Health complaints in children with attention-deficit/hyperactivity disorder

To assess recurrent subjective health complaints in Swedish schoolchildren with attention-deficit/hyperactivity disorder (ADHD). Cohort study of 577 fourth-graders (10-y-olds) in one municipality in Stockholm County. All children were screened for attention and behaviour problems through interviews...

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Veröffentlicht in:Acta Paediatrica 2006-06, Vol.95 (6), p.664-670
Hauptverfasser: HOLMBERG, Kirsten, HJERN, Anders
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creator HOLMBERG, Kirsten
HJERN, Anders
description To assess recurrent subjective health complaints in Swedish schoolchildren with attention-deficit/hyperactivity disorder (ADHD). Cohort study of 577 fourth-graders (10-y-olds) in one municipality in Stockholm County. All children were screened for attention and behaviour problems through interviews with their parents and teachers. Children with high scores underwent further clinical and cognitive assessments. Information about health complaints was collected from the children themselves in a classroom questionnaire. The 516 children for whom there was information from all three data sources were included in the final study population. Hypotheses were tested in multivariate analyses with adjustment for sex and parental education. Recurrent abdominal pain (RAP), sleeping problems and tiredness were associated with ADHD (stratified relative risks: 2.2 [1.4-3.4], 1.7 [1.1-2.7] and 2.7 [1.7-4.1], respectively), while there was no association with headache. This study indicates that treatment strategies for children with ADHD need to include an effective evaluation and treatment of RAP, tiredness and sleeping disturbances. Evaluation of ADHD should be considered in children with recurrent health complaints.
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Cohort study of 577 fourth-graders (10-y-olds) in one municipality in Stockholm County. All children were screened for attention and behaviour problems through interviews with their parents and teachers. Children with high scores underwent further clinical and cognitive assessments. Information about health complaints was collected from the children themselves in a classroom questionnaire. The 516 children for whom there was information from all three data sources were included in the final study population. Hypotheses were tested in multivariate analyses with adjustment for sex and parental education. Recurrent abdominal pain (RAP), sleeping problems and tiredness were associated with ADHD (stratified relative risks: 2.2 [1.4-3.4], 1.7 [1.1-2.7] and 2.7 [1.7-4.1], respectively), while there was no association with headache. This study indicates that treatment strategies for children with ADHD need to include an effective evaluation and treatment of RAP, tiredness and sleeping disturbances. Evaluation of ADHD should be considered in children with recurrent health complaints.</description><subject>Adolescent</subject><subject>Attention Deficit Disorder with Hyperactivity - complications</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Dermatologi och venerologi, klinisk genetik, invärtesmedicin</subject><subject>Dermatology and venerology,clinical genetics, internal medicine</subject><subject>Female</subject><subject>General aspects</subject><subject>Health Status</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Invärtesmedicin</subject><subject>Male</subject><subject>Medical sciences</subject><subject>MEDICIN</subject><subject>MEDICINE</subject><subject>Miscellaneous</subject><subject>Paediatric medicine</subject><subject>Pediatrisk medicin</subject><subject>Public health. Hygiene</subject><subject>Public health. 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Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HOLMBERG, Kirsten</creatorcontrib><creatorcontrib>HJERN, Anders</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Uppsala universitet</collection><jtitle>Acta Paediatrica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HOLMBERG, Kirsten</au><au>HJERN, Anders</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health complaints in children with attention-deficit/hyperactivity disorder</atitle><jtitle>Acta Paediatrica</jtitle><addtitle>Acta Paediatr</addtitle><date>2006-06-01</date><risdate>2006</risdate><volume>95</volume><issue>6</issue><spage>664</spage><epage>670</epage><pages>664-670</pages><issn>0803-5253</issn><issn>1651-2227</issn><eissn>1651-2227</eissn><abstract>To assess recurrent subjective health complaints in Swedish schoolchildren with attention-deficit/hyperactivity disorder (ADHD). Cohort study of 577 fourth-graders (10-y-olds) in one municipality in Stockholm County. All children were screened for attention and behaviour problems through interviews with their parents and teachers. Children with high scores underwent further clinical and cognitive assessments. Information about health complaints was collected from the children themselves in a classroom questionnaire. The 516 children for whom there was information from all three data sources were included in the final study population. Hypotheses were tested in multivariate analyses with adjustment for sex and parental education. Recurrent abdominal pain (RAP), sleeping problems and tiredness were associated with ADHD (stratified relative risks: 2.2 [1.4-3.4], 1.7 [1.1-2.7] and 2.7 [1.7-4.1], respectively), while there was no association with headache. This study indicates that treatment strategies for children with ADHD need to include an effective evaluation and treatment of RAP, tiredness and sleeping disturbances. Evaluation of ADHD should be considered in children with recurrent health complaints.</abstract><cop>Oxford</cop><pub>Blackwell</pub><pmid>16754546</pmid><doi>10.1080/08035250600717121</doi><tpages>7</tpages></addata></record>
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source MEDLINE; Wiley Online Library All Journals; Alma/SFX Local Collection
subjects Adolescent
Attention Deficit Disorder with Hyperactivity - complications
Biological and medical sciences
Child
Dermatologi och venerologi, klinisk genetik, invärtesmedicin
Dermatology and venerology,clinical genetics, internal medicine
Female
General aspects
Health Status
Humans
Internal medicine
Invärtesmedicin
Male
Medical sciences
MEDICIN
MEDICINE
Miscellaneous
Paediatric medicine
Pediatrisk medicin
Public health. Hygiene
Public health. Hygiene-occupational medicine
title Health complaints in children with attention-deficit/hyperactivity disorder
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