Increased prevalence of parent ratings of ADHD symptoms among children with bilateral congenital cataracts

• 作者: Chuan Chen Duo-Ru Lin Hao-Tian Lin Jing Li Jing-Jing Chen Li-Sha Wang Qian-Zhong Cao Wei-Rong Chen Xiao-Yan Li Yi Zhu Yi-Zhi Liu Zhen-Zhen Liu Zhuo-Ling Lin
• 来源期刊: 国际眼科杂志:英文版
• 学科: 医学
• 关键词: attention DEFICIT HYPERACTIVITY disorder congenital CATARACT Conners’ PARENT Rating Scale-48
• 年，卷（期）: gjykzzywb_2019,（8）
• 页码范围: 1323-1329
• 页数: 7页
• 分类号: R776.1

摘要

AIM: To investigate the behavioral and psychological disorders and the prevalence of parent ratings of attention deficit hyperactivity disorder(ADHD) symptoms among children with bilateral congenital cataracts(CCs). METHODS: This cross-sectional study investigated children with bilateral CC aged 3-8 y(CC group) using Conners’ Parent Rating Scale-48(CPRS-48) from July to December 2016. The abnormal rates of psychological symptoms in CC children and normal vision(NV) children were compared using the Chi-square test. The scores of CC children were compared with those of NV children and the Chinese urban norm using the independent samples t-test and one-sample t-test, respectively. RESULTS: A total of 262 valid questionnaires were collected. The ratio of CC children to NV children was 119:143. The overall rate of psychological symptoms in CC children was 2.28 times higher than that in NV children(46.22% vs 20.28%, Pearson’s χ2=20.062;P<0.001). CC children showed higher scores for conduct problems, learning problems, impulsiveness/hyperactivity, anxiety, and hyperactivity index than NV children and the Chinese urban norm, particularly between the ages of 3 and 5 y. Furthermore, male children aged between 6 and 8 y showed a higher impulsive/hyperactive score than females of the same age(t=6.083, P<0.001). CONCLUSION: Children with bilateral CCs have a higher rate of ADHD symptoms than children with NV. This study provides clinical evidence that screening for psychological symptoms and particularly for ADHD symptoms in children with bilateral CC are recommended for an early diagnosis and timely treatment.