注意缺陷多动障碍（ADHD）患儿12个月期间的ADHD症状与生活质量：一项纵向研究
ADHD Symptoms and Quality of Life Across a 12-Month Period in Children With ADHD: A Longitudinal Study.
作者信息
Mulraney Melissa, Giallo Rebecca, Sciberras Emma, Lycett Kate, Mensah Fiona, Coghill David
机构信息
1 Murdoch Childrens Research Institute, Parkville, Australia.
2 The Royal Children's Hospital, Parkville, Australia.
出版信息
J Atten Disord. 2017 May 1;23(13):1675-1685. doi: 10.1177/1087054717707046. Print 2019 Nov 1.
OBJECTIVE
To describe the relationship between ADHD symptom severity and quality of life (QoL) across three time points over a 12-month period and investigate whether sleep modifies this relationship.
METHOD
Children aged 5 to 13 years with ADHD were recruited from 21 pediatric practices across Victoria, Australia ( N = 392). Child QoL (parent-report) and ADHD symptoms (both parent- and teacher-report) were assessed at three time points (0, 6, and 12 months), and sleep was assessed at baseline (parent-report). Data were analyzed using Pearson's correlations and autoregressive cross-lagged panel models.
RESULTS
Parent-reported ADHD symptoms predicted poorer QoL at each subsequent time point ( r = -.10 to -.13), and a small bidirectional relationship was observed between teacher-reported ADHD symptoms and QoL from 6 to 12 months. Sleep moderated the relationship between ADHD symptoms and QoL.
CONCLUSION
Clinicians need to look beyond core ADHD symptoms to other factors that may be influencing QoL in children with ADHD.
目的
描述12个月内三个时间点上注意缺陷多动障碍（ADHD）症状严重程度与生活质量（QoL）之间的关系，并调查睡眠是否会改变这种关系。
方法
从澳大利亚维多利亚州的21家儿科诊所招募了5至13岁患有ADHD的儿童（N = 392）。在三个时间点（0、6和12个月）评估儿童的生活质量（家长报告）和ADHD症状（家长和教师报告），并在基线时评估睡眠情况（家长报告）。使用Pearson相关性分析和自回归交叉滞后面板模型对数据进行分析。
结果
家长报告的ADHD症状在随后的每个时间点都预示着较差的生活质量（r = -0.10至-0.13），并且在6至12个月期间，教师报告的ADHD症状与生活质量之间存在小的双向关系。睡眠调节了ADHD症状与生活质量之间的关系。
结论
临床医生需要超越ADHD的核心症状，关注可能影响ADHD儿童生活质量的其他因素。
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