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An approach for prevention planning based on the prevalence and comorbidity of neurodevelopmental disorders in 6-year-old children receiving primary care consultations on the island of Menorca.
Francés, Lorena; Caules, Jessica; Ruiz, Antoni; Soler, Catalina Virgínia; Hervás, Amaia; Fernández, Alberto; Rodríguez-Quiroga, Alberto; Quintero, Javier.
  • Francés L; Child and Adolescent Psychiatrist, Menorca (Balearic Islands, Spain), Av. Del Metge Camps 20, 07740, Es Mercadal, Balearic Islands, Spain. lorefran@ucm.es.
  • Caules J; Arrels Institute, Ciutadella, Balearic Islands, Spain.
  • Ruiz A; University of Barcelona, Barcelona, Spain.
  • Soler CV; Dalt Sant Joan Center (Mahón), Servei de Salut de les Illes Balears, Mahón, Illes Balears, Spain.
  • Hervás A; Child-Adolescent Mental Health Unit at the Mutua Terrasa University Hospital, Barcelona, Catalonia, Spain.
  • Fernández A; the Autonomous University of Barcelona, Barcelona, Catalonia, Spain.
  • Rodríguez-Quiroga A; Saint George Hospital in London, London, UK.
  • Quintero J; Child-Adolescent Psychiatry at Maudsley Hospital, London, UK.
BMC Pediatr ; 23(1): 32, 2023 01 20.
Article in English | MEDLINE | ID: covidwho-2295149
ABSTRACT

BACKGROUND:

Few studies have estimated the real prevalence of neurodevelopmental disorders according to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) in Spain and worldwide. However, there are disparate prevalence figures. We consider research in this field essential to improve early detection, secondary prevention, and health planning.

METHODS:

The Minikid ADHD and TICS-Mini International Neuropsychiatric Interview for Children and Adolescents, the Autism Spectrum Quotient (Children's version, AQ- Child) and a protocol of general medical questions were administered for screening purposes. The PROLEXIA battery for children aged from 4 to 6 years was used for direct assessments. Parents provided information on emotional, medical, and school aspects. The final population evaluated using these tools consisted of 291 6-year-old subjects.

RESULTS:

The overall risk of presenting with a neurodevelopmental disorder was 55.4%. A 23.4% risk of presenting with attention-deficit/hyperactivity disorder (ADHD) in any modality (inattentive, hyperactive-impulsive and combined), a 2.8% risk of developing autism spectrum disorder (ASD), a 30.6% risk of presenting with a learning disorder with reading difficulties, a 5.5% risk of tics and a 22.5% risk of language problems (incomprehensible language or minor language problems) were detected in the sample. The most common combination of disorders was learning and language difficulties, accounting for 6.9% of the sample. The second most frequent combination was the presence of learning and language difficulties and ADHD, accounting for 4.5% of the sample.

CONCLUSIONS:

The prevalence of risks detected in our sample seems to be consistent with national and international studies. A significant proportion of our sample had never been previously diagnosed (85%), so early detection programs are recommended.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Attention Deficit Disorder with Hyperactivity / Tics / Neurodevelopmental Disorders / Autism Spectrum Disorder Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Qualitative research Topics: Long Covid Limits: Adolescent / Child / Child, preschool / Humans Country/Region as subject: Europa Language: English Journal: BMC Pediatr Journal subject: Pediatrics Year: 2023 Document Type: Article Affiliation country: S12887-023-03844-2

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Attention Deficit Disorder with Hyperactivity / Tics / Neurodevelopmental Disorders / Autism Spectrum Disorder Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Qualitative research Topics: Long Covid Limits: Adolescent / Child / Child, preschool / Humans Country/Region as subject: Europa Language: English Journal: BMC Pediatr Journal subject: Pediatrics Year: 2023 Document Type: Article Affiliation country: S12887-023-03844-2