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[新诊断的、未接受过治疗的注意缺陷多动障碍儿童和青少年的生活质量]

[Quality of life of newly diagnosed, treatment naive children and adolescents with attention-deficit hyperactivity disorder].

作者信息

Velö Szabina, Keresztény Ágnes, Miklósi Mónika, Dallos Gyöngyvér, Szentiványi Dóra, Gádoros Júlia, Balázs Judit

机构信息

Eotvos Lorand Tudomanyegyetem, Pszichologiai Intezet, Fejlodes- es Klinikai Gyermekpszichologia Tanszek, Budapest, Hungary, E-mail:

出版信息

Psychiatr Hung. 2014;29(4):410-7.

Abstract

INTRODUCTION

Attention-deficit hyperactivity disorder (ADHD) is one of the most prevalent childhood psychiatric disorder, it affects around 3-12% of the children. ADHD is associated with numerous social and emotional impairments. Quality of life (QoL) studies of children with ADHD established low QoL in the most cases. Our aim was to examine QoL of children with ADHD according to the following aspects: age, children's self-report and parentproxy report, and we also would like to compare them with healthy control group along several dimensions of QoL.

METHODS

The clinical group consist of a treatmant naive group of children with ADHD, who were just diagnosed in the Vadaskert Hospital. The healthy control group consist of children from elementary schools. The children of control group do not have ADHD and do not stand under psychological or psychiatrical treatment. In our study we applied Mini International Neuropsychiatric Interview Kid and Intervertat Lebensqualitat Kindern und Jugendlichen questionare.

RESULTS

Compared children with ADHD to healthy control group they have significantly lower QoL at many areas (school, peer realtions, generally) due their self report. By parent's proxy report children with ADHD have lower QoL according to all of the QoL domains. Parents of children with ADHD reported significantly lower QoL for their children in the most areas (school, family, peer realtion, mental state, generally) then the affected children. Adolescent with ADHD have lower QoL in 3 domains (school, peer relations, generally) than children with ADHD, while children with ADHD have lower QoL in one dimension (being alone) compared with adolescents with ADHD.

CONCLUSION

Based on our results children with ADHD compared to healthy control group have lower QoL in many dimensions and there are age-related differences in the assessment of QoL. Additionally, our study draw the attention to the differences of QoL assessment between children and parents.

摘要

引言

注意力缺陷多动障碍(ADHD)是最常见的儿童精神疾病之一,影响着约3%至12%的儿童。ADHD与众多社会和情感障碍相关。对ADHD儿童的生活质量(QoL)研究表明,在大多数情况下其生活质量较低。我们的目的是根据以下方面研究ADHD儿童的生活质量:年龄、儿童自我报告和家长代理报告,并且我们还想在生活质量的几个维度上将他们与健康对照组进行比较。

方法

临床组由一组未接受过治疗的ADHD儿童组成,他们刚在瓦达斯科特医院被诊断出来。健康对照组由小学儿童组成。对照组的儿童没有ADHD,也未接受心理或精神治疗。在我们的研究中,我们应用了儿童版迷你国际神经精神访谈和儿童青少年生活质量问卷。

结果

通过自我报告,将ADHD儿童与健康对照组相比,他们在许多领域(学校、同伴关系、总体)的生活质量显著更低。根据家长的代理报告,ADHD儿童在所有生活质量领域的生活质量都较低。ADHD儿童的家长报告其孩子在大多数领域(学校、家庭、同伴关系、精神状态、总体)的生活质量明显低于受影响的儿童。患有ADHD的青少年在3个领域(学校、同伴关系、总体)的生活质量低于ADHD儿童,而ADHD儿童在一个维度(独处)上的生活质量与患有ADHD的青少年相比更低。

结论

基于我们的结果,与健康对照组相比,ADHD儿童在许多维度上的生活质量更低,并且在生活质量评估方面存在年龄相关差异。此外,我们的研究提请注意儿童和家长在生活质量评估方面的差异。

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