Parental perceptions and satisfaction with stimulant medication for attention-deficit hyperactivity disorder

Parental perceptions and satisfaction with stimulant medication for attention-deficit hyperactivity disorder
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DOI:
10.1097/00004703-200306000-00004
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发表时间:
2003-06-01
影响因子:
2.4
通讯作者:
Ellwood, LC
Ellwood, LC
中科院分区:
医学4区
文献类型:
--
作者:
DosReis, S;Zito, JM;Ellwood, LC

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尽管近年来青少年中兴奋剂的使用有所增加,但很少有报告记录父母对用于治疗注意缺陷多动障碍(ADHD)的兴奋剂的看法。从六家儿科初级保健诊所招募的302名家长中,84%完成了一项关于他们对其孩子因ADHD所服用药物的知识、态度和满意度的调查。三分之二的家长认为糖和饮食会影响多动症状。尽管很少有家长认为兴奋剂会导致药物滥用,但55%的家长最初基于大众媒体的信息对用药犹豫不决,38%的家长认为因ADHD接受药物治疗的孩子过多。相对于孩子自尊方面的改善,家长对行为和学业方面的改善更为满意。态度与满意度呈正相关,白人家长的态度比非白人家长更为积极。这些研究结果凸显了父母对ADHD药物治疗的误解和保留态度,需要明确种族/民族、收入和社会地位是否影响他们的观点以及对治疗方法的使用。
Few reports have documented parental perceptions of stimulants for attention-deficit hyperactivity disorder (ADHD), despite the recent increased use of stimulants among youths. Of 302 parents recruited from six pediatric primary care clinics, 84% completed a survey of their knowledge, attitudes, and satisfaction with the medication their child was taking for ADHD. Two thirds of the parents believed that sugar and diet affect hyperactivity. Although few parents believed that stimulants could lead to drug abuse, 55% initially were hesitant to use medication on the basis of information in the lay press, and 38% believed that too many children receive medication for ADHD. Parents were more satisfied with the behavioral and academic improvement relative to improvement in their child's self-esteem. Attitudes were positively correlated with satisfaction and were more positive among white than nonwhite parents. The findings highlight parental misconceptions and reservations about ADHD medication treatment that require clarification as to whether race/ethnicity, income, and social status influence their views and use of treatments.