Child and parent perceptions of stimulant medication treatment in attention deficit hyperactivity disorder
Child and parent perceptions of stimulant medication treatment in attention deficit hyperactivity disorder
复制标题
DOI：
10.1046/j.1440-1754.1998.00224.x
复制
发表时间：
1998-06-01
影响因子：
1.7
通讯作者：
Barker, MJ
中科院分区：
文献类型：
--
作者：
Efron, D;Jarman, FC;Barker, MJ
目的：了解儿童注意缺陷多动障碍(ADHD)患儿对兴奋剂治疗的看法。方法：采用双盲交叉试验的方法，对102名ADHD患儿进行儿童和家长的认知问卷调查。结果：大多数儿童对兴奋剂的治疗效果满意，但有12.7%和18.8%的儿童在服用MPH和DEX时感觉比平时差。在超过四分之一的案例中，孩子和父母对反应的看法存在分歧。大多数分歧涉及父母对孩子的反应是积极的，但孩子的评级报告了不利的结果。副作用是儿童不良反应知觉的主要决定因素。结论：相当大比例的ADHD儿童经历了刺激性药物治疗的不良反应。副作用是儿童负面认知的主要决定因素。父母报告通常与儿童报告是一致的；然而，在提供关于儿童所经历的影响的可靠信息方面，父母报告本身并不是绝对可靠的。
Objective: To evaluate child and parent perceptions of treatment with stimulant medication in a sample of children with attention deficit hyperactivity disorder (ADHD).Methodology: Child and parent perceptions questionnaires were completed for 102 subjects participating in a double-blind, crossover trial of methylphenidate (MPH) and dexamphetamine (DEX).Results: Most children viewed medication effects favourably, although 12.7% and 18.8% of children reported feeling worse than usual when taking MPH and DEX, respectively. There was disagreement between the child's and parents' perceptions of response in over one quarter of cases. Most disagreements involved parents viewing the child's response favourably, but the child rating reporting an unfavourable outcome. Side-effects were the main determinant of children's perceptions of adverse response.Conclusions: A substantial proportion of children with ADHD experience treatment with stimulant medication adversely. Side-effects are the principal determinant of negative child perceptions. Parental report is usually in agreement with child report; however, parental report alone is not infallible in providing reliable information regarding effects as experienced by the child.