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Quality of Life Research
Gepubliceerd in: Quality of Life Research 5/2020

03-01-2020

Influence of executive functions on the self-reported health-related quality of life of children with ADHD

Auteurs: Mona Céline Schwörer, Tilman Reinelt, Franz Petermann, Ulrike Petermann

Gepubliceerd in: Quality of Life Research | Uitgave 5/2020

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Abstract

Purpose

ADHD is regarded as a neurodevelopmental disorder associated with deficits in executive functions (EF). The presence of these deficits is associated with increased symptom severity. However, so far there is little knowledge, whether deficits in EFs relate to a reduced health-related quality of life (HRQoL) in children with ADHD.

Methods

Hence, n = 100 children with a confirmed ADHD diagnosis were compared with a non-cases group (n = 100) with regard to their HRQoL (6–12 years old). The clinical group was divided into ADHD-specific drug treatment intake (drug treatment: n = 42; no drug treatment: n = 58) or deficits in EF (n = 29; no deficits in EF: n = 71).

Results

Children with ADHD (without medication) reported a significantly worse HRQoL than healthy children (d = .72), when controlled for age and sex. Even if they were treated with drug treatment, they reported a lower HRQoL than the non-case group in the area Family (d = .53). Drug treatment of ADHD leads to a significant difference in HRQoL in school area (d = .39). Children with ADHD and EF problems reported impairments in the social context of HRQoL compared to healthy children (d = .51 to .70). In addition, a significant negative association between set-shifting and HRQoL in children with ADHD (without drug treatment) was demonstrated (r = − .27 to r = − .35).

Conclusions

By assessing the HRQoL, an impairment in the functioning of children with ADHD can be detected, which is essential for the diagnosis. Furthermore, executive problems have an influence on the social sphere, which should be clarified and improved in therapy with the involvement of parents.
vorige artikel Development of a conceptual framework to underpin a health-related quality of life outcome measure in paediatric chronic fatigue syndrome/myalgic encephalopathy (CFS/ME): prioritisation through card ranking
volgende artikel Siblings of children with autism spectrum disorders: social support and family quality of life
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Metagegevens
Titel
Influence of executive functions on the self-reported health-related quality of life of children with ADHD
Auteurs
Mona Céline Schwörer
Tilman Reinelt
Franz Petermann
Ulrike Petermann
Publicatiedatum
03-01-2020
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 5/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-019-02394-4

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