Changes in Behaviour Symptoms of Patients with Attention Deficit/Hyperactivity Disorder during Treatment: Observation from Different Informants
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ObjectiveThe aim of this study was to determine changes in behaviour among patients with attention deficit/hyperactivity disorder (ADHD) by different informants during treatment in the clinical setting. MethodsSeventy-nine patients with ADHD were recruited. They completed 12-months of treatment with oral short-acting methylphenidate, two-to-three times per day, at a dose of 0.3-1.0 mg/kg. Among the 79 patients (mean age, 9.1±1.9 years), 39 were classified as the ADHD-C/H type (hyperactive-impulsive type and combined type) and 40 as the ADHD-I type (inattentive type). At baseline, and after 12 months, their behaviour was assessed using the Child Behaviour Checklist (CBCL), Teacher's Report Form (TRF), ADHD Rating Scale (ADHD-RS), and Clinical Global Impression-Severity (CGI-S). ResultsPatients classified as the ADHD-C/H type had higher scores on three CBCL subscales, on the ADHD-RS and CGI-S compared to the ADHD-I type patients. After 12-months of treatment, for all patients, there were significant improvements in the four subscales of the TRF as well as the ADHD-RS and CGI-S scores, but not on the CBCL. In addition, the patients with the ADHD-C/H type had greater improvements on the four subscales of the TRF after treatment. However, there were no differences noted on the CBCL, ADHD-RS and CGI-S. ConclusionThe results of this study showed that during treatment, in the clinical setting, there are different assessments of behaviour symptoms, associated with ADHD, reported by different informants. Assessments of behaviour profiles from multiple informants are crucial for establishing a fuller picture of patients with ADHD.
Abstract
ObjectiveThe aim of this study was to determine changes in behaviour among patients with attention deficit/hyperactivity disorder (ADHD) by different informants during treatment in the clinical setting. MethodsSeventy-nine patients with ADHD were recruited. They completed 12-months of treatment with oral short-acting methylphenidate, two-to-three times per day, at a dose of 0.3-1.0 mg/kg. Among the 79 patients (mean age, 9.1±1.9 years), 39 were classified as the ADHD-C/H type (hyperactive-impulsive type and combined type) and 40 as the ADHD-I type (inattentive type). At baseline, and after 12 months, their behaviour was assessed using the Child Behaviour Checklist (CBCL), Teacher's Report Form (TRF), ADHD Rating Scale (ADHD-RS), and Clinical Global Impression-Severity (CGI-S). ResultsPatients classified as the ADHD-C/H type had higher scores on three CBCL subscales, on the ADHD-RS and CGI-S compared to the ADHD-I type patients. After 12-months of treatment, for all patients, there were significant improvements in the four subscales of the TRF as well as the ADHD-RS and CGI-S scores, but not on the CBCL. In addition, the patients with the ADHD-C/H type had greater improvements on the four subscales of the TRF after treatment. However, there were no differences noted on the CBCL, ADHD-RS and CGI-S. ConclusionThe results of this study showed that during treatment, in the clinical setting, there are different assessments of behaviour symptoms, associated with ADHD, reported by different informants. Assessments of behaviour profiles from multiple informants are crucial for establishing a fuller picture of patients with ADHD.
