儿童和青少年焦虑症的损害是否比注意力缺陷多动障碍和自闭症谱系障碍小？与儿童生活质量、父母压力和精神病理学的关联。
Are Anxiety Disorders in Children and Adolescents Less Impairing Than ADHD and Autism Spectrum Disorders? Associations with Child Quality of Life and Parental Stress and Psychopathology.
作者信息
Telman Liesbeth G E, van Steensel Francisca J A, Maric Marija, Bögels Susan M
机构信息
Research Priority Area Yield, Research Institute of Child Development and Education, University of Amsterdam, Postbus 15780, 1001 NG, Amsterdam, The Netherlands.
UvA minds, Academic Outpatient Child and Adolescent Treatment Center, Amsterdam, The Netherlands.
出版信息
Child Psychiatry Hum Dev. 2017 Dec;48(6):891-902. doi: 10.1007/s10578-017-0712-5.
We compared clinically referred children with anxiety disorders (AD; n = 63) to children with autism spectrum disorder (ASD; n = 39), ADHD Combined (ADHD-C; n = 62), ADHD Predominantly Inattentive (ADHD-I; n = 64), and typically developing children (n = 42) on child quality of life (QOL), paternal and maternal psychopathology and parental stress. Diagnoses were based on DSM-IV-TR criteria. Multilevel analyses showed that QOL in AD was higher on school and social functioning, compared to respectively ADHD and ASD, and lower compared to normal controls on all five domains. Fathers reported their AD children higher QOL than mothers. Also, AD appeared to be associated with less parental stress and parental psychopathology than other child psychopathology. Therefore, parental factors may need to be considered more in treatment of children with ADHD/ASD than AD.
我们将临床上被转诊的焦虑症儿童（AD；n = 63）与自闭症谱系障碍儿童（ASD；n = 39）、注意力缺陷多动障碍合并型（ADHD-C；n = 62）、注意力缺陷多动障碍主要为注意力不集中型（ADHD-I；n = 64）以及发育正常的儿童（n = 42）在儿童生活质量（QOL）、父母精神病理学和父母压力方面进行了比较。诊断基于《精神疾病诊断与统计手册》第四版修订版（DSM-IV-TR）标准。多层次分析表明，与ADHD和ASD相比，AD儿童在学校和社交功能方面的生活质量更高，而在所有五个领域与正常对照组相比更低。父亲报告他们的AD儿童的生活质量高于母亲。此外，与其他儿童精神病理学相比，AD似乎与较少的父母压力和父母精神病理学相关。因此，在治疗ADHD/ASD儿童时，可能需要比治疗AD儿童更多地考虑父母因素。
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