Melissa Mulraney1,2,3, Rebecca Giallo1, Emma Sciberras1,3,4, Kate Lycett1, Fiona Mensah1,2,3, David Coghill1,2,3. 1. 1 Murdoch Childrens Research Institute, Parkville, Australia. 2. 2 The Royal Children's Hospital, Parkville, Australia. 3. 3 The University of Melbourne, Parkville, Australia. 4. 4 Deakin University, Geelong, Australia.
Abstract
OBJECTIVE: To describe the relationship between ADHD symptom severity and quality of life (QoL) across three time points over a 12-month period and investigate whether sleep modifies this relationship. METHOD: Children aged 5 to 13 years with ADHD were recruited from 21 pediatric practices across Victoria, Australia ( N = 392). Child QoL (parent-report) and ADHD symptoms (both parent- and teacher-report) were assessed at three time points (0, 6, and 12 months), and sleep was assessed at baseline (parent-report). Data were analyzed using Pearson's correlations and autoregressive cross-lagged panel models. RESULTS: Parent-reported ADHD symptoms predicted poorer QoL at each subsequent time point ( r = -.10 to -.13), and a small bidirectional relationship was observed between teacher-reported ADHD symptoms and QoL from 6 to 12 months. Sleep moderated the relationship between ADHD symptoms and QoL. CONCLUSION: Clinicians need to look beyond core ADHD symptoms to other factors that may be influencing QoL in children with ADHD.
OBJECTIVE: To describe the relationship between ADHD symptom severity and quality of life (QoL) across three time points over a 12-month period and investigate whether sleep modifies this relationship. METHOD:Children aged 5 to 13 years with ADHD were recruited from 21 pediatric practices across Victoria, Australia ( N = 392). Child QoL (parent-report) and ADHD symptoms (both parent- and teacher-report) were assessed at three time points (0, 6, and 12 months), and sleep was assessed at baseline (parent-report). Data were analyzed using Pearson's correlations and autoregressive cross-lagged panel models. RESULTS: Parent-reported ADHD symptoms predicted poorer QoL at each subsequent time point ( r = -.10 to -.13), and a small bidirectional relationship was observed between teacher-reported ADHD symptoms and QoL from 6 to 12 months. Sleep moderated the relationship between ADHD symptoms and QoL. CONCLUSION: Clinicians need to look beyond core ADHD symptoms to other factors that may be influencing QoL in children with ADHD.