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Bidirectional associations between hyperopia, myopia, astigmatism, and strabismus, and attention-deficit/hyperactivity disorder in children: a national population-based cohort study
Chou, Wei-Po; Chen, Yi-Lung; Hsiao, Ray C.; Lai, Yu-Hung; Yen, Cheng-Fang.
  • Chou, Wei-Po; Kaohsiung Medical University Hospital. Department of Psychiatry. Kaohsiung. TW
  • Chen, Yi-Lung; Asia University. Department of Psychology. Taichung. TW
  • Hsiao, Ray C.; University of Washington School of Medicine. Department of Psychiatry and Behavioral Sciences. Seattle. US
  • Lai, Yu-Hung; Kaohsiung Medical University Hospital, Kaohsiung Medical University. Department of Ophthalmology. Kaohsiung. TW
  • Yen, Cheng-Fang; Kaohsiung Medical University Hospital. Department of Psychiatry. Kaohsiung. TW
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 45(5): 397-404, Sept.-Oct. 2023. tab, graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1527996
ABSTRACT

Objectives:

The present study analyzed the reciprocal relationships between four common pediatric ophthalmic diseases (i.e., hyperopia, myopia, astigmatism, and strabismus) and attention‐deficit/hyperactivity disorder (ADHD) in children.

Methods:

This study enrolled 86,028 children with ADHD and 1,798,673 children without ADHD in the Taiwan Maternal and Child Health Database who were born at any time from 2004 to 2017. Cox proportional hazards regression models were used to estimate the bidirectional relationships of the four ophthalmic diseases with ADHD in children after adjusting for age, sex, and gestational age at birth. Survival curves for time-to-event variables were estimated using the Kaplan-Meier method, and the log-rank test was used to compare the curves.

Results:

The results indicated that ADHD significantly predicted the occurrence of hyperopia, myopia, astigmatism, and strabismus. Furthermore, hyperopia, myopia, astigmatism, and strabismus significantly predicted the occurrence of ADHD. The time between enrollment and ADHD diagnosis was shorter for patients with ophthalmic diseases than for the control group, and the time between enrollment and ophthalmic disease diagnosis was also shorter for ADHD patients than for the control group. Sex differences were found in the associations between ADHD and ophthalmic diseases.

Conclusion:

Clinicians should monitor children with ADHD for hyperopia, myopia, astigmatism, and strabismus to ensure appropriate treatment, and vice versa.


Texto completo: DisponíveL Índice: LILACS (Américas) Tipo de estudo: Estudo de etiologia / Estudo observacional / Estudo prognóstico / Fatores de risco Idioma: Inglês Revista: Braz. J. Psychiatry (São Paulo, 1999, Impr.) Assunto da revista: Psiquiatria Ano de publicação: 2023 Tipo de documento: Artigo / Documento de projeto País de afiliação: Taiwan / Estados Unidos Instituição/País de afiliação: Asia University/TW / Kaohsiung Medical University Hospital/TW / Kaohsiung Medical University Hospital, Kaohsiung Medical University/TW / University of Washington School of Medicine/US

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Texto completo: DisponíveL Índice: LILACS (Américas) Tipo de estudo: Estudo de etiologia / Estudo observacional / Estudo prognóstico / Fatores de risco Idioma: Inglês Revista: Braz. J. Psychiatry (São Paulo, 1999, Impr.) Assunto da revista: Psiquiatria Ano de publicação: 2023 Tipo de documento: Artigo / Documento de projeto País de afiliação: Taiwan / Estados Unidos Instituição/País de afiliação: Asia University/TW / Kaohsiung Medical University Hospital/TW / Kaohsiung Medical University Hospital, Kaohsiung Medical University/TW / University of Washington School of Medicine/US