Caregivers' distress: youth with attention-deficit/hyperactivity disorder and comorbid disorders assessed via telemental health.
Caregivers' distress: youth with attention-deficit/hyperactivity disorder and comorbid disorders assessed via telemental health.
复制标题
照顾者的困扰：通过远程心理健康评估患有注意力缺陷/多动症和共病的青少年。
DOI：
10.1089/cap.2013.0019
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发表时间：
2013
影响因子：
1.9
通讯作者：
Myers,Kathleen
中科院分区：
文献类型：
--
作者：
Rockhill,Carol;Violette,Heather;VanderStoep,Ann;Grover,Sarah;Myers,Kathleen
目的：本文评估了儿童的共病条件与注意力缺陷多动障碍（ADHD）在照顾者的痛苦，在通过远程健康（TMH）进行的临床试验中的附加效应：儿童的ADHD Telemental健康治疗研究（CATTS）是检查治疗的有效性，通过TMH的ADHD儿童谁是生活在服务不足的社区。CATTS试验招募了223名儿童（μ=9.53±2.06岁）及其照顾者。采用儿童行为量表和儿童计算机诊断访谈表对ADHD和共病的对立违抗性障碍（ODD）和焦虑障碍（AD）进行诊断。我们利用CATTS试验的丰富基线数据来调查看护者的痛苦与儿童共病心理健康状况之间的关联。照顾者的痛苦进行了评估与病人健康问卷-9，父母压力指数，照顾者压力问卷。ANOVA被用来比较儿童多动症单独与儿童有一个共病的条件（ODD或AD）和儿童有两个共病的条件（ODD和AD）。结果：四分之三（75.3%）的参与者符合标准的ODD和/或AD共病ADHD：24.7%既没有合并症; 47.5%有ODD或AD;和27.8%有ODD和AD共病。父母的儿童患有多种共病的条件经历了最高水平的抑郁症，压力，和负担的care.Conclusions：从服务不足的社区招募的CATTS样本提供了证据的儿童精神共病与照顾者的痛苦，呼应早期的研究结果从多模式治疗多动症（MTA）的研究，进行了大都市样本的青年。结果表明，照顾者的痛苦，应解决在发展治疗模式的儿童多动症。临床试验注册：http://clinicaltrials.gov/show/NCT00830700。
Objective:This article evaluates the additive effects of children's comorbid conditions with attention-deficit/hyperactivity disorder (ADHD) in relation to caregivers' distress, in a clinical trial conducted through telemental health (TMH).Methods:The Children's ADHD Telemental Health Treatment Study (CATTS) is examining the effectiveness of treatment delivered via TMH for children with ADHD who are living in underserved communities. The CATTS trial recruited 223 children (μ=9.53±2.06 years) and their caregivers. Diagnoses of ADHD and comorbid oppositional defiant disorder (ODD) and anxiety disorders (ADs) were established with the Child Behavior Checklist and the Computerized Diagnostic Interview Schedule for Children. We took advantage of rich baseline data from the CATTS trial to investigate associations between caregivers' distress and children's comorbid mental health conditions. Caregivers' distress was assessed with the Patient Health Questionnaire-9, Parenting Stress Index, and Caregiver Strain Questionnaire. ANOVAs were used to compare children with ADHD alone with children having one comorbid condition (ODD or ADs) and children having two comorbid conditions (ODD and ADs).Results:Three quarters (75.3%) of participants met criteria for ODD and/or AD comorbid with ADHD: 24.7% had neither comorbidity; 47.5% had ODD or AD; and 27.8% had both ODD and AD comorbidities. The parents of children with multiple comorbid conditions experienced the highest levels of depression, stress, and burden of care.Conclusions:The CATTS sample that was recruited from underserved communities provided evidence of additive effects of child psychiatric comorbidities with caregivers' distress, echoing earlier findings from the Multi-modal Treatment of ADHD (MTA) study that was conducted with a metropolitan sample of youth. Results indicate that caregivers' distress should be addressed in developing treatment models for children with ADHD.Clinical Trials Registry:http://clinicaltrials.gov/show/NCT00830700.