Worse quality of life for children with newly diagnosed attention-deficit/hyperactivity disorder, compared with asthmatic and healthy children

被引:130
作者
Escobar, R
Soutullo, CA
Hervas, A
Gastaminza, X
Polavieja, P
Gilaberte, I
机构
[1] Univ Navarra Clin, Child & Adolescent Psychiat Unit, Dept Psychiat & Med Psychol, E-31080 Pamplona, Spain
[2] Lilly Res Labs, Alcobendas, Spain
[3] Mutua de Tarrasa Hosp, Barcelona, Spain
[4] Vall dHebron Univ Hosp, Dept Psychiat, Barcelona, Spain
关键词
quality of life; attention-deficit/hyperactivity disorder; asthma;
D O I
10.1542/peds.2005-0386
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objective. To evaluate the quality of life ( QOL) of untreated children with newly diagnosed attention- deficit/ hyperactivity disorder ( ADHD), compared with asthmatic and healthy children. Methods. This prospective, case- control study included a group of 120 children, 6 to 12 years of age, with newly diagnosed ADHD according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Subjects were matched according to age, gender, and health care area with 2 control groups, ie, 93 asthmatic children and 120 healthy children. Sociodemographic characteristics and Child Health Questionnaire scores were collected. Results. The QOL of children with ADHD was rated worse than that of asthmatic or healthy children for most Child Health Questionnaire domains. The greatest differences were found in behavior, social limitations attributable to physical problems, emotional impact on parents, and family activities. Almost every psychosocial domain was more affected in comparison with asthmatic children and both psychosocial and physical domains in comparison with healthy children. Conclusions. ADHD interferes with the daily lives of children, parents, and families even more than asthma, primarily in areas related to psychosocial functioning, although evidence of impaired physical functioning also emerged. Delays in recognition, assessment, and management of ADHD may affect negatively the QOL of those children.
引用
收藏
页码:E364 / E369
页数:6
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