Prevalencia y características clínicas del síndrome de piernas inquietas (SPI) en pacientes diagnosticados con trastorno por déficit de atención con hiperactividad (TDAH) en Antioquia
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Introducción: El trastorno de hiperactividad con déficit de atención (TDAH) es el problema de comportamiento más común en la infancia. Uno de los trastornos de sueño que más se ha relacionado el TDAH es el síndrome de piernas inquietas (SPI) el cual conlleva un deseo irresistible de mover las piernas que, en general, se asocia con parestesias e inquietud motora. La prevalencia del SPI en la población infantil diagnosticada con TDAH es de cerca del 18 %. Sin embargo, en Colombia han sido escasamente estudiados. Objetivo: Determinar la frecuencia de SPI en niños con TDAH. Método: se realizó un estudio de corte transversal, con el uso de cuestionarios diligenciados por los padres de niños con diagnóstico de TDAH. Dicho cuestionario contenía cr... Ver más
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International Journal of Psychological Research - 2018
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Prevalencia y características clínicas del síndrome de piernas inquietas (SPI) en pacientes diagnosticados con trastorno por déficit de atención con hiperactividad (TDAH) en Antioquia Síndrome de piernas inquietas Artículo de revista prevalencia del trastorno comorbilidad Trastornos del sueño Trastorno de déficit de atención e hiperactividad Introducción: El trastorno de hiperactividad con déficit de atención (TDAH) es el problema de comportamiento más común en la infancia. Uno de los trastornos de sueño que más se ha relacionado el TDAH es el síndrome de piernas inquietas (SPI) el cual conlleva un deseo irresistible de mover las piernas que, en general, se asocia con parestesias e inquietud motora. La prevalencia del SPI en la población infantil diagnosticada con TDAH es de cerca del 18 %. Sin embargo, en Colombia han sido escasamente estudiados. Objetivo: Determinar la frecuencia de SPI en niños con TDAH. Método: se realizó un estudio de corte transversal, con el uso de cuestionarios diligenciados por los padres de niños con diagnóstico de TDAH. Dicho cuestionario contenía criterios clínicos para la clasificación del TDAH según el DSM-IV, y criterios diagnósticos para SPI del National Institutes of Health pediatric restless legs syndrome (2003). Resultados: Los niños con criterios de SPI tuvieron predominio del TDAH combinado en un 65.6%. Al realizar el análisis exploratorio se encontró que tener historia familiar de SPI y estrato medio o bajo se asocian con la presencia del SPI en niños con TDAH, con una p significativa (p < 0.000) y una RP de 4.47 (3.16-6.32). Conclusiones: La prevalencia de SPI fue similar a los hallazgos de otras investigaciones clínicas, sin embargo, resalta nuevos valores de prevalencia en relación a la comorbilidad entre el TDAH y el SPI, sugiriendo la necesidad de habilitar nuevas alternativas clínicas y terapéuticas en la presencia de ambos síndromes. Prevalencia y características clínicas del síndrome de piernas inquietas (SPI) en pacientes diagnosticados con trastorno por déficit de atención con hiperactividad (TDAH) en Antioquia Hurtig, T., Ebeling, H., Taanila, A., Miettunen, J., Smalley, S. L., McGough, J. J., ... & Moilanen, I. K. (2007). ADHD symptoms and subtypes: relationship between childhood and adolescent symptoms. Journal of the