1 University of California, San Francisco, USA.
J Atten Disord. 2019 Sep;23(11):1251-1261. doi: 10.1177/1087054716677817. Epub 2017 Jan 8.
This study examined rates and predictors of educational and mental health service utilization among youth with ADHD-predominantly inattentive presentation (ADHD-I). Participants were 199 children with ADHD-I in Grades 2 to 5. Parents reported past-year child service utilization. Parents and teachers rated child ADHD and oppositional defiant disorder (ODD) symptom severity and functional impairment. Children completed an academic achievement test. All children had impairment at school and home. Most received some sort of school service (79%), but only 23% received community-based services. ADHD symptom severity was unrelated to service utilization. However, higher parent-rated functional impairment predicted community service utilization. Academic underachievement and higher teacher-rated functional impairment predicted school service utilization. Many youth with ADHD-I experience impairment across domains without receiving adequate services for these problems. Functional impairment appears to be a stronger predictor of service utilization than ADHD symptom severity, demonstrating the importance of impairment in understanding service needs for ADHD-I.
本研究考察了 ADHD-以注意力不集中为主型（ADHD-I）患儿的教育和心理健康服务利用的比率和预测因素。参与者为 2 至 5 年级的 199 名 ADHD-I 儿童。家长报告了过去一年儿童的服务利用情况。家长和教师对儿童 ADHD 和对立违抗性障碍（ODD）症状严重程度和功能障碍进行了评分。儿童完成了一项学业成就测试。所有儿童在学校和家庭都存在障碍。大多数儿童接受了某种学校服务（79%），但只有 23%的儿童接受了基于社区的服务。ADHD 症状严重程度与服务利用无关。然而，父母评定的较高功能障碍程度预测了社区服务的利用。学业成绩不佳和教师评定的较高功能障碍程度预测了学校服务的利用。许多 ADHD-I 患儿在多个领域存在障碍，但没有得到针对这些问题的充分服务。功能障碍似乎比 ADHD 症状严重程度更能预测服务利用，这表明在理解 ADHD-I 的服务需求时，障碍的重要性。
