Volume 45 Issue 8
Aug.  2024
Turn off MathJax
Article Contents
ZHANG Xiaoyu, GUO Guangping, AN Yanting, CHE Xueji, WANG Daijiao, YANG Yan, LIU Yunfen, TANG Siyi, HU Hongwei. Occurrence of hyperactivity behavior and its relationship with neuropsychological development in children aged 3-6 in Yunnan Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(8): 1106-1110. doi: 10.16835/j.cnki.1000-9817.2024254
Citation: ZHANG Xiaoyu, GUO Guangping, AN Yanting, CHE Xueji, WANG Daijiao, YANG Yan, LIU Yunfen, TANG Siyi, HU Hongwei. Occurrence of hyperactivity behavior and its relationship with neuropsychological development in children aged 3-6 in Yunnan Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(8): 1106-1110. doi: 10.16835/j.cnki.1000-9817.2024254

Occurrence of hyperactivity behavior and its relationship with neuropsychological development in children aged 3-6 in Yunnan Province

doi: 10.16835/j.cnki.1000-9817.2024254
  • Received Date: 2024-02-10
  • Rev Recd Date: 2024-03-31
  • Publish Date: 2024-08-25
  •   Objective  To investigate the prevalence of hyperactivity behavior in children aged 3-6 in Yunnan Province, to explore its relationship with neuropsychological development, so as to provide clues for early prevention and intervention of attention deficit hyperactivity disorder (ADHD) in children.  Methods  A total of 1 321 children aged 3 to 6 from 10 kindergartens in 5 prefectures (cities) of Yunnan Province were selected by stratified random sampling method from October 2022 to May 2023. Teacher Rating Scale (TRS) was used to investigate children's hyperactive behavior and co-existent behavior. A qualified evaluator applied the Developmental Scale for Children Aged 0-6 Years to assess the development of 5 ability areas of gross motor movement, fine movement, adaptive ability, language and social behavior. Statistical analysis was performed using Wilcoxon rank sum test and χ2 test. Binary Logistic regression was applied to analyze the score of their hyperactivity behavior and its relationship with other behavior problems and neuropsychological development.  Results  The detection rate of hyperactivity behavior was 8.6% in children aged 3 to 6 years, 12.8% in boys and 4.1% in girls (χ2=31.53, P < 0.01). The detection rate of hyperactivity in 3-year-old children was 13.9%, which was higher than that in 4-year-old (9.2%) and 5-year-old children (7.0%) (χ2=8.73, P < 0.05). The detection rate of inattention-passivity of rural children (14.6%) was higher than that of urban children (5.9%) (χ2=22.23, P < 0.01). Binary Logistic regression analysis showed that the higher the level of adaptive development, the lower the risk of hyperactivity (OR=0.58, 95%CI=0.39-0.86), the higher the risk of hyperactivity (OR=0.57, 95%CI=0.35-0.91), the higher the risk of conduct problems (OR=0.57, 95%CI=0.37-0.87), inattention-passivity (OR=0.49, 95%CI=0.33-0.74) were also at lower risk (P < 0.05). Children with higher levels of fine motor development had a lower risk of inattention-passivity (OR=0.59, 95%CI=0.37-0.93, P < 0.05).  Conclusions  Hyperactivity in boys and inattention-passivity in rural children requires more attention. It is necessary to strengthen children's early adaptive ability and fine motor training to prevent hyperactive behavior and inattention.
  • loading
  • [1]
    RAJAPRAKASH M, LEPPERT M L. Attention-deficit/hyperactivity disorder[J]. Pediatr Rev, 2022, 43(3): 135-147. doi: 10.1542/pir.2020-000612
    [2]
    POSNER J, POLANCZYK G V, SONUGA-BARKE E. Attention-deficit hyperactivity disorder[J]. Lancet, 2020, 395(10222): 450-462. doi: 10.1016/S0140-6736(19)33004-1
    [3]
    THOMAIDIS L, CHOLEVA A, JANIKIAN M, et al. Attention deficit/hyperactivity disorder(ADHD) symptoms and cognitive skills of preschool children[J]. Psychiatriki, 2017, 28(1): 28-36. doi: 10.22365/jpsych.2017.281.28
    [4]
    SAYAL K, PRASAD V, DALEY D, et al. ADHD in children and young people: prevalence, care pathways, and service provision[J]. Lancet Psychiatry, 2018, 5(2): 175-186. doi: 10.1016/S2215-0366(17)30167-0
    [5]
    李福轮, 谢晴牧, 赵乾龙, 等. 中国儿童注意缺陷多动障碍患病率的Meta分析[J]. 临床荟萃, 2017, 32(12): 1079-1083. doi: 10.3969/j.issn.1004-583X.2017.12.015