American Academy of Child & Adolescent Psychiatry, 46(12), 1605-1613. doi: 10.1097/chi.0b013e318157517a Pagel, J. F., Forister, N., & Kwiatkowki, C. (2007). Adolescent sleep disturbance and school performance: the confounding variable of socioeconomics Journal of Clinical Sleep Medicine, 3(1), 19-23. Rinaldi, F., Galbiati, A., Marelli, S., Cusmai, M., Gasperi, A., Oldani, A., . . . Ferini Strambi, L. (2016). Defining the phenotype of restless legs syndrome/Willis-Ekbom disease (RLS/WED): a clinical and polysomnographic study. Journal of Neurology, 263(2), 396-402. doi: 10.1007/s00415-015-7994-y Rappley, M.D. (2005). Attention deficit-hyperactivity disorder. New England Journal of Medicine, 352(2), 165-173. doi: 10.1056/NEJMcp032387 Pullen, S. J., Wall, C. A., Angstman, E. R., Munitz, G. E., & Kotagal, S. (2011). Psychiatric comorbidity in children and adolescents with restless legs syndrome: a retrospective study. Journal of Clinical Sleep Medicine, 7(6), 587-596. doi: 10.5664/jcsm.1456 Picchietti, M. A., & Picchietti, D. L. (2008). Restless legs syndrome and periodic limb movement disorder in children and adolescents. Seminars in Pediatric Neurology, 15(2), 91-99. doi: 10.1016/j.spen.2008.03.005 Picchietti, D. L., England, S. J., Walters, A. S., Willis, K., & Verrico, T. (1998). Periodic limb movement disorder and restless legs syndrome in children with attention-deficit hyperactivity disorder. Journal of child neurology, 13(12), 588-594. doi: 10.1177/088307389801301202 Picchietti, D., Allen, R. P., Walters, A. S., Davidson, J. E., Myers, A., & Ferini-Strambi, L. (2007). Restless legs syndrome: prevalence and impact in children and adolescents – The Peds REST study. Pediatrics, 120(2), 253-266. doi: 10.1542/peds.2006-2767 Per, H., Gunay, N., Ismailogullari, S., Oztop, D. B., & Gunay, O. (2017). Determination of restless legs syndrome prevalence in children aged 13-16 years in the provincial center of Kayseri. Brain and Development, 39(2), 154-160. doi: 10.1016/j.braindev.2016.08.011 Pearson, V. E., Allen, R. P., Dean, T., Gamaldo, C. E., Lesage, S. R., & Earley, C. J. (2006). Cognitive deficits associated with restless legs syndrome (RLS). Sleep Medicine, 7(1), 25-30. doi: 10.1016/j.sleep.2005.05.006 Golan, N., Shahar, E., Ravid, S., & Pillar, G. (2004). Sleep disorders and daytime sleepiness in children with attention-deficit/hyperactive disorder. Sleep, 27(2), 261-266. doi: 10.1093/sleep/27.2.261 Oner, P., Dirik, E., Taner, Y., Caykoylu, A., & Anlar, O. (2007). Association between low serum ferritin and restless legs syndrome in patients with attention deficit hyperactivity disorder. The Tohoku journal of experimental medicine, 213(3), 269-276. doi: https://doi.org/10.1620/tjem.213.269 Konofal, E. (2003). Restless legs syndrome and serum ferritin levels in ADHD children. Sleep, 23(A-1), 36–37. Goldman, L. S., Genel, M., Bezman, R. J., & Slanetz, P. J. (1998). Diagnosis and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Jama, 279(14), 1100-1107. doi: 10.1001/jama.279.14.1100 Sadeh, A., Gruber, R., & Raviv, A. (2003). The effects of sleep restriction and extension on school-age children: what a difference an hour makes. Child Development, 74(2), 444-455. doi: 10.1111/1467-8624.7402008 Goodyear-Smith, F., & Arroll, B. (2006). Growing pains. British Medical Journal, 333(7566), 456-457. doi: 10.1136/bmj.38950.463877.80 Montplaisir, J., Boucher, S., Poirier, G., Lavigne, G., Lapierre, O., & Lesperance, P. (1997). Clinical, polysomnographic, and