Cargando…

Long-Term Effects of Multimodal Treatment on Psychopathology and Health-Related Quality of Life of Children With Attention Deficit Hyperactivity Disorder

AIM: The current study aimed to examine the association between long-term (36 months) multimodal (pharmacological and psychological) treatment and psychopathology and health-related quality of life (HRQoL) in children with attention deficit/hyperactivity disorder (ADHD) from the perspectives of both...

Descripción completa

Detalles Bibliográficos
Autores principales: Velõ, Szabina, Keresztény, Ágnes, Ferenczi-Dallos, Gyöngyvér, Balázs, Judit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6769122/
https://www.ncbi.nlm.nih.gov/pubmed/31607973
http://dx.doi.org/10.3389/fpsyg.2019.02037
_version_ 1783455188323926016
author Velõ, Szabina
Keresztény, Ágnes
Ferenczi-Dallos, Gyöngyvér
Balázs, Judit
author_facet Velõ, Szabina
Keresztény, Ágnes
Ferenczi-Dallos, Gyöngyvér
Balázs, Judit
author_sort Velõ, Szabina
collection PubMed
description AIM: The current study aimed to examine the association between long-term (36 months) multimodal (pharmacological and psychological) treatment and psychopathology and health-related quality of life (HRQoL) in children with attention deficit/hyperactivity disorder (ADHD) from the perspectives of both the children and parents. METHODS: The sample consisted of 23 children with ADHD (21 boys, 2 girls, mean age = 13.46 years, SD = 2.36) and 23 healthy control children (11 boys, 12 girls, mean age = 12.49 years, SD = 1.75). The Mini International Neuropsychiatric Interview for Children and Adolescents (MINI Kid) was applied to measure psychopathology and both parent and self-rated versions of the Inventory for the Measure of the Quality of Life in Children and Adolescents were used to assess HRQoL at baseline and at the 36-month follow-up visit. The ADHD group took part in multimodal (medical and behavioral) therapy. The healthy control group did not get any intervention. RESULTS: At the baseline, the ADHD group was characterized with higher scores in nine MINI Kid scales and showed lower HRQoL than the control group according to both children and their parents. At the 36-month follow-up visit six scale scores (ADHD, social phobia, oppositional defiance and conduct disorder, major depressive episode, dysthymic disorder) showed statistically significant decreases in the ADHD group, while these scores were constant in the control group. Parent-rated HRQoL was significantly lower in the clinical group at baseline than at the end of the study, but there were no significant changes in the control group. Self-reported changes in HRQoL matched parent-reported changes. INTERPRETATION: Multimodal therapy is associated with decreased psychopathology and improved HRQoL over the long term.
format Online
Article
Text
id pubmed-6769122
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-67691222019-10-11 Long-Term Effects of Multimodal Treatment on Psychopathology and Health-Related Quality of Life of Children With Attention Deficit Hyperactivity Disorder Velõ, Szabina Keresztény, Ágnes Ferenczi-Dallos, Gyöngyvér Balázs, Judit Front Psychol Psychology AIM: The current study aimed to examine the association between long-term (36 months) multimodal (pharmacological and psychological) treatment and psychopathology and health-related quality of life (HRQoL) in children with attention deficit/hyperactivity disorder (ADHD) from the perspectives of both the children and parents. METHODS: The sample consisted of 23 children with ADHD (21 boys, 2 girls, mean age = 13.46 years, SD = 2.36) and 23 healthy control children (11 boys, 12 girls, mean age = 12.49 years, SD = 1.75). The Mini International Neuropsychiatric Interview for Children and Adolescents (MINI Kid) was applied to measure psychopathology and both parent and self-rated versions of the Inventory for the Measure of the Quality of Life in Children and Adolescents were used to assess HRQoL at baseline and at the 36-month follow-up visit. The ADHD group took part in multimodal (medical and behavioral) therapy. The healthy control group did not get any intervention. RESULTS: At the baseline, the ADHD group was characterized with higher scores in nine MINI Kid scales and showed lower HRQoL than the control group according to both children and their parents. At the 36-month follow-up visit six scale scores (ADHD, social phobia, oppositional defiance and conduct disorder, major depressive episode, dysthymic disorder) showed statistically significant decreases in the ADHD group, while these scores were constant in the control group. Parent-rated HRQoL was significantly lower in the clinical group at baseline than at the end of the study, but there were no significant changes in the control group. Self-reported changes in HRQoL matched parent-reported changes. INTERPRETATION: Multimodal therapy is associated with decreased psychopathology and improved HRQoL over the long term. Frontiers Media S.A. 2019-09-24 /pmc/articles/PMC6769122/ /pubmed/31607973 http://dx.doi.org/10.3389/fpsyg.2019.02037 Text en Copyright © 2019 Velõ, Keresztény, Ferenczi-Dallos and Balázs. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Velõ, Szabina
Keresztény, Ágnes
Ferenczi-Dallos, Gyöngyvér
Balázs, Judit
Long-Term Effects of Multimodal Treatment on Psychopathology and Health-Related Quality of Life of Children With Attention Deficit Hyperactivity Disorder
title Long-Term Effects of Multimodal Treatment on Psychopathology and Health-Related Quality of Life of Children With Attention Deficit Hyperactivity Disorder
title_full Long-Term Effects of Multimodal Treatment on Psychopathology and Health-Related Quality of Life of Children With Attention Deficit Hyperactivity Disorder
title_fullStr Long-Term Effects of Multimodal Treatment on Psychopathology and Health-Related Quality of Life of Children With Attention Deficit Hyperactivity Disorder
title_full_unstemmed Long-Term Effects of Multimodal Treatment on Psychopathology and Health-Related Quality of Life of Children With Attention Deficit Hyperactivity Disorder
title_short Long-Term Effects of Multimodal Treatment on Psychopathology and Health-Related Quality of Life of Children With Attention Deficit Hyperactivity Disorder
title_sort long-term effects of multimodal treatment on psychopathology and health-related quality of life of children with attention deficit hyperactivity disorder
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6769122/
https://www.ncbi.nlm.nih.gov/pubmed/31607973
http://dx.doi.org/10.3389/fpsyg.2019.02037
work_keys_str_mv AT veloszabina longtermeffectsofmultimodaltreatmentonpsychopathologyandhealthrelatedqualityoflifeofchildrenwithattentiondeficithyperactivitydisorder
AT keresztenyagnes longtermeffectsofmultimodaltreatmentonpsychopathologyandhealthrelatedqualityoflifeofchildrenwithattentiondeficithyperactivitydisorder
AT ferenczidallosgyongyver longtermeffectsofmultimodaltreatmentonpsychopathologyandhealthrelatedqualityoflifeofchildrenwithattentiondeficithyperactivitydisorder
AT balazsjudit longtermeffectsofmultimodaltreatmentonpsychopathologyandhealthrelatedqualityoflifeofchildrenwithattentiondeficithyperactivitydisorder