    LI F L, XIE Q M, ZHAO Q L, et al. Current prevalence of attention deficit hyperactivity disorder among children: a Meta-analysis[J]. Clin Focus, 2017, 32(12): 1079-1083. (in Chinese) doi: 10.3969/j.issn.1004-583X.2017.12.015
    [6]
    杨玉凤, 王惠珊, 洪琦, 等. 儿童发育行为心理评定量表[M]. 北京: 人民卫生出版社, 2016: 167-169.

    YANG Y F, WANG H S, HONG Q, et al. Child developmental behavior psychological assessment scale[M]. Beijing: People's Medical Publishing House, 2016: 167-169. (in Chinese)
    [7]
    范娟, 杜亚松. Conners教师评定量表的中国城市常模和信度研究[J]. 上海精神医学, 2004, 16(2): 69-71. doi: 10.3969/j.issn.1002-0829.2004.02.002

    FAN J, DU Y S. The norm and reliability of the Conners Teacher Rating Scale in Chinese urban children[J]. Shanghai Arch Psychiatry, 2004, 16(2): 69-71. (in Chinese) doi: 10.3969/j.issn.1002-0829.2004.02.002
    [8]
    中华人民共和国国家卫生和计划生育委员会. 0~6岁儿童发育行为评估量表: WS/T 580—2017[S]. 2018-04-01.

    National Health and Family Planning Commission of the PRC. Development scale for children aged 0-6 years: WS/T 580-2017[S]. 2018-04-01. (in Chinese)
    [9]
    李瑞莉, 金春华, 张丽丽, 等. 《中国儿童发育量表》(4~6岁部分)信度与效度研究[J]. 中国儿童保健杂志, 2015, 23(9): 934-936. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201509013.htm

    LI R L, JIN C H, ZHANG L L, et al. Psychometric analysis of the China Developmental Scale for Children(aged 4-6 years old)[J]. Chin J Child Health Care, 2015, 23(9): 934-936. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201509013.htm
    [10]
    高建慧, 邓成, 顾莉萍, 等. 中山市3~6岁学龄前儿童多动行为筛查及影响因素分析[J]. 中国儿童保健杂志, 2012, 20(4): 360-363. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201204025.htm

    GAO J H, DENG C, GU L P, et al. Research on the screen and influencial factors of hyperactivity in preschool children of Zhongshan City[J]. Chin J Child Health Care, 2012, 20(4): 360-363. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201204025.htm
    [11]
    丁肖媛, 张玥, 张丽珊, 等. 学龄前期儿童多动行为与过敏性疾病共病的横断面调查[J]. 临床儿科杂志, 2023, 41(3): 215-218. https://www.cnki.com.cn/Article/CJFDTOTAL-LCAK202303010.htm

    DING X Y, ZHANG Y, ZHANG L S, et al. A cross-sectional study of hyperactivity behavior comorbidity allergic disease in pre-school children[J]. J Clin Pediatr, 2023, 41(3): 215-218. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-LCAK202303010.htm
    [12]
    郭茹, 毛定安, 李介民, 等. 3~5岁儿童行为问题调查及中美Conners常模的比较[J]. 中国当代儿科杂志, 2011, 13(11): 900-903. https://www.cnki.com.cn/Article/CJFDTOTAL-DDKZ201111019.htm