genetic characteristics of restless legs syndrome: a study of 133 patients diagnosed with new standard criteria. Movement Disorders, 12(1), 61-65. doi: 10.1002/mds.870120111 Manconi, M., Ulfberg, J., Berger, K., Ghorayeb, I., Wesstrom, J., Fulda, S., . . . & Pollmacher, T. (2012). When gender matters: restless legs syndrome. Report of the "RLS and woman" workshop endorsed by the European RLS Study Group. Sleep Medicine Reviews, 16(4), 297-307. doi: 10.1016/j.smrv.2011.08.006 Lecendreux, M., & Konofal, E. (2002). [Sleep and vigilance in hyperactive children]. La Revue du praticien, 52(18), 2002-2004. Kwon, S., Sohn, Y., Jeong, S. H., Chung, U. S., & Seo, H. (2014). Prevalence of restless legs syndrome and sleep problems in Korean children and adolescents with attention deficit hyperactivity disorder: a single institution study. Korean J Pediatr, 57(7), 317-322. doi: 10.3345/kjp.2014.57.7.317 Kushida, C. A. (2007). Clinical presentation, diagnosis, and quality of life issues in restless legs syndrome. The American Journal of Medicine, 120(1), S4-S12. doi: 10.1016/j.amjmed.2006.11.002 Kotagal, S., & Silber, M. H. (2004). Childhood-onset restless legs syndrome. Annals of neurology, 56(6), 803-807. doi: 10.1002/ana.20292 Rubió Badía, I., Mena Pujol, B., & Murillo Abril, B. (2006). El pediatra y la familia de un niño con TDAH. Revista Pediatría de Atención Primaria, 8(Supl 4), 199-216. Silvestri, R., Gagliano, A., Arico, I., Calarese, T., Cedro, C., Bruni, O., . . . Bramanti, P. (2009). Sleep disorders in children with Attention-Deficit/Hyperactivity Disorder (ADHD) recorded overnight by video-polysomnography. Sleep Medicine, 10(10), 1132-1138. doi: 10.1016/j.sleep.2009.04.003 Sadeh, A., Pergamin, L., & Bar-Haim, Y. (2006). Sleep in children with attention-deficit hyperactivity disorder: a meta-analysis of polysomnographic studies. Sleep Medicine Reviews, 10(6), 381-398. doi: 10.1016/j.smrv.2006.03.004 Wijemanne, S., & Ondo, W. (2017). Restless Legs Syndrome: clinical features, diagnosis and a practical approach to management. Practical Neurology. doi: 10.1136/practneurol-2017-001762 Text http://purl.org/coar/access_right/c_abf2 info:eu-repo/semantics/openAccess http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/publishedVersion http://purl.org/coar/resource_type/c_6501 info:eu-repo/semantics/article Zak, R., Couvadelli, B. V., Fischer, B., Moss, N. M., & Walters, A. S. (2009). Preliminary study of the prevalence of restless legs syndrome in adults with attention deficit hyperactivity disorder. Perceptual and Motor Skills, 108(3), 759-763. doi: 10.2466/pms.108.3.759-763 Yeh, P., Ondo, W. G., Picchietti, D. L., Poceta, J. S., Allen, R. P., Davies, C. R., . . . Walters, A. S. (2016). Depth and Distribution of Symptoms in Restless Legs Syndrome/ Willis-Ekbom Disease. Journal of Clinical Sleep Medicine, 12(12), 1669-1680. doi: 10.5664/jcsm.6356 Winkelmann, J., Polo, O., Provini, F., Nevsimalova, S., Kemlink, D., Sonka, K., . . . & Montagna, P. (2007). Genetics of restless legs syndrome (RLS): State-of-the-art and future directions. Movement Disorders, 22(S18), 449-458. doi: 10.1002/mds.21587 Wiggs, L., Montgomery, P., & Stores, G. (2005). Actigraphic and parent reports of sleep patterns and sleep disorders in children with subtypes of attention-deficit hyperactivity disorder. Sleep, 28(11), 1437-1445. doi: 10.1093/sleep/28.11.1437 Salas, R. E., Gamaldo, C. E., & Allen, R. P. (2010). Update