Zavadenko N N, Suvorinova N Yu
Pirogov Russian National Research Medical University, Moscow, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2020;120(4):29-35. doi: 10.17116/jnevro202012004129.
To evaluate the level of adaptive functioning in patients with attention deficit hyperactivity disorder (ADHD).
One hundred children and adolescents with ADHD (79 male and 21 female) were examined using M. Weiss functional impairment rating scale (WFIRS). The total score on the ADHD-DSM-IV was at least 24 and ADHD severity was rated as «Moderately ill» or «Markedly ill» on CGI-S-ADHD scale.
Typical for ADHD difficulties with adaptive functioning in «Family», «Learning and school», «Life skills», «Social activities» domains are more pronounced in «Markedly ill» patients compared to «Moderately ill» and increase during the transition from childhood to adolescence. Comorbid disorders (oppositional defiant disorder and anxiety disorders) lead to a significant increase in adaptive functioning impairments in most domains of daily life, including «Family», «Learning and school», «Child's self concept», «Social activities» and «Risky activities».
It is necessary not only to assess core symptoms in the follow-up of patients with ADHD, but also evaluate comorbid disorders and the level of functional impairment across the main domains of daily life.
评估注意力缺陷多动障碍（ADHD）患者的适应功能水平。
使用M. 韦斯功能损害评定量表（WFIRS）对100名ADHD儿童和青少年（79名男性和21名女性）进行检查。ADHD-DSM-IV总分至少为24分，且根据CGI-S-ADHD量表，ADHD严重程度被评为“中度患病”或“重度患病”。
与“中度患病”患者相比，“重度患病”的ADHD患者在“家庭”“学习与学校”“生活技能”“社交活动”领域的适应功能典型困难更为明显，且从童年到青少年过渡期间这些困难会增加。共病障碍（对立违抗性障碍和焦虑症）会导致日常生活大多数领域的适应功能损害显著增加，包括“家庭”“学习与学校”“儿童自我概念”“社交活动”和“危险活动”。
在ADHD患者的随访中，不仅有必要评估核心症状，还需评估共病障碍以及日常生活主要领域的功能损害水平。
