[Evaluation of quality of life in attention-deficit hyperactivity disorder children without comorbidity].

Q4 Medicine No To Hattatsu Pub Date : 2015-09-01
Fumikazu Sano, Hideaki Kanemura, Kakuro Aoyagi, Tomoko Tando, Kanji Sugita, Masao Aihara
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Abstract

Object: Improving quality of life (QOL) is one of the most important therapeutic goals for children with attention-deficit hyperactiv- ity disorder (AD/HD). The aim of this study was to measure QOL in AD/HD children without comorbidity and to examine associations between QOL and clinical symptoms of AD/HD for targeting early intervention.

Methods: Twenty-two enrolled patients and their parents completed the Questionnaire for Measuring Health-Related Quality of Life in Children (KINDL-R). Patients and teachers completed AD/HD rating scale-IV. Associations between QOL and clinical symptoms were assessed using t tests and correlations.

Results: Mean total score of the self-reported KINDL-R was 70.8. No difference in total QOL score was seen between AD/HD children and controls; however, the self-esteem subscale rated by AD/HD children was significantly higher than that of controls (p < 0.001). Total KINDL-R score correlated negatively with AD/HD rating scale-IV rated by teachers (p < 0.05). A difference was observed between AD/HD children in a lower QOL group and their parents in a subscale regarding QOL at school.

Conclusions: These findings suggest that evaluation of QOL in AD/HD children without comorbidity is useful for identifying AD/HD children who might benefit from early intervention.

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[无合并症的注意缺陷多动障碍儿童的生活质量评价]。
目的:提高生活质量是儿童注意缺陷多动障碍(AD/HD)最重要的治疗目标之一。本研究的目的是测量无合并症AD/HD儿童的生活质量,并检查生活质量与AD/HD临床症状之间的关系,以针对早期干预。方法:22例入组患者及其家长填写儿童健康相关生活质量量表(KINDL-R)。患者和教师完成AD/HD评定量表- iv。使用t检验和相关性评估生活质量与临床症状之间的关系。结果:自述KINDL-R总分平均为70.8分。AD/HD患儿与对照组总生活质量评分无差异;然而,AD/HD儿童的自尊分量表评分显著高于对照组(p < 0.001)。KINDL-R总分与教师评定的AD/HD评定量表- iv呈负相关(p < 0.05)。生活质量较低的AD/HD儿童与其父母在学校生活质量的子量表上存在差异。结论:这些研究结果表明,评估无合并症的AD/HD儿童的生活质量有助于识别可能从早期干预中受益的AD/HD儿童。
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No To Hattatsu
No To Hattatsu Medicine-Pediatrics, Perinatology and Child Health
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