Department of Physical Medicine and Rehabilitation, University of Health Sciences, Konya Training and Research Hospital, Konya, Turkey
Turk J Med Sci. 2021 Aug 30;51(4):1747-1755. doi: 10.3906/sag-2010-29.
BACKGROUND/AIM: The present study aimed to determine the association between attention-deficit hyperactivity disorder (ADHD) symptoms severity, fibromyalgia (FM) severity, and QoL.
While the FM group consisted of 113 (74%) patients, the control group consisted of 40 (26%) individuals. FM symptom severity, ADHD symptom severity, and QoL were evaluated using the fibromyalgia impact questionnaire (FIQ), adult ADHD self-report scale (ASRS), and World Health Organization quality of life scale-brief version (WHOQOL-BREF), respectively.
It was found that the FM group had significantly higher scores on the ASRS than the control group (p < 0.05). There was a significant difference in FIQ scores and three WHOQOL-BREF domain scores between the FM alone and comorbid FM/high probability of ADHD groups (p < 0.05). We found a negative correlation between ASRS total scores and all other scale scores (except for the social relationships domain score of the WHOQOL-BREF) and a positive correlation between ASRS total scores and FIQ scores in FM patients. ADHD scores would mediate the relationship between depression severity and QoL.
Our findings indicated that the presence of ADHD symptoms was related to greater FM symptom severity and poorer QoL. Also, ADHD scores would mediate the relationship between depression severity and QoL.
背景/目的：本研究旨在确定注意力缺陷多动障碍（ADHD）症状严重程度、纤维肌痛（FM）严重程度与生活质量之间的关系。
FM 组由 113 例（74%）患者组成，对照组由 40 例（26%）个体组成。使用纤维肌痛影响问卷（FIQ）、成人 ADHD 自评量表（ASRS）和世界卫生组织生活质量量表-简明版（WHOQOL-BREF）分别评估 FM 症状严重程度、ADHD 症状严重程度和生活质量。
发现 FM 组的 ASRS 评分明显高于对照组（p < 0.05）。FM 组与并发 FM/ADHD 高概率组之间 FIQ 评分和 WHOQOL-BREF 三个领域评分存在显著差异（p < 0.05）。我们发现 ASRS 总分与所有其他量表评分（除 WHOQOL-BREF 的社会关系领域评分外）呈负相关，与 FM 患者的 FIQ 评分呈正相关。ADHD 评分会调节抑郁严重程度与生活质量之间的关系。
我们的研究结果表明，ADHD 症状的存在与更严重的 FM 症状和更差的生活质量有关。此外，ADHD 评分会调节抑郁严重程度与生活质量之间的关系。
