Long-Term Effects of Multimodal Treatment on Psychopathology and Health-Related Quality of Life of Children With Attention Deficit Hyperactivity Disorder

Szabina Velõ; Ágnes Keresztény; Gyöngyvér Ferenczi-Dallos; Judit Balázs

doi:10.3389/fpsyg.2019.02037

Long-Term Effects of Multimodal Treatment on Psychopathology and Health-Related Quality of Life of Children With Attention Deficit Hyperactivity Disorder

Front Psychol. 2019 Sep 24:10:2037. doi: 10.3389/fpsyg.2019.02037. eCollection 2019.

Authors

Szabina Velõ^{1

2}, Ágnes Keresztény², Gyöngyvér Ferenczi-Dallos^{2

3}, Judit Balázs^{2

4}

Affiliations

¹ Doctoral School of Psychology, Institute of Psychology, Eötvös Loránd University, Budapest, Hungary.
² Department of Developmental and Clinical Child Psychology, Institute of Psychology, Eötvös Loránd University, Budapest, Hungary.
³ Vadaskert Foundation, Child Psychiatry Hospital and Outpatient Clinic, Budapest, Hungary.
⁴ Bjørknes University College, Oslo, Norway.

Abstract

Aim: The current study aimed to examine the association between long-term (36 months) multimodal (pharmacological and psychological) treatment and psychopathology and health-related quality of life (HRQoL) in children with attention deficit/hyperactivity disorder (ADHD) from the perspectives of both the children and parents.

Methods: The sample consisted of 23 children with ADHD (21 boys, 2 girls, mean age = 13.46 years, SD = 2.36) and 23 healthy control children (11 boys, 12 girls, mean age = 12.49 years, SD = 1.75). The Mini International Neuropsychiatric Interview for Children and Adolescents (MINI Kid) was applied to measure psychopathology and both parent and self-rated versions of the Inventory for the Measure of the Quality of Life in Children and Adolescents were used to assess HRQoL at baseline and at the 36-month follow-up visit. The ADHD group took part in multimodal (medical and behavioral) therapy. The healthy control group did not get any intervention.

Results: At the baseline, the ADHD group was characterized with higher scores in nine MINI Kid scales and showed lower HRQoL than the control group according to both children and their parents. At the 36-month follow-up visit six scale scores (ADHD, social phobia, oppositional defiance and conduct disorder, major depressive episode, dysthymic disorder) showed statistically significant decreases in the ADHD group, while these scores were constant in the control group. Parent-rated HRQoL was significantly lower in the clinical group at baseline than at the end of the study, but there were no significant changes in the control group. Self-reported changes in HRQoL matched parent-reported changes.

Interpretation: Multimodal therapy is associated with decreased psychopathology and improved HRQoL over the long term.

Keywords: ADHD; comorbid disorders; long term; multimodal treatment; quality of life.