Balazs Judit, Miklosi Monika, Toro Krisztina T, Nagy-Varga Diana
Department of Developmental and Clinical Child Psychology, Institute of Psychology, Eötvös Loránd UniversityBudapest, Hungary; Vadaskert Child Psychiatry HospitalBudapest, Hungary.
Department of Developmental and Clinical Child Psychology, Institute of Psychology, Eötvös Loránd UniversityBudapest, Hungary; Heim Pál Pediatric Hospital, Budapest, Centre of Mental HealthBudapest, Hungary.
Front Psychol. 2016 Dec 15;7:1942. doi: 10.3389/fpsyg.2016.01942. eCollection 2016.
The aim of this study is to investigate self- and parent-rated quality of life (QoL) in children with a reading disability (RD) and the impact of comorbid psychopathology, with special focus on age and gender differences. Using the Dyslexia Differential Diagnosis Maastricht-Hungarian standard test, 127 children (aged < 18) were included in the RD group and 81 in the control group. To measure comorbid psychopathology, the Strengths and Difficulties Questionnaire (SDQ) was administered. To evaluate the children's QoL self- and parent-rated versions of the Measure of Quality of Life for Children and Adolescents (ILK) were used. Group differences in QoL and psychopathology were assessed using Mann-Whitney -tests. Moderated mediational models were tested in which comorbid psychopathology mediated the relationship between group membership and self- and parent-rated QoL, which was dependent on gender. Child's age and parents' level of education were included as covariates. The RD group showed lower QoL than the controls in several domains, according to the parent-report, while no differences between the two groups were found, according to self-report. In boys, results revealed conditional and indirect effects of group membership on self- and parent-rated QoL through comorbid psychopathology (-0.046, BCa 95% CI: -0.135 to 0.043 and 0.064, BCa 95% CI: 0.024-0.111, respectively) as well as a conditional direct effect of group membership on parent-reported (-0.098, BCa 95% CI: 0.012-0.184), but not self-rated, QoL. No relationship was found for girls. This study highlights the importance of measuring QoL and comorbid psychopathology in children with RDs from more sources and accounting for gender and age differences.
本研究旨在调查患有阅读障碍（RD）儿童的自我报告及家长报告的生活质量（QoL），以及共病精神病理学的影响，特别关注年龄和性别差异。使用马斯特里赫特 - 匈牙利诵读困难鉴别诊断标准测试，RD组纳入了127名儿童（年龄<18岁），对照组纳入了81名儿童。为测量共病精神病理学，使用了优势与困难问卷（SDQ）。为评估儿童的生活质量，使用了儿童和青少年生活质量量表（ILK）的自我报告及家长报告版本。使用曼 - 惠特尼检验评估生活质量和精神病理学方面的组间差异。测试了调节中介模型，其中共病精神病理学介导了组成员身份与自我报告及家长报告的生活质量之间的关系，该关系取决于性别。将儿童年龄和家长教育水平作为协变量纳入。根据家长报告，RD组在几个领域的生活质量低于对照组，而根据自我报告，两组之间未发现差异。在男孩中，结果显示组成员身份通过共病精神病理学对自我报告及家长报告的生活质量有条件间接影响（分别为-0.046，BCa 95% CI：-0.135至0.043和0.064，BCa 95% CI：0.024 - 0.111），以及组成员身份对家长报告的生活质量有条件直接影响（-0.098，BCa 95% CI：0.012 - 0.184），但对自我报告的生活质量无此影响。女孩未发现相关关系。本研究强调了从更多来源测量RD儿童的生活质量和共病精神病理学，并考虑性别和年龄差异的重要性。