in restless legs syndrome. Current Opinion in Neurology,, 23(4), 401-406. doi: 10.1097/WCO.0b013e32833bcdd8 Walther, B. W. (2002). Treating restless legs syndrome: current pathophysiological concepts and clinical trials. Journal Expert Opinion on Investigational Drugs, 11(4), 501-514. doi: 10.1517/13543784.11.4.501 Walters, A. S., Silvestri, R., Zucconi, M., Chandrashekariah, R., & Konofal, E. (2008). Review of the possible relationship and hypothetical links between attention deficit hyperactivity disorder (ADHD) and the simple sleep related movement disorders, parasomnias, hypersomnias, and circadian rhythm disorders. Journal of Clinical Sleep Medicine, 4(6), 591-600. Walters, A. S., Picchietti, D. L., Ehrenberg, B. L., & Wagner, M. L. (1994). Restless legs syndrome in childhood and adolescence. Pediatric Neurology, 11(3), 241-245. doi: 10.1016/0887-8994(94)90110-4 Walters, A. S., Mandelbaum, D. E., Lewin, D. S., Kugler, S., England, S. J., & Miller, M. (2000). Dopaminergic therapy in children with restless legs/periodic limb movements in sleep and ADHD. Pediatric Neurology, 22(3), 182-186. doi: 10.1016/s0887-8994(99)00152-6 Wagner, M. L., Walters, A. S., & Fisher, B. C. (2004). Symptoms of attention-deficit/hyperactivity disorder in adults with restless legs syndrome. Sleep, 27(8), 1499-1504. doi: 10.1093/sleep/27.8.1499 Van der Heijden, K. B., Smits, M. G., & Gunning, W. B. (2006). Sleep hygiene and actigraphically evaluated sleep characteristics in children with ADHD and chronic sleep onset insomnia. Journal of Sleep Research, 15(1), 55-62. doi: 10.1111/j.1365-2869.2006.00491.x Van der Heijden, K. B., Smits, M. G., & Gunning, W. B. (2005). Sleep-related disorders in ADHD: a review. Clinical Pediatrics, 44(3), 201-210. doi: 10.1177/000992280504400303 Sobanski, E., Schredl, M., Kettler, N., & Alm, B. (2008). Sleep in Adults with Attention Deficit Hyperactivity Disorder (ADHD) Before and During Treatment with Methylphenidate: A Controlled Polysomnographic Study. Sleep, 31(3), 375-381. doi: 10.1093/sleep/31.3.375 Elliott, H. (2002). Attention deficit hyperactivity disorder in adults: a guide for the primary care physician. Southern Medical Journal, 95(7), 736-743. Senol, V., Unalan, D., Akca, R. P., & Basturk, M. (2018). Prevalence of attention-deficit/hyperactivity and other disruptive behaviour disorder symptoms among primary school-age children in Kayseri, Turkey. Journal of International Medical Research, 46(1), 122-134. doi: 10.1177/0300060517712865 Schimmelmann, B. G., Friedel, S., Nguyen, T. T., Sauer, S., Ganz Vogel, C. I., Konrad, K., . . . Hebebrand, J. (2009). Exploring the genetic link between RLS and ADHD. Journal of Psychiatric Research, 43(10), 941-945. doi: 10.1016/j.jpsychires.2009.01.003 Garcia-Borreguero, D., & Williams, A. M. (2014). An update on restless legs syndrome (Willis-Ekbom disease): clinical features, pathogenesis and treatment. Current Opinion in Neurology, 27(4), 493-501. doi: 10.1097/WCO.0000000000000117 Chervin, R. D., Dillon, J. E., Bassetti, C., Ganoczy, D. A., & Pituch, K. J. (1997). Symtoms of sleep disorders, inattention and hyperactivity in children. Sleep, 20(12), 1185-1192. doi: 10.1093/sleep/20.12.1185 El-Sheikh, M., Bagley, E. J., Keiley, M., Elmore-Staton, L., Chen, E., & Buckhalt, J. A. (2013). Economic adversity and children’s sleep problems: Multiple indicators and moderation of effects. Health Psychology, 32(8), 849-859. doi: 10.1037/a0030413 