Assessment of the Effects of Pediatric Attention Deficit Hyperactivity Disorder on Family Stress and Well-Being: Development of the IMPACT 1.0 Scale.
Assessment of the Effects of Pediatric Attention Deficit Hyperactivity Disorder on Family Stress and Well-Being: Development of the IMPACT 1.0 Scale.
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DOI：
10.1177/2333794x19835645
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发表时间：
2019-01-01
影响因子：
2.2
通讯作者：
Kronenberger, William G
中科院分区：
文献类型：
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作者：
Bauer, Nerissa S;Ofner, Susan;Kronenberger, William G
药物治疗可能会减轻注意力缺陷多动障碍(ADHD)的核心症状，但家庭仍报告压力大，生活质量低。初级保健提供者管理着几乎一半患有多动症的儿童，但没有在日常家庭生活中评估多动症对家庭的影响的简要措施。Impact(与养育相关的ADHD挑战和治疗的影响测量)1.0量表是在家长顾问的帮助下共同开发的，并对79名ADHD儿童的父母进行了测试。对探索性因素分析、与验证工具的相关性和重测信度进行了检验。探索性因素分析得到4个子量表(行为不端、兄弟姐妹、时间、学校)，表明重测信度为中到高。量表领域与ADHD症状的严重程度和变化有关。在影响评分、家庭适应功能和与ADHD相关的生活质量之间发现了显著的相关性。Impact 1.0量表为ADHD的家庭影响评估提供了一种新的、可靠的、有效的方法。
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.