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

AimThe 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 t...

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Main Authors: Szabina Velõ, Ágnes Keresztény, Gyöngyvér Ferenczi-Dallos, Judit Balázs
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-09-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyg.2019.02037/full
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author Szabina Velõ
Szabina Velõ
Ágnes Keresztény
Gyöngyvér Ferenczi-Dallos
Gyöngyvér Ferenczi-Dallos
Judit Balázs
Judit Balázs
author_facet Szabina Velõ
Szabina Velõ
Ágnes Keresztény
Gyöngyvér Ferenczi-Dallos
Gyöngyvér Ferenczi-Dallos
Judit Balázs
Judit Balázs
author_sort Szabina Velõ
collection DOAJ
description AimThe 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.MethodsThe 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.ResultsAt 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.InterpretationMultimodal therapy is associated with decreased psychopathology and improved HRQoL over the long term.
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spelling doaj.art-af07677031f4479aadbdc8678861a1962022-12-22T02:08:28ZengFrontiers Media S.A.Frontiers in Psychology1664-10782019-09-011010.3389/fpsyg.2019.02037472553Long-Term Effects of Multimodal Treatment on Psychopathology and Health-Related Quality of Life of Children With Attention Deficit Hyperactivity DisorderSzabina Velõ0Szabina Velõ1Ágnes Keresztény2Gyöngyvér Ferenczi-Dallos3Gyöngyvér Ferenczi-Dallos4Judit Balázs5Judit Balázs6Doctoral School of Psychology, Institute of Psychology, Eötvös Loránd University, Budapest, HungaryDepartment of Developmental and Clinical Child Psychology, Institute of Psychology, Eötvös Loránd University, Budapest, HungaryDepartment of Developmental and Clinical Child Psychology, Institute of Psychology, Eötvös Loránd University, Budapest, HungaryDepartment of Developmental and Clinical Child Psychology, Institute of Psychology, Eötvös Loránd University, Budapest, HungaryVadaskert Foundation, Child Psychiatry Hospital and Outpatient Clinic, Budapest, HungaryDepartment of Developmental and Clinical Child Psychology, Institute of Psychology, Eötvös Loránd University, Budapest, HungaryBjørknes University College, Oslo, NorwayAimThe 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.MethodsThe 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.ResultsAt 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.InterpretationMultimodal therapy is associated with decreased psychopathology and improved HRQoL over the long term.https://www.frontiersin.org/article/10.3389/fpsyg.2019.02037/fullADHDquality of lifelong termmultimodal treatmentcomorbid disorders
spellingShingle Szabina Velõ
Szabina Velõ
Ágnes Keresztény
Gyöngyvér Ferenczi-Dallos
Gyöngyvér Ferenczi-Dallos
Judit Balázs
Judit Balázs
Long-Term Effects of Multimodal Treatment on Psychopathology and Health-Related Quality of Life of Children With Attention Deficit Hyperactivity Disorder
Frontiers in Psychology
ADHD
quality of life
long term
multimodal treatment
comorbid disorders
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 ADHD
quality of life
long term
multimodal treatment
comorbid disorders
url https://www.frontiersin.org/article/10.3389/fpsyg.2019.02037/full
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