O'Callaghan Pamela
University of Texas Medical Branch, Galveston, TX, USA,
Atten Defic Hyperact Disord. 2014 Jun;6(2):111-20. doi: 10.1007/s12402-014-0129-y. Epub 2014 Mar 7.
Although stimulant medication can reduce symptoms and lessen the degree of functional impairment associated with attention deficit hyperactivity disorder (ADHD), the adherence rate in adults diagnosed with ADHD is reportedly <12 %. The article explores the contexts that influence stimulant medication adherence in adults diagnosed with ADHD. Using a mixed-method design, data on ADHD-related quality of life and stimulant adherence were collected from 67 adults with ADHD. Next, 18 of those adults, based on adherence/quality of life, completed semi-structured interviews. Qualitative data were analyzed using thematic narrative inquiry, based on the Health Belief Model. Findings revealed no direct relation between stimulant adherence and quality of life. Instead, the doctor/patient relationship was a strong predictor of a person's quality of life. Physicians treating adults with ADHD must be aware of individual variation in stimulant response, seek to understand the functional limitations of their patients and strive to communicate effectively.
尽管兴奋剂药物可以减轻与注意力缺陷多动障碍（ADHD）相关的症状并降低功能损害程度，但据报道，被诊断患有ADHD的成年人的药物依从率<12%。本文探讨了影响被诊断患有ADHD的成年人使用兴奋剂药物依从性的相关情况。采用混合方法设计，收集了67名患有ADHD的成年人的ADHD相关生活质量和兴奋剂依从性数据。接下来，根据依从性/生活质量，其中18名成年人完成了半结构化访谈。基于健康信念模型，采用主题叙事探究法对定性数据进行了分析。研究结果显示，兴奋剂依从性与生活质量之间没有直接关系。相反，医患关系是一个人生活质量的有力预测因素。治疗患有ADHD的成年人的医生必须意识到兴奋剂反应的个体差异，努力了解患者的功能限制，并努力进行有效沟通。
