Impact du trouble de déficit de l'attention avec hyperactivité chez l'enfant : fonctionnement général et persistance des symptômesRÉSUMÉ De nombreux adolescents affectés par le trouble de déficit de l'attention avec hyperactivité (TDAH) montrent des comportements antisociaux et des faibles résultats scolaires. Ces problèmes n'ont pas été validés dans la Région de la Méditerranée orientale de l'Organisation mondiale de la Santé. L'objectif de la présente étude était d'évaluer le fonctionnement général et le comportement des enfants passés à l'adolescence 10 ans après le diagnostic initial du TDAH. Les parents ont été interrogés au moyen d'un questionnaire structuré, de la version abrégée du questionnaire de Conners et de l'échelle d'évaluation globale du fonctionnement de l'enfant. Près de la moitié de l'échantillon avait des faibles résultats scolaires et 36 % n'avaient pas d'amis. Un quart des cas étaient des fumeurs, un d'entre eux avait admis l'usage de substances psychoactives et un autre avait fait une tentative de suicide. Un tiers de l'échantillon avait continué d'avoir des symptômes du TDAH. Les adolescents affectés par le TDAH avaient les mêmes performances scolaires et les mêmes relations avec les pairs que dans les rapports publiés. Par contre, ils avaient des représentations différentes en ce qui concerne la consommation de drogues, le suicide ainsi que d'autres comportements impulsifs. Une étude de suivi menée à l'âge adulte à l'aide d'un groupe témoin a été recommandée. The objective of this study was to assess the global functioning and behaviour of children with ADHD growing into adolescence 10 years after initial diagnosis. Parents were interviewed using a structured questionnaire, Conner's Short Version Test and the Children's Global Assessment Scale. Nearly half of our sample had low academic achievement and 36% had no friends. A quarter of the cases were smokers, one admitted abusing drugs and one had attempted suicide. One third of the sample continued to have ADHD symptoms. Adolescents with ADHD had similar school performance and peer relationships to those reported previously, but differences with regard to drug use, suicide and other impulsive behaviour. A follow-up study into adult life using a control group is recommended. األعراض واستمرار العام األداء
Background: An increase in the prevalence of eating disorders (EDs), sleep problems, and stress in the general population and medical students is becoming an area of concern. This study was designed to determine the incidence of sleep and EDs in medical students and to assess the relationship between these factors and stress levels.Methods: A descriptive, cross-sectional study was performed, and the data were collected using a self-administered, structured questionnaire via instant chat groups and social media advertisements between September and December 2019. Medical students (years 1–6) (n = 1100) enrolled at the College of Medicine and Medical Science, Arabian Gulf University, Bahrain, were recruited in the study. The electronic survey included questions on the participants’ demographic characteristics. The tools utilized were the Pittsburg Sleep Quality Index (PSQI), the 26-Item Eating Attitudes Test (EAT-26), and the 10-Item Perceived Stress Scale (PSS-10). The data were analyzed using Stata® (version 17.0).Results: Responses were received from 730 participants out of 1100 (67%). 649 (58%) were included in the final analysis,68% women and (32%) men. The mean age of the participants was 22.73 ± 2.31 years. Mean body mass index (BMI) was 25.56 ± 5.6 kg/m2 (55% had a normal BMI). The mean EAT-26, PSQI, and PSS-10 scores were 16.99 ± 9.09, 38.00 ± 3.13, and 25.67 ± 6.97, respectively. The prevalence of EDs, poor sleep quality, and stress symptoms was 32% (95% confidence interval [CI]: 28.01–35.32), 67% (95% CI: 62.62–70.05), and 50% (95% CI: 46.07–53.93), respectively. Univariate logistic regression analysis revealed that female sex was a risk factor for EDs, sleep problems, and stress (odds ratio of 2.10, 95% CI: 1.30–3.45).Conclusions: Counseling services should be offered to medical students affected by anxiety, poor eating habits, and morbid obesity at the start of the first year of university. Medical students with sleeping problems require special attention throughout their time at college. Strategies to mitigate stress while studying should be given.Trial registration: Not applicable.
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