Wehmeier Peter M, Schacht Alexander, Dittmann Ralf W, Banaschewski Tobias
Lilly Deutschland GmbH, Medical Department, Bad Homburg, Germany.
Atten Defic Hyperact Disord. 2010 Jun;2(2):73-85. doi: 10.1007/s12402-010-0022-2. Epub 2010 Mar 30.
Atomoxetine may improve ADHD-related difficulties and hence the quality of life (QoL) in children and adolescents. Perception of these difficulties may differ with the rater perspective (patient, parent, physician) or patients' sex. The objective of this study was to investigate QoL as reflected by perceived ADHD-related difficulties perceived from these three perspectives and compare boys and girls. Patients aged 6-17 with ADHD were treated with atomoxetine (target dose 0.5-1.2 mg/kg/day) in two studies. In both studies, ADHD-related difficulties were assessed after 8 and 24 weeks using the Global Impression of Perceived Difficulties (GIPD) instrument, which can be taken to reflect the patient's QoL from the three perspectives. Data from the two studies were combined and analyzed together in order to compare boys and girls. Four hundred and twenty-one patients were treated with atomoxetine, 338 boys and 83 girls. Three hundred and fifty-five patients completed the 8-week study period. QoL, as reflected by perceived ADHD-related difficulties (measured with GIPD), improved over time. Mean GIPD total scores showed a similar course over time for all rater groups, although the patients rated the degree of difficulties significantly lower than parents and physicians. The sexes did not differ significantly in mean GIPD total scores. The GIPD scores over time suggest that patients' QoL, as reflected by perceived ADHD-related difficulties, improved with time on atomoxetine. However, improvement did not differ significantly between boys and girls.
ClinicalTrials.gov Identifiers NCT00191516 and NCT00191737.
托莫西汀可能改善与注意缺陷多动障碍(ADHD)相关的困难,从而提高儿童和青少年的生活质量(QoL)。对这些困难的认知可能因评估者的角度(患者、家长、医生)或患者性别而异。本研究的目的是调查从这三个角度感知到的与ADHD相关的困难所反映的生活质量,并比较男孩和女孩。在两项研究中,对6 - 17岁患有ADHD的患者使用托莫西汀进行治疗(目标剂量为0.5 - 1.2毫克/千克/天)。在两项研究中,均在8周和24周后使用总体感知困难量表(GIPD)评估与ADHD相关的困难,该量表可从三个角度反映患者的生活质量。将两项研究的数据合并并一起分析,以比较男孩和女孩。421名患者接受了托莫西汀治疗,其中338名男孩和83名女孩。355名患者完成了8周的研究期。随着时间的推移,由感知到的与ADHD相关的困难所反映的生活质量得到改善(用GIPD测量)。尽管患者对困难程度的评分显著低于家长和医生,但所有评估者组的GIPD总分随时间呈现相似的变化过程。GIPD总分在性别上无显著差异。随时间变化的GIPD评分表明,由感知到的与ADHD相关的困难所反映的患者生活质量,在使用托莫西汀治疗期间随时间得到改善。然而,男孩和女孩之间的改善没有显著差异。
ClinicalTrials.gov标识符NCT00191516和NCT0019173