期刊
PEDIATRICS
卷 133, 期 5, 页码 801-808出版社
AMER ACAD PEDIATRICS
DOI: 10.1542/peds.2013-3686
关键词
attention-deficit; hyperactivity disorder; child; comorbidity; anxiety disorders; internalizing disorders; quality of life; impairment
类别
资金
- Australian National Health and Medical Research Council (NHRMC) [607362]
- Centre for Community Child Health at the Royal Children's Hospital
- Murdoch Childrens Research Institute (MCRI)
- NHMRC Early Career Fellowships in Population Health [1037159, 1037449]
- NHMRC Career Development Award [607351]
- Hugh Rogers fund
- MCRI Postgraduate Health Scholarship
- MCRI
- Victorian Government's Operational Infrastructure Support Program
OBJECTIVES:Although anxiety is common in children with attention-deficit/hyperactivity disorder (ADHD), it is unclear how anxiety influences the lives of these children. This study examined the association between anxiety comorbidities and functioning by comparing children with ADHD and no, 1, or 2 anxiety comorbidities. Differential associations were examined by current ADHD presentation (subtype).METHODS:Children with diagnostically confirmed ADHD (N = 392; 5-13 years) were recruited via 21 pediatrician practices across Victoria, Australia. Anxiety was assessed by using the Anxiety Disorders Interview Schedule for ChildrenIV. Functional measures included parent-reported: quality of life (QoL; Pediatric Quality of Life Inventory 4.0), behavior and peer problems (Strengths and Difficulties Questionnaire), daily functioning (Daily Parent Rating of Evening and Morning Behavior), and school attendance. Teacher-reported behavior and peer problems (Strengths and Difficulties Questionnaire) were also examined. Linear and logistic regression controlled for ADHD severity, medication use, comorbidities, and demographic factors.RESULTS:Children with 2 anxiety comorbidities (n = 143; 39%) had poorer QoL (effect size: -0.8) and more difficulties with behavior (effect size: 0.4) and daily functioning (effect size: 0.3) than children without anxiety (n = 132; 36%). Poorer functioning was not observed for children with 1 anxiety comorbidity (n = 95; 26%). Two or more anxiety comorbidities were associated with poorer functioning for children with both ADHD-Inattentive and ADHD-Combined presentation.CONCLUSIONS:Children with ADHD demonstrate poorer QoL, daily functioning and behavior when 2 anxiety comorbidities are present. Future research should examine whether treating anxiety in children with ADHD improves functional outcomes.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据