基于SNAP-Ⅳ筛查的儿童注意缺陷多动障碍相关因素分析OA
Analysis of Factors Associated with Attention Deficit Hyperactivity Disorder in Children Based on SNAP-Ⅳ Screening
目的 探究分析基于 SNAP-Ⅳ筛查的儿童注意缺陷多动障碍(ADHD)相关因素.方法 回顾性分析 2021 年8 月至 2023 年 8 月本院收治的 300 例疑似 ADHD 儿童的病例资料,96 例筛查出 ADHD 阳性儿童设为观察组,204 例筛查出 ADHD 阴性儿童设为对照组,统计患儿临床资料,采用单因素与多因素二元 Logistic 回归分析影响 ADHD 症状筛查阳性儿童发生的独立相关因素.结果 观察组男患儿多于对照组,父亲性格急躁占比、母亲孕期有负性情绪占比、母亲孕期吸二手烟占比等高于对照组,组间数据比较(P<0.05),差异有统计学意义;二元Logistic回归分析显示,性别、母亲孕期负性情绪、母亲孕期被动吸烟、父亲性格、父母婚姻状况是儿童出现ADHD的独立相关因素(OR=2.028、1.668、2.062、1.941、1.884),差异有统计学意义(P<0.05).结论 性别、母亲孕期负性情绪、母亲孕期被动吸烟、父亲性格、父母婚姻状况都是与儿童 ADHD 症状筛查阳性相关的独立相关因素,临床应予以充分重视.
Objective To investigate factors associated with attention deficit hyperactivity disorder(ADHD)in children based on SNAP-Ⅳ screening.Methods The clinical data of 300 children with suspected ADHD who were admitted to the hospital from August 2021 to August 2023 were retrospectively analyzed.Among them,96 children who screened positive for ADHD were assigned to the observation group,and 204 children who screened negative were assigned to the control group.Clinical characteristics were collected,and univariate analysis followed by multivariable binary logistic regression analysis was performed to identify independent factors associated with a positive ADHD symptom screening result.Results The proportion of boys was higher in the observation group than in the control group.The proportion of fathers with impatient personalities,whose mothers experienced negative emotions during pregnancy,and whose mothers were exposed to secondhand smoke during pregnancy were also higher in the observation group,with statistically significant between-group differences(P<0.05).Binary logistic regression analysis showed that gender,maternal negative emotions during pregnancy,maternal passive smoking during pregnancy,paternal temperament,and parental marital status were independently associated with positive ADHD symptom screening,with odds ratios of 2.028,1.668,2.062,1.941,and 1.884,respectively(P<0.05).Conclusion Sex,maternal negative emotions during pregnancy,maternal passive smoking during pregnancy,paternal temperament,and parental marital status are independently associated with positive ADHD symptom screening in children and warrant clinical attention.
彭云秋;余静;李亚萍;杨帆
信阳市中心医院 儿童保健科,河南 信阳 464000信阳市中心医院 儿童保健科,河南 信阳 464000信阳市中心医院 儿童保健科,河南 信阳 464000信阳市中心医院 儿童保健科,河南 信阳 464000
注意缺陷多动障碍儿童影响因素高危因素
attention-deficit/hyperactivity disorderchildrenassociated factorsrisk factors
《临床研究》 2026 (9)
40-43,4
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