Mulraney Melissa, Giallo Rebecca, Sciberras Emma, Lycett Kate, Mensah Fiona, Coghill David
1 Murdoch Childrens Research Institute, Parkville, Australia.
2 The Royal Children's Hospital, Parkville, Australia.
J Atten Disord. 2017 May 1;23(13):1675-1685. doi: 10.1177/1087054717707046. Print 2019 Nov 1.
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.
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.
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.
Clinicians need to look beyond core ADHD symptoms to other factors that may be influencing QoL in children with ADHD.
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。
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。
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。
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。