comorbidities International Journal of Psychological Research Universidad San Buenaventura - USB (Colombia) application/pdf application/pdf Journal article 1 11 disorder prevalence. sleeping disorders https://revistas.usb.edu.co/index.php/IJPR/article/view/3381 ADHD Attention Deficit Hyperactivity Disorder RLS Restless Legs Syndrome Cornejo Ochoa, William Cuartas Arias, Jorge Mauricio Mesa Restrepo, Sandra Catalina Sierra Montoya, Ana Carolina Introduction: Attention Deficit Hyperactivity Disorder (ADHD) is the most common behavioral issue for children. One of the sleeping disorders most frequently related to ADHD is the Restless Legs Syndrome (RLS), characterized by an irresistible urge to move the legs, something that is generally associated with paresthesias and motor restlessness. The prevalence rate of RLS in children diagnosed with ADHD is close to 18%, but in Colombia, these cases have been hardly studied. Objective: To determine the frequency of RLS, in children with ADHD. Methods: A cross-sectional study, filled out by parents of children diagnosed with ADHD, were analyzed. This questionnaire contained clinical criteria for classifying ADHD according to the DSM-IV, as well as diagnostic criteria for RLS by the National Institutes of Health (2003). Results: A predominance rate of 65.6% in combined ADHD was observed in children with RLS criteria. Upon carrying out an exploratory data analysis, it was found that having a family history of RLS and belonging to the middle or low socioeconomic strata are conditions associated with the presence of RLS in children with ADHD, with a significant p (p < 0.000) and a PR of 4.47 (3.16-6.32). Conclusions: The prevalence of RLS was similar to the findings of other clinical investigations. However, it highlights new prevalence values in relation to the comorbidity between ADHD and RLS, suggesting the need for new clinical and therapeutic alternatives amidst the presence of both syndromes. Desautels, A., Turecki, G., Montplaisir, J., Ftouhi-Paquin, N., Michaud, M., Chouinard, V. A., & Rouleau, G. A. (2001). Dopaminergic neurotransmission and restless legs syndrome: a genetic association analysis. Neurology, 57(7), 1304-1306. doi: 10.1212/WNL.57.7.1304 Publication Bahcivan Saydam, R., Ayvasik, H. B., & Alyanak, B. (2015). Executive Functioning in Subtypes of Attention Deficit Hyperactivity Disorder. Nöro Psikiyatri Arşivi, 52(4), 386-392. doi: 10.5152/npa.2015.8712 Cortese, S., Konofal, E., Lecendreux, M., Arnulf, I., Mouren, M. C., Darra, F., & Bernardina, B. (2005). Restless legs syndrome and attention-deficit/hyperactivity disorder: a review of the literature. Sleep, 28(8), 1007-1013. doi: 10.1093/sleep/28.8.1007 Buchfuhrer, M. J., Hening, W. A., & Kushida, C. A. (2006). Restless Legs Syndrome: Coping with Your Sleepless Nights. US: American Academy of Neurology. Blunden, S. L., & Beebe, D. W. (2006). The contribution of intermittent hypoxia, sleep debt and sleep disruption to daytime performance deficits in children: consideration of respiratory and non-respiratory sleep disorders. Sleep Medicine Reviews, 10(2), 109-118. doi: 10.1016/j.smrv.2005.11.003 Benes, H., Walters, A. S., Allen, R. P., Hening, W. A., & Kohnen, R. (2007). Definition of restless legs syndrome, how to diagnose it, and how to differentiate it from RLS mimics. Movement Disorders, 22(S18), 401-408. doi: 10.1002/mds.21604 Cornejo, J. W., Osio, O., Sanchez, Y., Carrizosa, J., Sanchez, G., Grisales, H., . . . Holguin, J. (2005). Prevalencia