注意缺陷多动障碍和儿童使用手机——需要关注吗?

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH Pub Date : 2023-01-01 DOI:10.7860/jcdr/2023/60328.17984

A. Varghese, G. Mathew, Cinderella Xson

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引用次数: 0

摘要

导读:注意缺陷多动障碍(ADHD)的患病率呈上升趋势。在与多动症相关的多种因素中，电子媒体的使用最近受到了相当大的关注。在印度，关于多动症的负担及其与屏幕时间的关系的信息来源有限。目的:在喀拉拉邦一家三级医院门诊筛查儿童多动症及其与手机使用的关系。材料和方法:在印度喀拉拉邦Pathanamthitta区一家三级医院门诊的157名儿童中进行了一项基于横断面问卷的研究。研究对象包括6至11岁的学龄儿童。ADHD筛查采用康纳氏简略评定量表(CARS)。结果:患儿平均年龄8.1±1.9岁。所有参与者都使用手机，其中15人(9.6%)拥有手机。平均每天使用手机的时间为1.4±0.7小时。其中，53人(33.8%)每天使用手机的时间超过1小时。家长们报告说，近五分之一的孩子在深夜(晚上10点以后)使用手机。在儿童中，22.9%的儿童ADHD筛查呈阳性。使用手机时长与ADHD得分显著相关(r=0.368 p1小时/天)，而使用手机时长<1小时/天者得分显著相关(t检验=-2.27 p值=0.025)。绝大多数，148人(94.2%)也注意到，当不给孩子使用手机时，他们的行为发生了变化。显著的变化包括愤怒(22.9%)、悲伤(31.8%)、退缩(20%)、沮丧(17.8%)和暴力(8.9%)。结论:在本研究中，22.9%的儿童ADHD筛查呈阳性。研究发现，手机使用与多动症有显著关联。

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Attention Deficit Hyperactivity Disorder and Use of Mobile Phones among Children- Need for Concern?

Introduction: The prevalence of Attention Deficit Hyperactivity Disorder (ADHD) is on the rise. Among multiple factors that are linked with ADHD, electronic media use has been gaining considerable attention recently. There is only a limited source of information regarding the burden of ADHD and its association with screen time in the Indian context. Aim: Screening of the children for ADHD and its association with mobile phone use at an outpatient service in a tertiary care hospital in Kerala. Materials and Methods: A cross-sectional questionnaire-based study was conducted among 157 children in the outpatient services in a tertiary care hospital in Pathanamthitta district, Kerala, India. School-going children aged between 6 and 11 years were included in the study. ADHD screening was done using Conner’s Abbreviated Rating Scale (CARS). Results: The mean age of children was 8.1±1.9 years. All the participants used mobile phones, and 15 (9.6%) owned one. The mean duration of mobile phone use per day was 1.4±0.7 hours. Among participants, 53 (33.8%) used mobile phones for more than one hour daily. Parents reported that nearly one-fifth of the children use mobile phones late at night (after 10 pm). Among children, 22.9% screened positive for ADHD. The ADHD scores are significantly correlated with the duration of mobile phone use (r=0.368 p<0.001). Among the children who used mobile phones for more than a year, 32.1% screened positive for ADHD (OR=3.21, CI 1.41-7.32). The mean ADHD score was significantly higher among children with >1 hour of mobile phone use/day than those who use <1 hour/day (t-test=-2.27 p-value=0.025). The vast majority, 148 (94.2%), also noticed behavioural changes among children when denied mobile phones. Significant changes included anger (22.9%), sadness (31.8%), withdrawal (20%), frustration (17.8%) and violence (8.9%). Conclusion: In this study, 22.9% of children screened positive for ADHD. Mobile phone use was found to be significantly associated with ADHD.

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JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH MEDICINE, GENERAL & INTERNAL-

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0.00%

发文量

761

审稿时长

12 weeks

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