Logistic regression analysis of non-biological related factors in children with attention deficit hyperactivity disorder

doi:10.11852/zgetbjzz2018-1426

Abstract

Abstract: Objective To explore the risk factors of attention deficit hyperactivity disorder(ADHD) in the growing environment of children starting from pregnancy,in order to provide relevant theoretical basis for better prevention of ADHD. Methods Totally 248 ADHD children and 276 normal children were enrolled in this study from April to September 2018.And the SNAP-Ⅳ Parent Rating Scale,the Conners Parent Symptom Questionnaire,the Self-made Child Growth Environment Questionnaire and the Children's Version of Eysenck Personality Questionnaire(EPQ) were used to investigate and analyze non-biological influencing factors of ADHD. Results Logistic regression analysis showed that history of the adverse pregnancy(OR=2.788,95%CI:1.049-7.412),non-exclusive breast-feeding under six months old(OR=2.365,95%CI:1.327-4.216),improper way of education(OR=3.139,95%CI:1.906-5.167),children's poor dietary behavior(OR=2.499,95%CI=1.449-4.139),and using electronic screens under three years old at first(OR=3.577,95%CI:1.552-8.248),the children's psycho-quality(OR=3.558,95%CI:1.357-9.326) or neurotic personality traits(OR=5.522,95%CI:2.435-12.521) were all the independent risk factors which can induce ADHD. Conclusion Paternal age at childbearing,maternal pregnancy,children's lifestyle and personality characteristics are all risk factors for ADHD in children,which should be given concerns by related department.

Key words: attention deficit hyperactivity disorder, children, non-biological factors

摘要： 目的分析从孕期开始儿童成长环境中诱发注意缺陷多动障碍(ADHD)的危险因素,为更好地预防ADHD的发生提供相关理论依据。方法 2018年4-9月采用SNAP-Ⅳ家长评定量表、Conners父母症状问卷、自制的儿童成长环境问卷以及艾森克人格问卷(EPQ,儿童版)对248例ADHD儿童和276例正常儿童进行调查研究,分析ADHD的非生物学影响因素。结果 Logistic回归分析显示不良孕期史(OR=2.788,95%CI:1.049~7.412),6个月内非纯母乳喂养(OR=2.365,95%CI:1.327~4.216),不当的教育方式(OR=3.139,95%CI:1.906~5.167),儿童不良饮食行为(OR=2.499,95%CI=1.449~4.139),儿童开始视屏的年龄<3岁(OR=3.577,95%CI:1.552~8.248)以及儿童偏精神质(OR=3.558,95%CI=1.357~9.326)或偏神经质的人格特征(OR=5.522,95%CI:2.435~12.521)都是诱发ADHD的危险因素。结论父亲生育年龄、母孕期因素、儿童生活方式及其人格特征均是ADHD的诱发因素,应引起有关部门重视。

关键词: 注意缺陷多动障碍, 儿童, 非生物学因素

CLC Number:

R749.94

SONG Mao-song, KUANG Gui-fang, SONG Mei, HE Li-na. Logistic regression analysis of non-biological related factors in children with attention deficit hyperactivity disorder[J]. journal1, 2019, 27(5): 477-480.

宋茂松, 匡桂芳, 松梅, 贺莉娜. 儿童注意缺陷多动障碍的非生物学相关因素Logistic回归分析[J]. 中国儿童保健杂志, 2019, 27(5): 477-480.

References

[1] Association AP.Diagnostic and statistical manual of mental disorders:text revision[M].American Psychiatric Association,2013:4189-4189.
[2] Willcutt EG.The prevalence of DSM-Ⅳ attention-deficit/hyperactivity disorder:a meta-analytic review[J]. Neurotherapeutics,2012,9(3):490-499.
[3] Wang T,Liu K,Li Z,et al. Prevalence of attention deficit/hyperactivity disorder among children and adolescents in China:a systematic review and meta-analysis[J].BMC Psychiatry,2017,17(1):32-42.
[4] Pohlabeln H,Rach S,De HS,et al. Further evidence for the role of pregnancy-induced hypertension and other early life influences in the development of ADHD:results from the IDEFICS study[J].Eur Child Adolesc Psychiatry,2017,26(8):1-11.
[5] Caspersen IH,Aase H,Biele G,et al. The influence of maternal dietary exposure to dioxins and PCBs during pregnancy on ADHD symptoms and cognitive functions in Norwegian preschool children[J]. Environ Int,2016,94:649-660.
[6] 曾小周,钱兴国,王培席. 注意缺陷多动障碍儿童母亲相关因素的病例对照研究[J]. 中华疾病控制杂志,2014,18(5):431-434.
[7]Chang Z,Lichtenstein P,D'Onofrio BM,et al. Maternal age at childbirth and risk for ADHD in offspring:a population-based cohort study[J]. Int J Epidemiol,2014,43(6):1815-1824.
[8] Hvolgaard MS,Olsen J,Bech BH,et al. Parental age and attention-deficit/hyperactivity disorder(ADHD)[J]. Int J Epidemiol,2017,46(2):409-420.
[9] Young ME,Galvan T,Reidy BL,et al. Family functioning deficits in bipolar disorder and ADHD in youth[J]. J Affect Disord,2013,150(3):1096-1102.
[10]Ptacek R,Kuzelova H. 2765-length of breastfeeding in ADHD children a factor in ADHD development?[J]. Eur Psychiat,2013,28(1):1.
[11]Ptacek R,Kuzelova H,Stefano GB,et al. Disruptive patterns of eating behaviors and associated lifestyles in males with ADHD[J]. Med Sci Monit,2014,20(8):608-613.
[12]Quesada D,Ahmed NU,Fennie KP,et al. A review:associations between attention-deficit/hyperactivity disorder,physical activity,medication use,eating behaviors and obesity in children and adolescents[J]. Arch Psychiat Nurs,2018,32(3):495-504.
[13] 熊莉,黄月,朱慧玲,等.柳州市城区小学生注意缺陷多动障碍儿童饮食状况调查[J].心理医生,2017,23(20):320-321.
[14] Pieper JR,Laugero KD. Preschool children with lower executive function may be more vulnerable to emotional-based eating in the absence of hunger[J]. Appetite,2013,62(2):103-109.
[15]Reid-Chassiakos YL,Radesky J,Christakis D,et al. Children and adolescents and digital media[J]. Pediatrics,2016,138(5):e20162593.
[16] 朱园青,叶祎,陈克,等. 体检儿童少年305例的电子媒体使用调查[J]. 中国儿童保健杂志,2013,21(6):642-645.
[17]Nikkelen SW,Valkenburg PM,Huizinga M,et al. Media use and ADHD-related behaviors in children and adolescents:a meta-analysis[J]. Dev Psychol,2014,50(9):2228-2241.
[18]Weiss MD,Baer S,Allan BA,et al. The screens culture:impact on ADHD[J].Atten Defic Hyperact Disord,2011,3(4):327-334.
[19] Gomez R,Corr PJ. ADHD and personality:a meta-analytic review[J]. Clin Psychol Rev,2014,34(5):376-388.
[20] Siyaguna T,Myhre SK,Saxton BT,et al. Neuroticism and emotion regulation predict attention performance during positive affect[J]. Curr Psychol,2017,2:1-8.