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注意缺陷/多动障碍儿童及青少年的应对方式与生活质量

[Coping and quality of life among children and adolescents with attention deficit/hyperactivity disorder].

作者信息

Hampel Petra, Desman Christiane

机构信息

Zentrum für Klinische Psychologie und Rehabilitation, Universität Bremen, Bremen.

出版信息

Prax Kinderpsychol Kinderpsychiatr. 2006;55(6):425-43.

PMID:16967641
Abstract

First studies suggest an impaired emotion regulation especially with negative emotions among children and adolescents with attention deficit/hyperactivity disorder (ADHD), which particularly emerged in the subgroup with comorbid conduct disorder. Moreover, first results have shown that quality of life of children and adolescents with ADHD are negatively affected compared to healthy controls. The present study examined differences in age and subgroup on coping and quality of life among boys with ADHD. Furthermore, coping and quality of life were compared to healthy norms. In total, N=48 boys with ADHD with and without conduct disorder (ages 8 to 12 years) were asked to complete self-report questionnaires on coping and quality of life. Fifth and sixth graders with ADHD reported less distraction than third and fourth graders. The subgroup with ADHD and conduct disorder showed more passive avoidance and resignation compared to the subgroup with ADHD alone. Compared to normative data, especially third and fourth graders with ADHD showed an increased maladaptive coping. Additionally, the subgroup with conduct disorder scored higher on all maladaptive coping strategies than the normative sample. Finally, all domains of quality of life were impaired among children and adolescents with ADHD compared to normative data. These findings support the consideration of emotion regulation and quality of life in the research of ADHD in childhood and adolescence to develop effective programs for prevention and intervention.

摘要

初步研究表明,注意缺陷多动障碍(ADHD)儿童和青少年的情绪调节受损,尤其是在面对负面情绪时,这种情况在合并品行障碍的亚组中尤为明显。此外,初步结果显示,与健康对照组相比,ADHD儿童和青少年的生活质量受到负面影响。本研究调查了患有ADHD的男孩在应对方式和生活质量方面的年龄和亚组差异。此外,还将应对方式和生活质量与健康标准进行了比较。共有48名患有或未患有品行障碍的ADHD男孩(年龄在8至12岁之间)被要求完成关于应对方式和生活质量的自我报告问卷。患有ADHD的五、六年级学生比三、四年级学生报告的注意力分散情况更少。与仅患有ADHD的亚组相比,患有ADHD和品行障碍的亚组表现出更多的被动回避和顺从。与标准数据相比,尤其是患有ADHD的三、四年级学生表现出更多适应不良的应对方式。此外,患有品行障碍的亚组在所有适应不良的应对策略上的得分均高于标准样本。最后,与标准数据相比,ADHD儿童和青少年的生活质量的所有领域均受损。这些发现支持在儿童和青少年ADHD研究中考虑情绪调节和生活质量,以制定有效的预防和干预方案。

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The role of stress coping strategies for life impairments in ADHD.应对压力策略对 ADHD 患者生活障碍的作用。
J Neural Transm (Vienna). 2021 Jul;128(7):981-992. doi: 10.1007/s00702-021-02311-5. Epub 2021 Mar 9.
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Assessing whether child and parent reports of the KINDL questionnaire measure the same constructs of quality of life in children with attention-deficit hyperactivity disorder.
评估儿童和家长报告的 KINDL 问卷是否在患有注意缺陷多动障碍的儿童中测量了相同的生活质量结构。
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The impact of medications on quality of life in attention-deficit hyperactivity disorder: a systematic review.药物对注意缺陷多动障碍患者生活质量的影响:系统评价。
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The quality of life of children with attention deficit/hyperactivity disorder: a systematic review.儿童注意缺陷多动障碍生活质量:系统评价。
Eur Child Adolesc Psychiatry. 2010 Feb;19(2):83-105. doi: 10.1007/s00787-009-0046-3. Epub 2009 Jul 26.