注意力缺陷多动障碍青少年在 COVID-19 正常化阶段的功能障碍及相关因素。

Esen Yıldırım Demirdöğen, Mehmet Akif Akıncı, Abdullah Bozkurt, Ali Çakır, Çiğdem Tanrıverdi
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引用次数: 0

摘要

背景:注意缺陷多动障碍是一种与严重功能障碍相关的疾病,可对个人和社会产生重要影响。据报道,在 2019 年冠状病毒疾病大流行期间,注意力缺陷多动障碍患者在面对困难时更加脆弱,遇到的心理问题也更多。研究表明,在大流行期间经历的心理问题可能会在正常化阶段持续存在。我们的目的是评估注意力缺陷多动障碍青少年在正常化阶段(包括开始完全面对面的学校教育实践)的功能障碍及相关因素:这是一项横断面研究,包括注意缺陷多动障碍组(52 人)和健康对照组(52 人)。我们使用韦氏功能障碍评定量表(Weiss functional impairment rating scale self and parent forms)对患者的功能障碍进行了评估。我们还研究了与功能障碍相关的因素(内化-外化问题、养育策略和感知到的情绪表达):结果:患有注意力缺陷多动障碍的青少年在韦氏功能损害评定量表的自我和家长表中,在所有子域和总分上的功能损害得分都较高。韦氏功能障碍评定量表自我和父母总平均分与消极养育和外化-内化得分呈正相关,与积极养育得分呈负相关。韦氏功能障碍评定量表自我总平均分与消极养育和外化-内化得分以及感知情绪表达得分呈正相关:我们的研究结果表明,大流行病对儿童功能的影响可能会持续到正常化阶段。为了进行全面评估和有效干预,必须从家长和青少年的角度对合并症状、养育策略和感知的家庭氛围进行评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Functional Impairments and Related Factors in Adolescents with Attention Deficit Hyperactivity Disorder During the COVID-19 Normalization Stage.

Background: Attention deficit hyperactivity disorder is a disorder associated with significant functional impairments that can have important consequences for the individual and the society. Those with attention deficit hyperactivity disorder were reported to be more vulnerable in the face of difficulties and experience more psychological problems during the coronavirus disease 2019 pandemic. It was shown that the psychological problems experienced during the pandemic could persist during the normalization stage. We aimed to assess functional impairment in adolescents with attention deficit hyperactivity disorder and the related factors during the normalization stage which involved the initiation of fully face-to-face schooling practices.

Methods: This is a cross-sectional study including attention deficit hyperactivity disorder (n = 52) and a healthy control group (n = 52). Functional impairment was assessed using the Weiss functional impairment rating scale self and parent forms. We also examined the factors associated with functional impairment (internalizing-externalizing problems, parenting strategies, and perceived expressed emotion).

Results: Adolescents with attention deficit hyperactivity disorder had higher functional impairment scores on Weiss functional impairment rating scale self and parent in all sub-domains and total. Weiss functional impairment rating scale self and parent total mean score had a positive correlation with negative parenting and externalizing-internalizing scores and a negative correlation with the positive parenting score. Weiss functional impairment rating scale-self total mean score was positively correlated with negative parenting and externalizing-internalizing scores and perceived expressed emotion scores.

Conclusion: Our results suggest that the effects of the pandemic on children's functioning may persist in the normalization stage. For a comprehensive evaluation and effective intervention, it is important that comorbid symptoms, parenting strategies, and the perceived family climate are evaluated from the perspectives of both the parent and the adolescent.

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