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Assessment of the Effects of Pediatric Attention Deficit Hyperactivity Disorder on Family Stress and Well-Being: Development of the IMPACT 1.0 Scale

机译:儿童注意缺陷多动障碍对家庭压力和幸福感的影响评估:IMPACT 1.0量表的制定

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摘要

Medications may lessen core symptoms of attention deficit hyperactivity disorder (ADHD), yet families continue to report stress and have a low quality of life. Primary care providers manage almost half of all children with ADHD but do not have a brief measure to assess ADHD impacts on family in the context of everyday family life. The IMPACT (Impact Measure of Parenting-Related ADHD Challenges and Treatment) 1.0 Scale was codeveloped with input from parent advisors and administered to 79 parents of children with ADHD. Exploratory factor analysis, correlations with validated instruments, and test-retest reliability were examined. Exploratory factor analysis resulted in 4 subscales (Misbehavior, Siblings, Time, School), which demonstrated moderate to high test-retest reliability. Scale domains were related to severity and change in ADHD symptoms. Significant correlations were found between IMPACT scores, adaptive functioning in the home, and ADHD-related quality of life. The IMPACT 1.0 Scale provides a novel, reliable, and valid method to assess family impact of ADHD.
机译:药物可能会减轻注意力缺陷多动障碍(ADHD)的核心症状,但家庭仍继续报告压力,生活质量低下。初级保健提供者几乎管理着所有多动症儿童的一半,但没有采取简单的措施来评估多动症在日常生活中对家庭的影响。 IMPACT(与父母育儿相关的ADHD挑战和治疗的影响度量)1.0量表与父母顾问的投入共同开发,并管理了79名ADHD儿童的父母。探讨了探索性因素分析,与经过验证的仪器的相关性以及重测信度。探索性因素分析得出了4个分量表(行为不端,兄弟姐妹,时间,学校),这些分量表证明了中到重测的可靠性。规模域与严重程度和ADHD症状的变化有关。发现IMPACT得分,家庭适应性功能和与ADHD相关的生活质量之间存在显着相关性。 IMPACT 1.0量表提供了一种新颖,可靠且有效的方法来评估ADHD的家庭影响。

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