참고문헌 (32)
- Polanczyk G, "The worldwide prevalence of ADHD: a systematic review and metaregression analysis", Am J Psychiatry, 164, pp.942~948 (2007)
- Gau SS, "A 3-year panel study of mental disorders among adolescents in Taiwan", Am J Psychiatry, 162, pp.1344~1350 (2005)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental disorders 4th Edition (DSM-IV-TR)" (2000), American Psychiatric Association
- Spencer TJ, "Toward defining deficient emotional self-regulation in children with attention-deficit", hyperactivity disorder using the Child Behavior Checklist: a controlled study, 2011, pp.123, 50~59
- Biederman J, "Severity of the aggression", anxiety-depression, J Dev Behav Pediatr, pp.2012, 33[DOI]
- Steinhausen HC, "The behavioural profile of children with attention-deficit", hyperactivity disorder and of their siblings, 2012, ~
- Wehmeier PM, "Social and emotional impairment in children and adolescents with ADHD and the impact on quality of life", J Adolesc Health, 46, pp.209~217 (2010)
- McConaughy SH, "Incremental validity of test session and classroom observations in a multimethod assessment of attention deficit", hyperactivity disorder, 2010, pp.39, 650~666
- Gomez R, "Australian parent and teacher ratings of the DSM-IV ADHD symptoms: differential symptom functioning and parent-teacher agreement and differences", J Atten Disord, 11, pp.17~27 (2007)
- Lavigne JV, "Can parent reports serve as a proxy for teacher ratings in medication management of attentiondeficit", hyperactivity disorder, 2012, pp.33, 336~342
- Tripp G, "Parent and teacher rating scales in the evaluation of attention-deficit hyperactivity disorder: contribution to diagnosis and differential diagnosis in clinically referred children", J Dev Behav Pediatr, 27, pp.209~218 (2006)
- Murray DW, "Parent versus teacher ratings of attention-deficit", hyperactivity disorder symptoms in the Preschoolers with Attention-Deficit, J Child Adolesc Psychopharmacol, pp.2007, 17[DOI]
- Collett BR, "Ten-year review of rating scales. V: scales assessing attention-deficit", hyperactivity disorder, 2003, pp.42, 1015~1037
- Achenbach T., "Manual for the Revised Child Behavior Checklist" (1991), University of Vermont, Department of Psychiatry
- Huang HL, "Effectiveness of behavioral parent therapy in preschool children with attention- deficit hyperactivity disorder", Kaohsiung J Med Sci, 25, pp.357~365 (2009)
- McConaughy SH, "Standardized Observational Assessment of Attention Deficit Hyperactivity Disorder Combined and Predominantly Inattentive Subtypes. II", Classroom Observations. School Psych Rev, (38), pp.362~381 (2009)
- Tzang RF, "Behavior problems and subtypes of attention-deficit hyperactivity disorder with comorbidities", Kaohsiung J Med Sci, 25, pp.530~536 (2009)
- Maedgen JW, "Social functioning and emotional regulation in the attention deficit hyperactivity disorder subtypes", J Clin Child Psychol, 29, pp.30~42 (2000)
- Gorman EB, , J Am Acad Child Adolesc Psychiatry, 45, pp.808~816 (2006)
- Hurtig T, "ADHD symptoms and subtypes: relationship between childhood and adolescent symptoms", J Am Acad Child Adolesc Psychiatry, 46, pp.1605~1613 (2007)
- Wang LJ, "Clinical symptoms and performance on the Continuous Performance Test in children with attention deficit hyperactivity disorder between subtypes: a natural follow-up study for 6 months", BMC Psychiatry, 11, pp.65~ (2011)
- Buitelaar JK, "Functional improvement and correlations with symptomatic improvement in adults with attention deficit hyperactivity disorder receiving long-acting methylphenidate", Psychol Med, 42, pp.195~204 (2012)
- Yang HJ, "Competence and behavioral", emotional problems among Taiwanese adolescents as reported by parents and teachers, 2000, pp.39, 232~239
- Leung PW, "Testretest reliability and criterion validity of the Chinese version of CBCL, TRF, and YSR", J Child Psychol Psychiatry, 47, pp.970~973 (2006)
- Zhang S, "ADHD Rating Scale IV: psychometric properties from a multinational study as a clinician-administered instrument", Int J Methods Psychiatr Res, 14, pp.186~201 (2005)
- Gomez R, "Item response theory analyses of the parent and teacher ratings of the DSM-IV ADHD rating scale", J Abnorm Child Psychol, 36, pp.865~885 (2008)
- Guy W, "ECDEU Assessment Manual for Psychopharmacology-Revised" (1976), Department of Health, Education and Welfare
- Gross-Tsur V, "The impact of sex and subtypes on cognitive and psychosocial aspects of ADHD", Dev Med Child Neurol, 48, pp.901~905 (2006)
- Lubke GH, "Maternal ratings of attention problems in ADHD: evidence for the existence of a continuum", J Am Acad Child Adolesc Psychiatry, 48, pp.1085~1093 (2009)
- Tzang RF, "Naturalistic exploration of the effect of osmotic release oral system-methylphenidate on remission rate and functional improvement in Taiwanese children with attention-deficit-hyperactivity disorder", Psychiatry Clin Neurosci, 66, pp.53~63 (2012)
- Solanto M, "Stimulant drug response in the predominantly inattentive and combined subtypes of attention- deficit", hyperactivity disorder, 2009, pp.19, 663~671
- Hanisch C, "Detecting effects of the indicated prevention Programme for Externalizing Problem behaviour (PEP) on child symptoms, parenting, and parental quality of life in a randomized controlled trial", Behav Cogn Psychother, 38, pp.95~112 (2010)
