[논문]Affective Factors That Contribute to the Quality of Life of Juvenile Inmates with Attention-Deficit/Hyperactivity Disorder: A Focus on Items from the Korean Youth Self Report

Kim, Hyesoon; Kim, Bongseog

doi:10.5765/jkacap.190021

Affective Factors That Contribute to the Quality of Life of Juvenile Inmates with Attention-Deficit/Hyperactivity Disorder: A Focus on Items from the Korean Youth Self Report 원문보기

소아청소년정신의학 = Journal of the Korean Academy of Child and Adolescent Psychiatry, v.30 no.4, 2019년, pp.161 - 167

Kim, Hyesoon (Department of Psychiatry, Sanggye Paik Hospital, Inje University College of Medicine) , Kim, Bongseog (Department of Psychiatry, Sanggye Paik Hospital, Inje University College of Medicine)

Abstract ▼ AI-Helper

Objectives: This study investigated quality of life in Korean juvenile inmates with attention-deficit/hyperactivity disorder (ADHD) and the impact of behavioral and emotional problems on quality of life. Methods: In total, 200 inmates were evaluated using the Korean version of the Mini-International Neuropsychiatric Interview (K-MINI) and the Korean version of the Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime (K-SADS-PL-K). We extracted the inmates with ADHD and evaluated their quality of life, behavioral problems, and emotional problems with the Pediatric Quality of Life Inventory (PedsQL) and the Korean Youth Self Report (K-YSR) scale. Descriptive statistics, Pearson correlation analysis, and multiple regression analysis were conducted. Results: Among the 200 total inmates, 68 were diagnosed with ADHD by the K-SADS-PL-K. Most of the correlations between PedsQL scores and K-YSR items were significant. Multiple regression analysis showed that PedsQL could be predicted by affective problems (among the DSM-oriented scales of the K-YSR) and attention problems (among the syndrome scales of the K-YSR). Conclusion: Our results demonstrate that, among juvenile inmates with ADHD, quality of life was negatively correlated with most behavioral and emotional problems. Meanwhile, the significant influence of affective and attention problems on inmates' quality of life suggests the necessity of comprehensive treatments for this group.

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제안 방법

All participants completed self-report questionnaires, and mental health practitioners and clinical psychologists conducted structured diagnostic interviews to gather information on participants’ demographic characteristics and psychiatric diagnoses and evaluations.
In this study, the prevalence and the number of comorbidities among juvenile inmates with ADHD were observed, and the quality of life, emotional problems, and problem behaviors of the juveniles with ADHD were evaluated. Compared with other juvenile inmates, the overall quality of life of those with ADHD was lower and problems involving emotional and behavioral factors were more common.
[17] for the diagnosis of major diseases of children and adolescents including ADHD, oppositional defiant disorder, and tic disorder. In this study, we utilized the K-SADS-PL-K to screen for ADHD and to confirm diagnoses of oppositional defiant disorder, conduct disorder, and tic disorder.
Therefore, in this study, the quality of life, emotions, and problem behaviors of male juvenile inmates were evaluated and analyzed with the goal of identifying mutual correlations and patterns of influence.
The K-YSR is an evaluation tool that can be used to screen for problem behaviors and clinical diagnoses. This study used the K-YSR to evaluate the emotional and behavioral problems of juvenile inmates with ADHD.

대상 데이터

This study was conducted from December 2015 to January 2016 among 200 juvenile inmates. We selected 68 patients diagnosed with ADHD through an evaluation using the Korean version of the Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime (K-SADS-PL).

데이터처리

Each item of the PedsQL 4.0 and K-YSR among the 68 juvenile inmates with ADHD and the 132 other juvenile inmates was analyzed using descriptive statistics and the t-test. Pearson correlation analysis was performed between the two scales.
Pearson correlation analysis was performed between the two scales. In addition, multiple regression analysis was conducted to examine the impact of the subscales of the K-YSR on quality of life. Statistical analysis was performed using SPSS version 25 (IBM Corp.
0 and K-YSR among the 68 juvenile inmates with ADHD and the 132 other juvenile inmates was analyzed using descriptive statistics and the t-test. Pearson correlation analysis was performed between the two scales. In addition, multiple regression analysis was conducted to examine the impact of the subscales of the K-YSR on quality of life.

이론/모형

93 in the diagnosis of conditions contained in the Korean version of the DSM-IV, with good overall validity. In this study, we used the K-MINI 5.0 to identify comorbid diseases, such as mood disorders, in juveniles.
We used the Korean version of the Pediatric Quality of Life Inventory 4.0 Generic Core Scales (PedsQL 4.0) for evaluating patients’ quality of life.

성능/효과

In addition, the results of this study showed that ADHD participants’ self-reported attention/concentration problems were an additional predictor.
This association with emotional factors is consistent with previous research [16]. In addition, the results of this study showed that aggressive behavior (among the syndrome scales), externalization (among the broad band scales), and conduct problems (among the DSM-oriented scales) were significantly associated with quality of life in subjects with ADHD. This is related to impaired self-regulation in individuals with ADHD.
In model 2, which was finally chosen by the stepwise selection method, the explanatory power of the DSM-oriented affective scale item had the highest predictive power, with 44.4%. The attention problems among the syndrome scales had an additional predictive power of 4.
Most of the K-YSR subscales showed significant relationships with quality of life, except for somatic problems. The PedsQL score and all four subitems showed significant correlations with emotional factors (syndrome scales: anxious/depressed, withdrawn/depressed; broad band scales: internalizing; DSM-oriented scales: affective problems, anxiety problems) and aggression-related factors (syndrome scales: aggressive behavior; broad band scales: externalizing; DSM-oriented scales: conduct problems). The following other significant correlations were found.
The correlation between quality of life in the subjects with ADHD, analyzed using the PedsQL, and the subscales of the K-YSR showed that the externalization and internalization scale, depression/anxiety scale, inferiority scale, social immaturity scale, thought problems scale, and the aggression scale, as well as the DSM-oriented emotion, anxiety, hostile rebellion, and behavioral disturbance scales correlated with all four subitems and total scores of the PedsQL. This association with emotional factors is consistent with previous research [16].
This study assessed the quality of life and emotional and behavioral factors reported by juvenile inmates and confirmed the presence of significant correlations between the factors. It also examined the subjective emotional and behavioral factors that affected juvenile inmates’ quality of life.

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