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Parental quality of life and depressive mood following methylphenidate treatment of children with attention‐deficit hyperactivity disorder
Author(s) -
Kim Yeni,
Kim Bongseog,
Chang JaeSeung,
Kim BungNyun,
Cho SooChurl,
Hwang JunWon
Publication year - 2014
Publication title -
psychiatry and clinical neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.609
H-Index - 74
eISSN - 1440-1819
pISSN - 1323-1316
DOI - 10.1111/pcn.12155
Subject(s) - methylphenidate , impulsivity , attention deficit hyperactivity disorder , beck depression inventory , mood , major depressive disorder , quality of life (healthcare) , psychology , depression (economics) , psychiatry , anxiety , economics , psychotherapist , macroeconomics
Aim This naturalistic study investigated the associations between quality of life and depressive mood in parents and symptom changes in attention‐deficit hyperactivity disorder ( ADHD ) children. Methods At baseline and at weeks 4 and 8, the parents evaluated their children, who were receiving treatment with osmotic‐release oral system methylphenidate (mean dosage 36.3 ± 15.5 mg/day), using the S wanson, N olan, and P elham – Fourth Edition ( SNAP‐IV ‐18) scale. The parents evaluated themselves using the Beck Depression Inventory ( BDI ) and the W orld H ealth O rganization Quality of Life Assessment, Brief Version ( WHOQOL‐BREF ). Results A significant reduction in SNAP‐IV ‐18 scores and improvements in parental BDI scores and parental WHOQOL‐BREF scores were observed. The decrease in BDI scores from baseline to 8 weeks was significantly associated with increases in WHOQOL‐BREF sub‐domain scores from baseline to 8 weeks, with a greater decrease at 4 weeks and after. The decrease in the SNAP‐IV ‐18 hyperactivity–impulsivity score was significantly associated with increases in WHOQOL social sub‐domain scores from baseline to 8 weeks. For those patients who showed a 25% or greater decrease in the SNAP‐IV ‐18 total scores from baseline to 8 weeks, the decreases in the SNAP‐IV ‐18 total score and in the inattention and hyperactivity–impulsivity scores were significantly associated with a decrease in BDI scores from baseline to 8 weeks. Conclusion Methylphenidate treatment for ADHD was associated with both symptom alleviation in children with ADHD and improvement in parental depressive mood and quality of life, suggesting that the effects of treatment could go beyond symptom improvement in ADHD .