3～10岁儿童注意缺陷多动症状的发生状况及其与睡眠的关系

doi:10.3760/cma.j.issn.1674-6554.2014.07.017

PSYCH OpenIR > 健康与遗传心理学研究室

	3～10岁儿童注意缺陷多动症状的发生状况及其与睡眠的关系
其他题名	A study on attention deficit hyperactivity disorder symptoms of children aged 3 to 10 years old and its relationship with sleep
	陈宝君 1; 王利刚1 ; 陶婷1 ; 谢东杰 1; 樊春雷1 ; 高文斌1
摘要	目的调查儿童注意缺陷多动症状的发生状况及其与睡眠的关系.方法在全国6个地区,以性别、年级(幼儿园小班～小学三年级)和区域(城镇和农村)作为分层变量,随机分层整群抽取儿童1 535名,年龄为3～10岁.采用注意缺陷多动障碍诊断量表父母版和匹兹堡睡眠质量指数进行调查.结果全样本儿童注意缺陷多动症状阳性率为24.95％.在各项得分上,男性[注意缺陷(Inattention,IA)分量表:(9.21±3.75)分,多动冲动(Hyperactivity-Impulsivity,HI)分量表:(8.62±3.87)分,总分(Total):(17.82±7.01)分]均高于女性[IA:(8.16±3.77)分,HI:(7.32±3.76)分,Total:(15.48±6.98)分],差异有统计学意义(P＜0.001),而女性的阳性率(IA:16.19％,HI:27.02％,Total:32.51％)则高于男性(IA:11.70％,HI:8.19％,Total:17.43％),差异有统计学意义(P＜0.05).7～9岁是ADHD症状的高发期(7岁组IA:18.22％,HI:21.93％,Total:38.66％;8岁组IA:20.66％,HI:23.25％,Total:38.01％;9岁组IA:18.22％,HI:33.78％,Total:32.00％).农村儿童阳性率(IA:18.37％,HI:18.37％,Total:29.48％)高于城市儿童(IA:10.47％,HI:15.12％,Total:21.40％),差异有统计学意义(P＜0.01).Logistic回归分析表明睡眠质量、睡眠障碍和日间功能障碍等睡眠因子对注意缺陷多动症状有一定的预测力度.结论父母评定方法用于一般儿童人群时可能会出现较高的注意缺陷多动症状发生率;女性儿童和农村儿童的注意缺陷多动问题需要更多的关注;7～9岁阶段是注意缺陷多动症状最为明显的阶段;儿童在日间功能障碍、睡眠障碍和入睡时间上的问题越大,则注意缺陷多动症状越明显.
其他摘要	Objective To investigate the incidence of attention deficit hyperactivity disorder (ADHD)symptoms among 3-10-year-old children and its relationship with sleep.Methods Taking gender,grade (junior in kindergarten to third grade),and region(urban and rural areas) as stratification variable,1 535 children aged 3 to 10 years old were selected by random in six areas nationwide.ADHD Rating Scale-Ⅳ-Parent Version and Pittsburgh Sleep Quality Index were adopted to investigate ADHD symptoms and sleep of these children.Results 24.95％ of the investigated children had ADHD symptoms.Boys scored higher than girls in all indicators(boys:Inattention (IA):(9.21±3.75),Hyperactivity-Impulsivity (HI):(8.62± 3.87),Total:(17.82±7.01),girls:IA:(8.16±3.77),HI:(7.32±3.76),Total:(15.48±6.98)) while girls had higher incidence of ADHD symptoms than boys (girls:IA:16.19％,HI:27.02％,Total:32.51％,boys:IA:11.70％,HI:8.19％,Total:17.43％).Peak incidence occured in children aged 7-9 (7 years old group:IA:18.22％,HI:21.93 ％,Total:38.66％,8 years old group:IA:20.66％,HI:23.25 ％,Total:38.01％,9 years old group:IA:18.22％,HI:33.78％,Total:32.00％).Rural children had higher incidence of ADHD symptoms than urban children(rural children:IA:18.37％,HI:18.37％,Total:29.48％,urban children:IA:10.47％,HI:15.12％,Total:21.40％).Logistic regression results showed that sleep quality,sleep disorder and daily dysfunction can predict the incidence of ADHD symptoms to a certain degree.Conclusion The incidence of ADHD symptoms appear to be high in children evaluating by ADHD Rating Scale-Ⅳ-Parent Version.More attention should be paid to girls and rural children' s ADHD symptoms.7-9 years old children have the highest incidence of ADHD symptoms.The more problems in daytime dysfunction,sleep disorders and bedtime,the more ADHD symptoms will be observed.
关键词	儿童注意缺陷多动症状睡眠
学科领域	医学心理学
	2014
语种	中文
DOI	10.3760/cma.j.issn.1674-6554.2014.07.017
发表期刊	中华行为医学与脑科学杂志
卷号	23 期号:7 页码:632-635
期刊论文类型	期刊论文
URL	查看原文
资助机构	国家科技支撑计划项目 ; 中国科学技术协会学会能力提升专项
引用统计
文献类型	期刊论文
条目标识符	http://ir.psych.ac.cn/handle/311026/20218
专题	健康与遗传心理学研究室
作者单位	1.中国科学院心理研究所 2.中国科学院研究生院 3.浙江省台州医院精神卫生科
第一作者单位	中国科学院心理研究所
推荐引用方式 GB/T 7714	陈宝君,王利刚,陶婷,等. 3～10岁儿童注意缺陷多动症状的发生状况及其与睡眠的关系[J]. 中华行为医学与脑科学杂志,2014,23(7):632-635.
APA	陈宝君,王利刚,陶婷,谢东杰,樊春雷,&高文斌.(2014).3～10岁儿童注意缺陷多动症状的发生状况及其与睡眠的关系.中华行为医学与脑科学杂志,23(7),632-635.
MLA	陈宝君,et al."3～10岁儿童注意缺陷多动症状的发生状况及其与睡眠的关系".中华行为医学与脑科学杂志 23.7(2014):632-635.

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