    GUO R, MAO D A, LI J M, et al. Investigation on the behavioral problems of children aged 3 to 5 years and comparison of the norm of Conners Parent Symptom Questionnaire in Chinese and American urban children[J]. Chin J Contemp Pediatr, 2011, 13(11): 900-903. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-DDKZ201111019.htm
    [13]
    黄永玲, 程进, 吴曙东, 等. 安徽省学龄前儿童多动行为筛查及影响因素分析[J]. 中国学校卫生, 2021, 42(12): 1855-1858. doi: 10.16835/j.cnki.1000-9817.2021.12.023

    HUANG Y L, CHENG J, WU S D, et al. Screening and associated factors of hyperactivity behavior in preschool children in Anhui Province[J]. Chin J Sch Health, 2021, 42(12): 1855-1858. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.12.023
    [14]
    王丽, 王念蓉, 赵妍, 等. 重庆市学龄前儿童行为问题的现状调查[J]. 重庆医学, 2021, 50(7): 1205-1207. https://www.cnki.com.cn/Article/CJFDTOTAL-CQYX202107027.htm

    WANG L, WANG N R, ZHAO Y, et al. Survey on status quo of behavioral problems among preschoolers in Chongqing City[J]. Chongqing Med J, 2021, 50(7): 1205-1207. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-CQYX202107027.htm
    [15]
    刘霞, 王丽, 王念蓉, 等. 学龄前儿童多动行为与运动能力研究[J]. 重庆医学, 2023, 52(13): 1954-1958. doi: 10.3969/j.issn.1671-8348.2023.13.007

    LIU X, WANG L, WANG N R, et al. Study on hyperactive behaviors and motor ability of preschooler[J]. Chongqing Med J, 2023, 52(13): 1954-1958. (in Chinese) doi: 10.3969/j.issn.1671-8348.2023.13.007
    [16]
    丁俊丽, 岳瑞芝, 郝爱珍, 等. 家庭环境对3~6岁儿童行为问题影响的研究[J]. 中国儿童保健杂志, 2018, 26(1): 88-90. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201801025.htm

    DING J L, YUE R Z, HAO A Z, et al. Study on the influence of family environment on behavior problems of children aged 3-6[J]. Chin J Child Health Care, 2018, 26(1): 88-90. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201801025.htm
    [17]
    文萍, 陈昱翀. 注意缺陷多动障碍4岁幼儿的抑制控制与工作记忆[J]. 中国特殊教育, 2016(9): 55-59. doi: 10.3969/j.issn.1007-3728.2016.09.009

    WEN P, CHEN Y C. The inhibition and working memory profiles in 4-year-old children with attention deficit hyperactivity disorder[J]. Chin J Spec Educ, 2016(9): 55-59. (in Chinese) doi: 10.3969/j.issn.1007-3728.2016.09.009
    [18]
    RIDDLE M A, YERSHOVA K, LAZZARETTO D, et al. The preschool attention-deficit/hyperactivity disorder treatment study (pats) 6-year follow-up[J]. J Am Acad Child Adolesc Psychiatry, 2013, 52(3): 264-278. doi: 10.1016/j.jaac.2012.12.007
    [19]
    BARBARESI W J, CAMPBELL L, DIEKROGER E A, et al. Society for developmental and behavioral pediatrics clinical practice guideline for the assessment and treatment of children and adolescents with complex attention-deficit/hyperactivity disorder[J]. J Dev Behav Pediatr, 2020, 41(Suppl 2S): S35-S57.
    [20]
    DALEY D, VAN DER OORD S, FERRIN M, et al. Practitioner review: current best practice in the use of parent training and other behavioural interventions in the treatment of children and adolescents with attention deficit hyperactivity disorder[J]. J Child Psychol Psychiatry, 2018, 59(9): 932-947. doi: 10.1111/jcpp.12825
    [21]
    朱佩滢, 王瑜. 学龄前儿童注意缺陷多动障碍的干预进展[J]. 中国儿童保健杂志, 2022, 30(12): 1332-1335, 1340. doi: 10.11852/zgetbjzz2021-0610

