患有和未患有注意力缺陷多动障碍的青少年生活质量和功能损害的预测因素：一项为期10年的纵向研究。
Predictors of Quality of Life and Functional Impairments in Emerging Adults With and Without ADHD: A 10-Year Longitudinal Study.
作者信息
Orm Stian, Øie Merete Glenne, Fossum Ingrid Nesdal, Fjermestad Krister, Andersen Per Normann, Skogli Erik Winther
机构信息
Innlandet Hospital Trust, Lillehammer, Norway.
University of Oslo, Norway.
出版信息
J Atten Disord. 2023 Mar;27(5):458-469. doi: 10.1177/10870547231153962. Epub 2023 Feb 13.
OBJECTIVE
We tested the hypotheses that (1) a diagnosis of ADHD in childhood or adolescence is associated with reduced quality of life (QoL) and everyday functioning in emerging adulthood, and (2) executive function (EF) deficits, internalizing difficulties, and ADHD symptoms predict reduced QoL and more functional impairments.
METHOD
We assessed 85 children and adolescents with ADHD and 50 typically developing (TD) peers at baseline ( = 11.6 years, 58% males), 2-year follow-up, and 10-year follow-up with neuropsychological tests of EF and self-reports.
RESULTS
Individuals with ADHD reported lower QoL and functional impairments in emerging adulthood compared to TD peers. More internalizing difficulties and ADHD symptoms at baseline and 2-year follow-up significantly predicted lower QoL and more functional impairments at the 10-year follow-up.
CONCLUSION
ADHD and internalizing difficulties in childhood or adolescence have a negative impact on QoL and everyday functioning in emerging adulthood.
目的
我们检验了以下假设：（1）儿童期或青少年期被诊断为注意力缺陷多动障碍（ADHD）与成年早期生活质量（QoL）下降及日常功能受损有关；（2）执行功能（EF）缺陷、内化困难及ADHD症状预示着生活质量下降和更多功能障碍。
方法
我们在基线（平均年龄 = 11.6岁，58%为男性）、2年随访和10年随访时，通过EF神经心理测试和自我报告对85名患有ADHD的儿童和青少年以及50名发育正常（TD）的同龄人进行了评估。
结果
与TD同龄人相比，患有ADHD的个体在成年早期报告的生活质量较低且存在功能障碍。基线和2年随访时更多的内化困难及ADHD症状显著预示着10年随访时较低的生活质量和更多的功能障碍。
结论
儿童期或青少年期的ADHD和内化困难对成年早期的生活质量和日常功能有负面影响。
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