Lee Jung-Hoon, Maeng Seri, Lee Jeong-Seop, Bae Jae-Nam, Kim Won-Hyoung, Kim Hyeyoung
Department of Psychiatry, Inha University Hospital, Incheon, Korea.
Soa Chongsonyon Chongsin Uihak. 2022 Oct 1;33(4):113-121. doi: 10.5765/jkacap.220019.
This study aimed to compare the quality of life (QoL) of children with attention-deficit/hyperactivity disorder (ADHD) before and during coronavirus disease-2019 (COVID-19) and to examine how their QoL is affected by emotional and environmental factors during COVID-19.
Participants in the pre-COVID-19 (n=43) and COVID-19 (n=36) groups were recruited from the same university hospital. The Pediatric Quality of Life Inventory (PedsQL) 4.0 Child Self-report, the Children's Depression Inventory (CDI), the Revised Children's Manifest Anxiety Scale (RCMAS), the PedsQL 4.0 Parent Proxy Report, and the Conners' Parent Rating Scale (CPRS) were employed. Independent t-tests, Pearson's correlation analysis, and multiple regression analysis were conducted.
Caregivers assessed the children's QoL more negatively than the children themselves in both groups. Children with ADHD evaluated their physical function more negatively and anxiety was significantly higher in the COVID-19 group. In the COVID-19 group, the PedsQL child self-report was significantly predicted by the CPRS, the CDI, and environmental factors (i.e., relation to child and monthly household income).
Children with ADHD in the COVID-19 group had a numerically lower QoL and significantly higher anxiety. To improve QoL, it is important to deal with not only depression but also ADHD symptoms and environmental factors.
本研究旨在比较注意力缺陷多动障碍（ADHD）患儿在2019冠状病毒病（COVID-19）之前和期间的生活质量（QoL），并探讨在COVID-19期间他们的生活质量是如何受到情绪和环境因素影响的。
COVID-19前组（n = 43）和COVID-19组（n = 36）的参与者均来自同一所大学医院。采用儿童生活质量量表（PedsQL）4.0儿童自评版、儿童抑郁量表（CDI）、儿童显性焦虑量表修订版（RCMAS）、PedsQL 4.0家长代理报告版以及康纳斯父母评定量表（CPRS）。进行独立t检验、Pearson相关分析和多元回归分析。
在两组中，照顾者对儿童生活质量的评价均比儿童自身更为负面。ADHD患儿对其身体功能的评价更为负面，且COVID-19组的焦虑水平显著更高。在COVID-19组中，CPRS、CDI和环境因素（即与孩子的关系和家庭月收入）对PedsQL儿童自评版有显著预测作用。
COVID-19组中的ADHD患儿生活质量在数值上较低，焦虑水平显著更高。为提高生活质量，不仅要应对抑郁，还要处理ADHD症状和环境因素，这一点很重要。