    ZHU P Y, WANG Y. Intervention progress in attention deficit hyperactivity disorder in preschool children[J]. Chin J Child Health Care, 2022, 30(12): 1332-1335, 1340. (in Chinese) doi: 10.11852/zgetbjzz2021-0610
    [22]
    朱笑彤, 任园春, 刘靖, 等. 注意缺陷多动障碍小学生精细动作发展特点研究[J]. 中国儿童保健杂志, 2023, 31(3): 322-326. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202303018.htm

    ZHU X T, REN Y C, LIU J, et al. Characteristics of fine motor development in primary school students with attention deficit hyperactivity disorder[J]. Chin J Child Health Care, 2023, 31(3): 322-326. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202303018.htm
    [23]
    金星明, 李廷玉, 陈立, 等. 美国发育行为儿科学会儿童及青少年复杂注意缺陷多动障碍评估和治疗的临床实践指南解读[J]. 中华儿科杂志, 2021, 59(11): 912-915. doi: 10.3760/cma.j.cn112140-20210623-00524

    JIN X M, LI T Y, CHEN L, et al. Interpretation of American Society for Developmental and Behavioral Pediatrics clinical practice guideline for the assessment and treatment of children and adolescents with complex attention-deficit/hyperactivity disorder[J]. Chin J Pediatr, 2021, 59(11): 912-915. (in Chinese) doi: 10.3760/cma.j.cn112140-20210623-00524
    [24]
    张华琦, 万红, 王敏建. 重庆市注意缺陷多动障碍儿童适应行为情况及其家长相关知识掌握程度调查[J]. 华南预防医学, 2021, 47(7): 951-954. https://www.cnki.com.cn/Article/CJFDTOTAL-GDWF202107036.htm

    ZHANG H Q, WAN H, WANG M J. Adaptive behavior of children with attention deficit hyperactivity disorder and their parents' mastery of relevant knowledge in Chongqing[J]. South China J Prev Med, 2021, 47(7): 951-954. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-GDWF202107036.htm
    [25]
    静进, 吴丙辰, 麦坚凝, 等. 注意缺陷多动障碍儿童的社会适应行为特征[J]. 中国实用儿科杂志, 2007, 22(7): 502-505. doi: 10.3969/j.issn.1005-2224.2007.07.008

    JING J, WU B C, MAI J N, et al. Social adaptive behavior traits of children with attention deficit hyperactivity disorder[J]. Chin J Pract Pediatr, 2007, 22(7): 502-505. (in Chinese) doi: 10.3969/j.issn.1005-2224.2007.07.008
    [26]
    杨硕, 李亚梦, 付若凡, 等. 3~6岁幼儿粗大动作与执行功能发展特点及关系研究[J]. 中国体育科技, 2022, 58(3): 51-58. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGTY202203007.htm

    YANG S, LI Y M, FU R F, et al. Research on the developmental characteristics and relationship between gross movement and executive function of 3 to 6 years old children[J]. China Sport Sci Technol, 2022, 58(3): 51-58. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGTY202203007.htm
    [27]
    EMOND V, JOYAL C, POISSANT H. Structural and functional neuroanatomy of attention-deficit hyperactivity disorder (ADHD)[J]. Encephale, 2009, 35(2): 107-114. doi: 10.1016/j.encep.2008.01.005
    [28]
    PEYRE H, GALERA C, VAN DER WAERDEN J, et al. Relationship between early language skills and the development of inattention/hyperactivity symptoms during the preschool period: results of the EDEN mother-child cohort[J]. BMC Psychiatry, 2016, 16(1): 380. doi: 10.1186/s12888-016-1091-3
    [29]
    EYRE H, ALBARET J M, BERNARD J Y, et al. Developmental trajectories of motor skills during the preschool period[J]. Eur Child Adolesc Psychiatry, 2019, 28(11): 1461-1474. doi: 10.1007/s00787-019-01311-x
    [30]
    FENOLLAR-CORTÉS J, GALLEGO-MARTÍNEZ A, FUENTES L J. The role of inattention and hyperactivity/impulsivity in the fine motor coordination in children with ADHD[J]. Res Dev Disabil, 2017, 69: 77-84. doi: 10.1016/j.ridd.2017.08.003
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Article Metrics

    Article views (204) PDF downloads(20) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return