del trastorno por déficit de atención-hiperactividad en niños y adolescentes colombianos [Prevalence of attention deficit hyperactivity disorder in Colombian children and teenagers]. Revista de neurología, 40(12), 716-722. Archbold, K. H. (2006). Sleep disorders and attention-deficit hyperactivity disorder in children: a missing differential diagnosis. Journal of the American Psychiatric Nurses Association, 12(4), 216-224. doi: 10.1177/1078390306295087 Angriman, M., Cortese, S., & Bruni, O. (2017). Somatic and neuropsychiatric comorbidities in pediatric restless legs syndrome: A systematic review of the literature. Sleep Medicine Reviews, 34, 34-45. doi: 10.1016/j.smrv.2016.06.008 Allen, R. P., Picchietti, D., Hening, W. A., Trenkwalder, C., Walters, A. S., & Montplaisi, J. (2003). Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology. Sleep Medicine, 4(2), 101-119. doi: 10.1016/S1389-9457(03)00010-8 Cortese, S., Lecendreux, M., Bernardina, B. D., Mouren, M. C., Sbarbati, A., & Konofal, E. (2008). Attention-deficit/hyperactivity disorder, Tourette's syndrome, and restless legs syndrome: the iron hypothesis. Medical Hypotheses, 70(6), 1128-1132. doi: 10.1016/j.mehy.2007.10.013 Crowell, D. H., Kulp, T. D., Kapuniai, L. E., Hunt, C. E., Brooks, L. J., Weese-Mayer, D. E., . . . Peucker, M. (2002). Infant polysomnography: reliability and validity of infant arousal assessment. Journal of Clinical Neurophysiology, 19(5), 469-483. Albin, R. L., Koeppe, R. A., Chervin, R. D., Consens, F. B., Wernette, K., Frey, K. A., & Aldrich, M. S. (2000). Decreased striatal dopaminergic innervation in REM sleep behavior disorder. Neurology, 55(9), 1410-1412. doi: 10.1212/WNL.55.9.1410 Chervin, R. D., Archbold, K. H., Dillon, J. E., Pituch, K. J., Panahi, P., Dahl, R. E., & Guilleminault, C. (2002). Associations between symptoms of inattention, hyperactivity, restless legs, and periodic leg movements. Sleep, 25(2), 213-218. doi: 10.1093/sleep/25.2.213 Chervin, R. D., Dillon, J. E., Archbold, K. H., & Ruzicka, D. L. (2003). Conduct problems and symptoms of sleep disorders in children. Journal of the American Academy of Child & Adolescent Psychiatry, 42(2), 201-208. International Journal of Psychological Research - 2018 Demirci, K., Yildirim Bas, F., Arslan, B., Salman, Z., Akpinar, A., & Demirdas, A. (2017). The Investigation of Symptoms and Diagnoses of Adult-Attention Deficit/ Hyperactivity Disorder in Women with Iron Deficiency Anemia. Noro Psikiyatr Ars, 54(1), 72-77. doi: 10.5152/npa.2016.12464 https://creativecommons.org/licenses/by-nc-sa/4.0/ Inglés Castano-De la Mota, C., Moreno-Acero, N., Losada-Del Pozo, R., Soto-Insuga, V., Perez-Villena, A., Rodriguez-Fernandez, C., . . . Pons-Rodriguez, M. (2017). Sindrome de piernas inquietas en pacientes diagnosticados de trastorno por deficit de atencion/hiperactividad. [Restless legs syndrome in patients diagnosed with attention deficit hyperactivity disorder]. Revista de neurología, 64(7), 299-304. https://revistas.usb.edu.co/index.php/IJPR/article/download/3381/3150 https://doi.org/10.21500/20112084.3381 https://revistas.usb.edu.co/index.php/IJPR/article/download/3381/2793 10.21500/20112084.3381 2018-02-09T00:00:00Z 2018-02-09T00:00:00Z 2018-02-09 69 58 2011-2084 2011-7922 |
institution |
UNIVERSIDAD DE SAN BUENAVENTURA |
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https://nuevo.metarevistas.org/UNIVERSIDADDESANBUENAVENTURA_COLOMBIA/logo.png |
