Kumar Krishan, Sharma Rajni, Mehra Aseem, Saini Lokesh, Shah Ruchita, Sharma Akhilesh
Department of Psychiatry, PGIMER, Chandigarh, India.
Advance Pediatric Center, PGIMER, Chandigarh, India.
Ind Psychiatry J. 2020 Jan-Jun;29(1):123-129. doi: 10.4103/ipj.ipj_119_20. Epub 2020 Nov 7.
Attention deficit hyperactivity disorder (ADHD) is a common pediatric, neurodevelopmental disorder, with serious impacts on lives of those suffering from it. ADHD is known to be associated with social and emotional difficulties, poor self-regulation, aggression, reduced empathy, inability to regulate socially desirable behavior along with conflicts within family, and increased conflict with peers and several associated comorbid conditions.
The study aims at exploring quality of life (QOL) and adjustment along with associated comorbid conditions in children diagnosed with ADHD in comparison with normal children.
A total sample of 60 children including 30 children diagnosed with ADHD and 30 normal children were selected and assessed using Vanderbilt ADHD Parent rating scale Childhood Psychopathology Measurement Schedule, KINDL QOL: Parent Questionnaire and Pre-Adolescent adjustment Scale to assess level of ADHD, comorbid psychopathologies, their QOL and adjustment respectively.
Overall results have indicated that parents reported lesser symptom and pathology in comparisons to teachers for ADHD. Those diagnosed with ADHD had positive and significant comorbidities associated of; low intelligence with behavioral problems and high levels of conduct problems, anxiety, depression, psychotic tendencies, physical illness with emotional problems and somatization in comparison to normal and thus a poor adjusted life, with significant report of poor self-esteem and peer relations and QOL.
The results of the present study has clearly stated that severe burden has been perceived by ADHD children, with a poor perceived QOL, several adjustment issues, and sufferance of one or other comorbidity. Thus, the study could help understand and emphasize the need of holistic treatment comprising medicinal and therapeutic methods, including intervention for parents, focusing exclusively on enhancing and curbing these factors.
注意力缺陷多动障碍(ADHD)是一种常见的儿童神经发育障碍,对患者的生活有严重影响。已知ADHD与社交和情感困难、自我调节能力差、攻击性、同理心降低、无法调节社会期望行为以及家庭内部冲突有关,还与同伴冲突增加和几种相关的共病情况有关。
本研究旨在探讨与正常儿童相比,被诊断为ADHD的儿童的生活质量(QOL)、适应情况以及相关的共病情况。
选取了60名儿童作为总样本,其中包括30名被诊断为ADHD的儿童和30名正常儿童,并使用范德比尔特ADHD家长评定量表、儿童精神病理学测量量表、KINDL生活质量:家长问卷和青少年前期适应量表分别评估ADHD水平、共病精神病理学、他们的生活质量和适应情况。
总体结果表明,与教师相比,家长报告的ADHD症状和病理情况较少。与正常儿童相比,被诊断为ADHD的儿童存在以下显著的共病情况:低智力与行为问题、高水平的品行问题、焦虑、抑郁、精神病倾向、身体疾病与情绪问题以及躯体化,因此生活适应不良,自尊和同伴关系以及生活质量较差的报告显著。
本研究结果明确表明,ADHD儿童感受到了沉重的负担,生活质量较差,存在多种适应问题,并患有一种或多种共病。因此,该研究有助于理解并强调全面治疗的必要性,包括药物和治疗方法,包括对家长的干预,专门致力于改善和控制这些因素。