Section of Department of Child and Adolescent Psychiatry, Department of Psychiatry, Chang Gung Memorial Hospital at Taoyuan, Taiwan; Department of Psychiatry, Chang Gung University College of Medicine, Taoyuan, Taiwan.
School of Occupational Therapy, National Taiwan University, Taipei, Taiwan.
Res Dev Disabil. 2021 Jun;113:103944. doi: 10.1016/j.ridd.2021.103944. Epub 2021 Apr 6.
No study has examined how child and maternal psychopathological difficulties and family factors contribute to the health-related quality of life (HRQOL) of mothers of children with attention deficit hyperactivity (ADHD).
To investigate the impact of children's diagnosis of ADHD, children's and maternal psychopathology and significant sociodemographic variables of the children, parents and family on HRQOL of mothers of children with ADHD and those of children with typical development (TD) in Taiwan.
Children with ADHD (n = 257) and children with typical development (n = 324) and their mothers were recruited from a psychiatric clinic of a medical center and 10 elementary schools and four high schools in northern Taiwan. Maternal HRQOL was assessed with the World Health Organization Quality of Life - BREF, while the other factors were screened using the Chinese version of the Childhood Autism Spectrum Test for autistic traits, the Swanson, Nolan, and Pelham, version IV scale for ADHD symptoms, the Child Behavior Checklist for behavioral and emotional problems, The Center for Epidemiologic Studies Depression Scale for maternal depression and interpersonal problems, the Adult ADHD Self-report Scale for maternal ADHD symptoms, and the Family APGAR for family support.
Mothers of children with ADHD had significantly worse HRQOL in all four domains compared with those of children with typical development. Multiple regressions found that factors consistently related to the HRQOL of mothers of children with ADHD and those of children with TD were maternal depression and perceived family support after controlling for several familial, parental and child variables. HRQOL of mothers of children with ADHD and those of children with TD was more closely related to her own and family factors rather than mother- or teacher-rated ADHD symptoms, clinical diagnosis of ADHD or psychopathology of the child.
Screening for maternal HRQOL, depressive symptoms and family support systems and mental health services for mothers of children with ADHD are warranted based on these findings.
目前尚无研究探讨儿童和产妇的精神病理学困难以及家庭因素如何影响患有注意缺陷多动障碍（ADHD）儿童的母亲的健康相关生活质量（HRQOL）。
在台湾，调查儿童 ADHD 诊断、儿童和产妇精神病理学以及儿童、父母和家庭的重要社会人口学变量对 ADHD 儿童母亲和典型发育（TD）儿童母亲的 HRQOL 的影响。
从一家医疗中心的精神病诊所和台湾北部的 10 所小学和 4 所高中招募了 ADHD 儿童（n=257）和 TD 儿童（n=324）及其母亲。使用世界卫生组织生活质量-简明量表（WHOQOL-BREF）评估母亲的 HRQOL，使用中文版儿童自闭症谱系测试（CAST）评估自闭症特征、斯旺森、诺兰和佩勒姆，第四版量表（SNAP-IV）评估 ADHD 症状、儿童行为检查表（CBCL）评估行为和情绪问题、抑郁量表（CES-D）评估产妇抑郁和人际关系问题、成人 ADHD 自我报告量表（ASRS）评估产妇 ADHD 症状和家庭 APGAR 评估家庭支持。
与 TD 儿童的母亲相比，患有 ADHD 的儿童的母亲在所有四个领域的 HRQOL 均明显更差。在控制了几个家庭、父母和儿童变量后，多元回归发现，与 ADHD 儿童和 TD 儿童的母亲的 HRQOL 相关的因素是母亲抑郁和感知到的家庭支持。ADHD 儿童和 TD 儿童的母亲的 HRQOL 与她自己和家庭因素更为密切相关，而不是与母亲或教师评定的 ADHD 症状、ADHD 的临床诊断或儿童的精神病理学相关。
根据这些发现，有必要对患有 ADHD 儿童的母亲进行 HRQOL、抑郁症状和家庭支持系统筛查，并为其提供心理健康服务。
