Escobar Rodrigo, Soutullo Cesar A, Hervas Amaia, Gastaminza Xavier, Polavieja Pepa, Gilaberte Inmaculada
Lilly Research Laboratories, Alcobendas, Spain.
Pediatrics. 2005 Sep;116(3):e364-9. doi: 10.1542/peds.2005-0386.
To evaluate the quality of life (QOL) of untreated children with newly diagnosed attention-deficit/hyperactivity disorder (ADHD), compared with asthmatic and healthy children.
This prospective, case-control study included a group of 120 children, 6 to 12 years of age, with newly diagnosed ADHD according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Subjects were matched according to age, gender, and health care area with 2 control groups, ie, 93 asthmatic children and 120 healthy children. Sociodemographic characteristics and Child Health Questionnaire scores were collected.
The QOL of children with ADHD was rated worse than that of asthmatic or healthy children for most Child Health Questionnaire domains. The greatest differences were found in behavior, social limitations attributable to physical problems, emotional impact on parents, and family activities. Almost every psychosocial domain was more affected in comparison with asthmatic children and both psychosocial and physical domains in comparison with healthy children.
ADHD interferes with the daily lives of children, parents, and families even more than asthma, primarily in areas related to psychosocial functioning, although evidence of impaired physical functioning also emerged. Delays in recognition, assessment, and management of ADHD may affect negatively the QOL of those children.
评估新诊断的注意力缺陷多动障碍（ADHD）未经治疗的儿童与哮喘儿童和健康儿童相比的生活质量（QOL）。
这项前瞻性病例对照研究纳入了一组120名6至12岁的儿童，他们根据《精神疾病诊断与统计手册》第四版被新诊断为ADHD。根据年龄、性别和医疗保健区域将受试者与2个对照组进行匹配，即93名哮喘儿童和120名健康儿童。收集社会人口学特征和儿童健康问卷分数。
对于大多数儿童健康问卷领域，ADHD儿童的生活质量评分低于哮喘儿童或健康儿童。在行为、身体问题导致的社会限制、对父母的情感影响和家庭活动方面发现了最大差异。与哮喘儿童相比，几乎每个心理社会领域受影响更大；与健康儿童相比，心理社会和身体领域均受影响。
ADHD对儿童、父母和家庭日常生活的干扰甚至超过哮喘，主要在与心理社会功能相关的领域，尽管也出现了身体功能受损的证据。ADHD识别、评估和管理的延迟可能会对这些儿童的生活质量产生负面影响。
