目的 研究疾病特征等因素对注意缺陷多动障碍(ADHD)患者依从性的影响,为提高患者治疗依从性提供思路。方法 选择2016年7月—2017年6月期间就诊于佛山市顺德区伍仲珮纪念医院心理门诊的6~12岁ADHD患者共72例,该72例患者均在治疗前进行中国修订版韦氏智力测验(C-WISC)、数字划销测验(NCT)、父母儿童行为问卷(PSQ)的测量,了解其认知特点和疾病特征。结果 1)ADHD患儿的言语智商(VIQ):VIQ可显著正向预测ADHD患者依从性水平 (F＝8.36,P<0.001,决定系数为0.14);言语智商(VIQ)和总智商(FIQ)共同正向预测ADHD儿童患者复诊次数(F＝10.17,P<0.01,决定系数为0.22);2)PSQ的多动冲动分量表可显著负向预测ADHD患者依从性水平(F＝9.24,P<0.001,决定系数为0.15)。结论 ADHD患者的疾病特征对服药依从性有影响。

Objective To explore the effects of disease characteristics on the compliance of patients with attention deficient and hyperactive disorder (ADHD),so as to provide an approach to improving patients′ treatment compliance . Method Totally 72 ADHD patients aged 6~12 who visited psychology clinic of Wu Zhongpei Memorial Hospital from July 2016 to June 2017 were selected.Before treatment,all patients were measured for Wechsler Intelligence Scale for Children (C-WISC),number cancellation test (NCT),and Parent Symptom Questionnaire (PSQ),so as to approach their cognitive characteristics and disease attributes. Results 1) Verbal intelligence quotient (VIQ) was shown to be a significant positive predictor of the treatment compliance of ADHD patients (F＝8.36,P<0.001,coefficient of determination 0.14).Both VIQ and full intelligence quotient (FIQ) were shown to be positive predictors of clinic visit times of ADHD patients (F＝10.17,P<0.01,coefficient of determination 0.22).2) The hyperactivity-impulsiveness subscale score of PSQ was shown to be a significant negative predictor of the compliance of ADHD patients (F＝9.24,P<0.001,coefficient of determination 0.15). Conclusions The disease attributes affect ADHD patients′ treatment compliance.