Quality of Life of Children with Attention Deficit/Hyperactivity Disorder
Keywords:
Quality of life, Attention-deficit/hyperactivity disorderAbstract
Background: Attention-deficit/hyperactivity disorder (ADHD) is one of the most common chronic mental illnesses in childhood and adolescence. There are many impacts of ADHD on children in several domain of quality of life (QoL).
Objective: To determine the QoL of children with ADHD aged 6-15 years.
Materials and Methods: A descriptive cross-sectional study was conducted at Bhumibol Adulyadej Hospital (BAH) between July 2019 and December 2021. Children aged 6-15 years with ADHD were recruited from the child development clinic. The child’s parent
completed a demographic questionnaire, Thai version of the Pediatric Quality of Life InventoryTM 4.0 Core Scales (PedsQL): parent-proxy report. The Parenting Stress Index-Short Form (PSI-SF) were also measured. Data of ADHD treatment and comorbidities were collected from medical records.
Results: One hundred and ten children were enrolled. The mean PedsQL score of children with ADHD was 64.9 ± 13.02. The physical health summary score was higher than the psychosocial health summary score. Children with no comorbidity and behavioral treatment had higher PedsQL score when compared to those with comorbidity as well as both medical and behavioral treatments. Also, there was higher PedsQL score in children whose parents living with a partner or not having physical health conditions. Moreover, a statically significant negative relationship was noted between level of parenting stress and child’s
PedsQL score (r = -0.541, p<0.001).
Conclusion: Children with ADHD have worse psychological rather than physical domain QoL, with the poorest QoL in school functioning. Parental stress was negatively correlated with quality of life in ADHD children. Holistic assessment and care for ADHD children and their families may result in a better quality of life for these pediatric patients
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