Barfield Patricia A
Oregon Health & Science University (OSHU), La Grande Campus, Portland, Oregon.
J Child Adolesc Psychiatr Nurs. 2018 Nov;31(4):102-108. doi: 10.1111/jcap.12218. Epub 2018 Dec 12.
A common clinical approach to children with attention deficit hyperactivity disorder (ADHD) is to view them through an adult-proxy report of problems. There is little evidence on how children with ADHD evaluate their life satisfaction, how their evaluations compare with unaffected children, or how their perspectives might inform clinical practice.
A parallel convergent mixed-methods design was used to interview 20 children (aged, 7-11 years) with ADHD. This report presents the children's responses to the 40-item Multidimensional Student Life Satisfaction Scale. Parents/guardians ( N = 20) provided contextual data consisting of demographics, ADHD-related items, and health literacy.
Total life satisfaction (M = 3.08, SD = 0.35) fell within the 95% CI [2.91, 3.25] of comparative data. Overall subscale ratings (high to low) included: friends (M = 3.24, SD = 0.60), living environment (M = 3.14, SD = 0.51), family (M = 3.08, SD = 0.51), school (M = 3.0, SD = 0.65), and self (M = 2.93, SD = 0.60). Positive and negative associations are reported.
Including a measure of life satisfaction adds a child-centered approach to understanding children with ADHD beyond an adult-proxy report of problems that is contextually and clinically relevant.
对于患有注意力缺陷多动障碍（ADHD）的儿童，一种常见的临床方法是通过成人代理报告的问题来审视他们。关于ADHD儿童如何评估自己的生活满意度、他们的评估与未受影响的儿童相比如何，或者他们的观点如何为临床实践提供信息，几乎没有证据。
采用平行收敛混合方法设计，对20名7至11岁的ADHD儿童进行访谈。本报告展示了儿童对40项多维学生生活满意度量表的回答。父母/监护人（N = 20）提供了包括人口统计学、ADHD相关项目和健康素养在内的背景数据。
总体生活满意度（M = 3.08，标准差 = 0.35）落在比较数据的95%置信区间[2.91, 3.25]内。总体子量表评分（从高到低）包括：朋友（M = 3.24，标准差 = 0.60）、生活环境（M = 3.14，标准差 = 0.51）、家庭（M = 3.08，标准差 = 0.51）、学校（M = 3.0，标准差 = 0.65）和自我（M = 2.93，标准差 = 0.60）。报告了正相关和负相关关系。
纳入生活满意度测量为理解ADHD儿童增加了一种以儿童为中心的方法，超越了基于成人代理报告问题的方法，具有背景和临床相关性。