country_str |
Colombia |
collection |
International Journal of Psychological Research |
title |
Prevalencia y características clínicas del síndrome de piernas inquietas (SPI) en pacientes diagnosticados con trastorno por déficit de atención con hiperactividad (TDAH) en Antioquia |
spellingShingle |
Prevalencia y características clínicas del síndrome de piernas inquietas (SPI) en pacientes diagnosticados con trastorno por déficit de atención con hiperactividad (TDAH) en Antioquia Cornejo Ochoa, William Cuartas Arias, Jorge Mauricio Mesa Restrepo, Sandra Catalina Sierra Montoya, Ana Carolina Síndrome de piernas inquietas prevalencia del trastorno comorbilidad Trastornos del sueño Trastorno de déficit de atención e hiperactividad comorbidities disorder prevalence. sleeping disorders ADHD Attention Deficit Hyperactivity Disorder Restless Legs Syndrome |
title_short |
Prevalencia y características clínicas del síndrome de piernas inquietas (SPI) en pacientes diagnosticados con trastorno por déficit de atención con hiperactividad (TDAH) en Antioquia |
title_full |
Prevalencia y características clínicas del síndrome de piernas inquietas (SPI) en pacientes diagnosticados con trastorno por déficit de atención con hiperactividad (TDAH) en Antioquia |
title_fullStr |
Prevalencia y características clínicas del síndrome de piernas inquietas (SPI) en pacientes diagnosticados con trastorno por déficit de atención con hiperactividad (TDAH) en Antioquia |
title_full_unstemmed |
Prevalencia y características clínicas del síndrome de piernas inquietas (SPI) en pacientes diagnosticados con trastorno por déficit de atención con hiperactividad (TDAH) en Antioquia |
title_sort |
prevalencia y características clínicas del síndrome de piernas inquietas (spi) en pacientes diagnosticados con trastorno por déficit de atención con hiperactividad (tdah) en antioquia |
description |
Introducción: El trastorno de hiperactividad con déficit de atención (TDAH) es el problema de comportamiento más común en la infancia. Uno de los trastornos de sueño que más se ha relacionado el TDAH es el síndrome de piernas inquietas (SPI) el cual conlleva un deseo irresistible de mover las piernas que, en general, se asocia con parestesias e inquietud motora. La prevalencia del SPI en la población infantil diagnosticada con TDAH es de cerca del 18 %. Sin embargo, en Colombia han sido escasamente estudiados. Objetivo: Determinar la frecuencia de SPI en niños con TDAH. Método: se realizó un estudio de corte transversal, con el uso de cuestionarios diligenciados por los padres de niños con diagnóstico de TDAH. Dicho cuestionario contenía criterios clínicos para la clasificación del TDAH según el DSM-IV, y criterios diagnósticos para SPI del National Institutes of Health pediatric restless legs syndrome (2003). Resultados: Los niños con criterios de SPI tuvieron predominio del TDAH combinado en un 65.6%. Al realizar el análisis exploratorio se encontró que tener historia familiar de SPI y estrato medio o bajo se asocian con la presencia del SPI en niños con TDAH, con una p significativa (p < 0.000) y una RP de 4.47 (3.16-6.32). Conclusiones: La prevalencia de SPI fue similar a los hallazgos de otras investigaciones clínicas, sin embargo, resalta nuevos valores de prevalencia en relación a la comorbilidad entre el TDAH y el SPI, sugiriendo la necesidad de habilitar nuevas alternativas clínicas y terapéuticas en la presencia de ambos síndromes.
