E. Fucà, F. Costanzo, P. Galassi, L. Celestini, D. Valentini, S. Vicari
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引用次数: 0
摘要
背景：唐氏综合征（DS）患者罹患乳糜泻（CD）的风险高于普通人群。尽管有文献表明，腹腔疾病可能与儿童和成人的行为问题有关，但在儿童和青少年唐氏综合征患者中，这种关联性的研究还很少。因此，本研究旨在调查患有和未患有 CD 的 DS 儿童在情绪/行为障碍、适应能力和睡眠问题方面的差异：方法：研究人员从数据库中回顾性收集了 381 名 DS 患者（3-18 岁）的数据。最终样本包括 65 名参与者，其中 27 人同时患有 CD，38 人在年龄、智商、性别和体重指数方面与未患有 CD 的对照组相匹配。情绪/行为障碍、适应能力和睡眠问题通过家长报告问卷进行评估：结果：在情绪/行为障碍方面没有出现组间差异，而在实际领域的适应能力方面，儿童疾病组的参与者要优于对照组。睡眠问题方面的差异较小：结论：与没有合并 CD 的 DS 青少年相比，合并 CD 的 DS 青少年没有表现出更多的情绪和行为问题，但在实践领域表现出更好的适应能力。
Celiac disease in children and adolescents with Down syndrome: behavioural, adaptive and sleep profiles
Background
Individuals with Down syndrome (DS) exhibit higher risk for celiac disease (CD) than general population. Although literature suggests CD could be associated with behavioural problems in both paediatric and adult age, such association has been poorly explored in children and adolescents DS. Therefore, the current study aimed to investigate differences in emotional/behavioural difficulties, adaptive skills and sleep problems between children with DS with and without CD.
Methods
Data were retrospectively collected from a database including data from 381 individuals with DS (3–18 years). The final sample included 65 participants, 27 with co-occurring CD and 38 age, IQ, sex and body mass index-matched controls without CD. Emotional/behavioural difficulties, adaptive skills and sleep problems were assessed through parent report questionnaires.
Results
No group differences emerged in emotional/behavioural difficulties, whereas participants in the CD group showed better adaptive skills in the practical domain than control group. Weak differences emerged in sleep problems.
Conclusions
Youth with DS and co-occurring CD do not exhibit more emotional and behavioural problems than youth with DS without co-occurring CD but exhibit better adaptive skills in the practical domain.
期刊介绍：
The Journal of Intellectual Disability Research is devoted exclusively to the scientific study of intellectual disability and publishes papers reporting original observations in this field. The subject matter is broad and includes, but is not restricted to, findings from biological, educational, genetic, medical, psychiatric, psychological and sociological studies, and ethical, philosophical, and legal contributions that increase knowledge on the treatment and prevention of intellectual disability and of associated impairments and disabilities, and/or inform public policy and practice. Expert reviews on themes in which recent research has produced notable advances will be included. Such reviews will normally be by invitation.
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