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Gepubliceerd in: Quality of Life Research 5/2011

01-06-2011

Effect of atomoxetine on quality of life and family burden: results from a randomized, placebo-controlled, double-blind study in children and adolescents with ADHD and comorbid oppositional defiant or conduct disorder

Auteurs: Peter M. Wehmeier, Alexander Schacht, Ralf W. Dittmann, Karin Helsberg, Christian Schneider-Fresenius, Martin Lehmann, Monika Bullinger, Ulrike Ravens-Sieberer

Gepubliceerd in: Quality of Life Research | Uitgave 5/2011

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Abstract

Purpose

To evaluate the effect of atomoxetine on quality of life (QoL) and family burden in children and adolescents with attention deficit/hyperactivity disorder (ADHD) and comorbid oppositional defiant (ODD) or conduct disorder (CD).

Methods

This secondary analysis was based on a randomized, double-blind, 9-week study of atomoxetine (target dose 1.2 mg/kg body weight) versus placebo. The study included 180 patients (atomoxetine 121, placebo 59), aged 6–17 years. QoL was measured using the KINDL-R questionnaire. The total score encompasses six dimensions (or subscales) measuring QoL in terms of “physical well-being”, “emotional well-being”, “self-esteem”, “friends”, “family”, and “school”. Family burden of illness was measured using the FaBel questionnaire.

Results

With atomoxetine, the KINDL-R total score improved significantly (P = 0.021) more than with placebo. This improvement also applied to the subscales except for “physical well-being” (opposite effect) and “school” (no effect). No significant treatment group differences were seen on the FaBel questionnaire. No differences were found between the fast and slow titration groups in terms of ADHD, ODD, and disruptive behavior severity. Furthermore, no such differences were observed for QoL and family burden.

Conclusions

This study suggests positive effects of atomoxetine on quality of life, as measured by the KINDL-R scores on emotional well-being, self-esteem, friends and family, in children and adolescents with ADHD and comorbid ODD/CD. No significant treatment effects were seen on family burden, as measured by FaBel total score.
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Metagegevens
Titel
Effect of atomoxetine on quality of life and family burden: results from a randomized, placebo-controlled, double-blind study in children and adolescents with ADHD and comorbid oppositional defiant or conduct disorder
Auteurs
Peter M. Wehmeier
Alexander Schacht
Ralf W. Dittmann
Karin Helsberg
Christian Schneider-Fresenius
Martin Lehmann
Monika Bullinger
Ulrike Ravens-Sieberer
Publicatiedatum
01-06-2011
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 5/2011
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-010-9803-5

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