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description_eng |
Introduction: Attention Deficit Hyperactivity Disorder (ADHD) is the most common behavioral issue for children. One of the sleeping disorders most frequently related to ADHD is the Restless Legs Syndrome (RLS), characterized by an irresistible urge to move the legs, something that is generally associated with paresthesias and motor restlessness. The prevalence rate of RLS in children diagnosed with ADHD is close to 18%, but in Colombia, these cases have been hardly studied. Objective: To determine the frequency of RLS, in children with ADHD. Methods: A cross-sectional study, filled out by parents of children diagnosed with ADHD, were analyzed. This questionnaire contained clinical criteria for classifying ADHD according to the DSM-IV, as well as diagnostic criteria for RLS by the National Institutes of Health (2003). Results: A predominance rate of 65.6% in combined ADHD was observed in children with RLS criteria. Upon carrying out an exploratory data analysis, it was found that having a family history of RLS and belonging to the middle or low socioeconomic strata are conditions associated with the presence of RLS in children with ADHD, with a significant p (p < 0.000) and a PR of 4.47 (3.16-6.32). Conclusions: The prevalence of RLS was similar to the findings of other clinical investigations. However, it highlights new prevalence values in relation to the comorbidity between ADHD and RLS, suggesting the need for new clinical and therapeutic alternatives amidst the presence of both syndromes.
|
author |
Cornejo Ochoa, William Cuartas Arias, Jorge Mauricio Mesa Restrepo, Sandra Catalina Sierra Montoya, Ana Carolina |
author_facet |
Cornejo Ochoa, William Cuartas Arias, Jorge Mauricio Mesa Restrepo, Sandra Catalina Sierra Montoya, Ana Carolina |
topicspa_str_mv |
Síndrome de piernas inquietas prevalencia del trastorno comorbilidad Trastornos del sueño Trastorno de déficit de atención e hiperactividad |
topic |
Síndrome de piernas inquietas prevalencia del trastorno comorbilidad Trastornos del sueño Trastorno de déficit de atención e hiperactividad comorbidities disorder prevalence. sleeping disorders ADHD Attention Deficit Hyperactivity Disorder Restless Legs Syndrome |
topic_facet |
Síndrome de piernas inquietas prevalencia del trastorno comorbilidad Trastornos del sueño Trastorno de déficit de atención e hiperactividad comorbidities disorder prevalence. sleeping disorders ADHD Attention Deficit Hyperactivity Disorder Restless Legs Syndrome |
citationvolume |
11 |
citationissue |
1 |
publisher |
Universidad San Buenaventura - USB (Colombia) |
ispartofjournal |
International Journal of Psychological Research |
source |
https://revistas.usb.edu.co/index.php/IJPR/article/view/3381 |
language |
Inglés |
format |
Article |
rights |
http://purl.org/coar/access_right/c_abf2 info:eu-repo/semantics/openAccess International Journal of Psychological Research - 2018 https://creativecommons.org/licenses/by-nc-sa/4.0/ |
references_eng |
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type_driver |
info:eu-repo/semantics/article |
type_coar |
http://purl.org/coar/resource_type/c_6501 |
type_version |
info:eu-repo/semantics/publishedVersion |
type_coarversion |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
type_content |
Text |
publishDate |
2018-02-09 |
date_accessioned |
2018-02-09T00:00:00Z |
date_available |
2018-02-09T00:00:00Z |
url |
https://revistas.usb.edu.co/index.php/IJPR/article/view/3381 |
url_doi |
https://doi.org/10.21500/20112084.3381 |
issn |
2011-2084 |
eissn |
2011-7922 |
doi |
10.21500/20112084.3381 |
citationstartpage |
58 |
citationendpage |
69 |
url2_str_mv |
https://revistas.usb.edu.co/index.php/IJPR/article/download/3381/3150 https://revistas.usb.edu.co/index.php/IJPR/article/download/3381/2793 |
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1823199577426100224 |