注意力缺陷/多动障碍 (ADHD) 是一个维度还是一个类别？多动症特征与社会心理生活质量之间的关系说明了什么？

IF 2.7 3区医学 Q2 PSYCHIATRY Journal of Attention Disorders Pub Date : 2024-05-01 Epub Date: 2024-01-28 DOI:10.1177/10870547231222228

Trine Wigh Arildskov, Per Hove Thomsen, Edmund J S Sonuga-Barke, Rikke Lambek, Søren D Østergaard, Anne Virring

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引用次数: 0

摘要

目的：注意力缺陷/多动障碍（ADHD）是一个离散的类别还是一个连续的维度，这个问题在临床上仍然具有现实意义。我们首次从多动症特质与社会心理生活质量（QoL）之间关系的角度对这一问题进行了研究，并报告了在一定的多动症特质高值范围附近，QoL水平是否会明显下降，这表明ADHD是一个分类界限：1967名来自普通人群的6至11岁学龄儿童的家长/监护人填写了儿科生活质量量表和ADHD评分量表IV。结果表明，没有证据表明非线性关联会影响儿童的生活质量：结果：在多动症特质连续体的高端，没有观察到非线性关联或生活质量下降率突然变化的证据。结果：在多动症特质连续体的高端人群中，没有观察到非线性关联或 QoL 下降率突然变化的证据，相反，这种关系符合线性关系：结论：随着多动症特质水平的增加，心理社会生活质量会以线性方式逐渐下降，这为维度模型提供了进一步支持。

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Is Attention-Deficit/Hyperactivity Disorder (ADHD) a Dimension or a Category? What Does the Relationship Between ADHD Traits and Psychosocial Quality of Life Tell Us?

Objective: The question of whether attention-deficit/hyperactivity disorder (ADHD) is a discrete category or a continuous dimension remains clinically relevant. We report the first examination of this question from the viewpoint of the relationship between ADHD traits and psychosocial quality of life (QoL), and whether the level of QoL declines markedly around a certain high ADHD trait range suggestive of a categorical boundary.

Methods: Parents/caregivers of 1,967 schoolchildren aged 6 to 11 from the general population completed the Pediatric Quality of Life Inventory and the ADHD-Rating Scale IV. Piecewise linear and non-linear regression analyses were performed.

Results: No evidence for a non-linear association or an abrupt change in the rate of decrease in QoL was observed in the high end of the ADHD traits continuum. Instead, the relationship was consistent with linearity.

Conclusion: Psychosocial QoL gradually declines in a linear manner as ADHD trait levels increase providing further support for a dimensional model.

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来源期刊

Journal of Attention Disorders PSYCHIATRY-

CiteScore

7.60

自引率

6.70%

发文量

审稿时长

6-12 weeks

期刊介绍： Journal of Attention Disorders (JAD) focuses on basic and applied science concerning attention and related functions in children, adolescents, and adults. JAD publishes articles on diagnosis, comorbidity, neuropsychological functioning, psychopharmacology, and psychosocial issues. The journal also addresses practice, policy, and theory, as well as review articles, commentaries, in-depth analyses, empirical research articles, and case presentations or program evaluations.