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注意力缺陷/多动障碍治疗对照顾者负担、焦虑和抑郁症状的影响。

The Impact of Attention-Deficit/Hyperactivity Disorder Treatment on Caregiver's Burden, Anxiety, and Depression Symptoms.

作者信息

Selçuk Mahmut

机构信息

Department of Psychiatry, Muğla Sıtkı Koçman University Faculty of Medicine, Muğla, Türkiye.

出版信息

Psychiatry Clin Psychopharmacol. 2025 Apr 16;35(2):124-131. doi: 10.5152/pcp.2025.24935. eCollection 2025 Jun.

Abstract

BACKGROUND

Attention deficit/Hyperactivity d isorder (ADHD) affects the quality of life not only of children but also of their caregivers, particularly parents. This study investigates the effects of ADHD treatment on the burden, anxiety, and depression experienced by the parents of children with ADHD.

METHODS

This study involved 92 children diagnosed with ADHD, aged 6-17 years and their primary caregivers. Both children and caregivers participated in a structured psychiatric interview based on the DSM-V criteria. At the start of treatment and again 3 months later, the children's behavioral problems were assessed using the Conners' Parent Rating Scale-Revised: Short Form (CPRS-R:S). Caregiver outcomes were evaluated using the Burden Assessment Scale (BAS), the Hamilton Anxiety Rating Scale (HARS), and the Hamilton Depression Rating Scale (HDRS).

RESULTS

A statistically significant reduction in caregiver burden was observed in the BAS scores from the time of ADHD treatment initiation to 3 months later ( < .001,  = 0.56). The highest BAS scores were consistently associated with hyperactivity, while the lowest scores were noted in caregivers of children with attention-deficit-dominant ADHD, both before and 3 months after treatment ( < .001, ² = 0.312; < .001, ² = 0.314, respectively). The caregivers' HARS and HDRS scores decreased after 3 months of treatment, although this change was not statistically significant ( = .47 and  = .36, respectively).

CONCLUSION

Attention deficit/hyperactivity disorder treatment significantly reduced the caregiver burden within 3 months, highlighting the importance of timely diagnosis and treatment of ADHD for improving children's symptoms and relieving the caregiver burden of their parents.

摘要

背景

注意缺陷多动障碍(ADHD)不仅会影响儿童的生活质量,还会影响其照顾者,尤其是父母的生活质量。本研究调查了ADHD治疗对ADHD患儿父母所经历的负担、焦虑和抑郁的影响。

方法

本研究纳入了92名年龄在6至17岁之间被诊断为ADHD的儿童及其主要照顾者。儿童和照顾者均参与了基于《精神疾病诊断与统计手册》第五版(DSM-V)标准的结构化精神科访谈。在治疗开始时以及3个月后,使用康纳斯父母评定量表修订版:简式量表(CPRS-R:S)评估儿童的行为问题。使用负担评估量表(BAS)、汉密尔顿焦虑评定量表(HARS)和汉密尔顿抑郁评定量表(HDRS)评估照顾者的结果。

结果

从ADHD治疗开始到3个月后,BAS评分显示照顾者负担有统计学意义的降低(P <.001,η² = 0.56)。最高的BAS评分始终与多动相关,而在治疗前和治疗后3个月,注意力缺陷为主型ADHD患儿的照顾者得分最低(P <.001,η² = 0.312;P <.001,η² = 0.314)。治疗3个月后,照顾者的HARS和HDRS评分有所下降,尽管这种变化没有统计学意义(分别为P =.47和P =.36)。

结论

注意缺陷多动障碍治疗在3个月内显著减轻了照顾者负担,突出了及时诊断和治疗ADHD对于改善儿童症状和减轻其父母照顾者负担的重要性。

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