title: Self-image profile in children and adolescents with attention deficit/ hyperactivity disorder and the quality of life in their parents.
abstract: OBJECTIVE
  We explored the impact of clinical response to treatment for Attention Deficit/Hyperactivity Disorder (ADHD) in children and adolescents on the subsequent changes in their self-image profile, the quality of life of their parents, and its effect on socio-demographic variables.
  
  
  METHODS
  Conners Rating Scales for Parents (CPRS-R) and for Teachers (CTRS-R) completed at the time of entry to the service were repeated to measure clinical response to treatment; the Self-image Profiles for Children (SIP-C) and Adolescents (SIP-A), the World Health Organization Quality of Life (WHOQoL) questionnaire and postcode data were used to evaluate other domains.
  
  
  RESULTS
  Data was collected for 53 boys (84%) and 10 girls (16%) with current mean age 11.5 years. Four-fifths (51/63) received pharmacological treatment and all parents were offered group parent training program. The only subscale in CPRS-R to show significance was the ADHD Index. The CTRS-R demonstrated statistically significant improvement (p < 0.01) in most subscales. On the Self-image Profile, children reported themselves as more Kind (p < 0.012), more Helpful (p < 0.038) and less Bossy (p < 0.047). Comparison of pre- and post-treatment scores on QoL revealed no significant changes; however, correlations of QoL responses against CPRS post-treatment revealed significant negative relationships in a number of instances. Parents living in less deprived areas felt their lives were more meaningful and less likely felt negatively about themselves (p = 0.04, N = 26, rho = 0.405).
  
  
  CONCLUSIONS
  Clinical improvement in ADHD symptoms was positively correlated with some improvement in the Self-image Profile of children and adolescents, but its impact on the QoL in parents was limited.
authors.affiliation: 2gether NHS Foundation Trust, Cheltenham, United Kingdom.
authors.forename: Vahdet
authors.initials: V
authors.lastname: Gormez
authors.affiliation: NHS Lothian, Edinburgh, United Kingdom.
authors.forename: Fiona C M
authors.initials: FC
authors.lastname: Forbes
mesh_terms: D000293:Adolescent; D001289:Attention Deficit Disorder with Hyperactivity / Q000188:drug therapy / Q000523:psychology*; D000697:Central Nervous System Stimulants / Q000627:therapeutic use; D002648:Child; D004505:Education, Nonprofessional; D005260:Female; D006801:Humans; D008297:Male; D010290:Parents / Q000523:psychology*; D010552:Personality Assessment; D011788:Quality of Life / Q000523:psychology*; D012606:Scotland; D012649:Self Concept; D011795:Surveys and Questionnaires
chemical_list: D000697:Central Nervous System Stimulants
keywords: ADHD; quality of life; self-image profile; treatment