diagnostic difference was a significantly higher frequency of ADHD among patients with PEIs(48.7%in PEI vs.17.5%in control group,χ^2=7.359,p=0.007).The total scores of the T-DSM-Ⅳ-S(attention subscale U=418.000,p=0.006;hyperactivity subscale U=472.000,p=0.022)and maternal state-trait anxiety inventory(maternal STAI-state U=243.00,p=0.003;maternal STAl-trait U=298.000,p=0.021)were significantly higher in the PEI group than in control group.In logistic regression,children with PEI had a tendency to have a 3.5-fold increased risk for ADHD(OR=3.538,CI=0.960-13.039,p=0.058).Conclusion:ADHD was detected almost 1 in 2 children with PEls.Besides,the maternal anxiety level was significantly higher in the PEI group than in the control group.This association should be further explored via a future prospective longitudinal study.Since a proper treatment of ADHD in children and anxiety treatment in mothers may prevent vision loss following PEIs in children.
文摘目的了解6~16岁注意缺陷多动障碍(attention deficit and hyperactive disorder,ADHD)儿童的智力水平及其影响因素。方法采用回顾性研究方法收集2014年10月—2022年9月河南省儿童医院符合美国精神障碍诊断与统计手册第5版诊断标准的2861例ADHD儿童,采用韦氏儿童智力量表第4版测试ADHD儿童的智力水平。根据智商得分,总智商划分为临界(70~79分)、中下(80~89分)、中等(90~109分)、中上(110~119分)、优秀(≥120分)5个智力等级,并比较不同性别、不同年级、不同父母文化程度患儿智力水平的差异。结果2861例ADHD儿童中,总智商等级处于临界水平为569例(19.89%),中下为846例(29.57%),中等为1304例(45.58%),中上为111例(3.88%),优秀为31例(1.08%)。男童工作记忆、加工速度和总智商的得分低于女童(P<0.05);不同年级组间知觉推理、工作记忆、加工速度和总智商得分的比较差异具有统计学意义(P<0.05);ADHD儿童的言语理解、知觉推理、工作记忆、加工速度和总智商得分与父母文化程度相关(P<0.05)。结论ADHD儿童智力等级为中下和临界水平的比例较高,且其智商水平受到性别、年级和父母文化水平的影响。
