Year : 2013  |  Volume : 55  |  Issue : 1  |  Page : 52--58

Impact of co‑morbid attention‑deficit/hyperactivity disorder on self‑perceived health‑related quality‑of‑life of children with specific learning disability


Sunil Karande, Rohini Venkataraman 
 Department of Pediatrics, Learning Disability Clinic, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India

Correspondence Address:
Sunil Karande
Associate Professor of Pediatrics, Learning Disability Clinic, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai - 400 022, Maharashtra
India

Background: About 12-24% of children with specific learning disability (SpLD) have co-occurring attention-deficit/hyperactivity disorder (ADHD). According to DQparent-proxy reportsDQ, co-occurring DQuntreatedDQ ADHD adversely impacts the health-related quality of life (HRQoL) of children with newly diagnosed SpLD, especially in their psychosocial functioning. Aims: To analyze the impact of DQuntreatedDQ co-occurring ADHD on the DQself-perceivedDQ HRQoL of children with DQnewly diagnosedDQ SpLD. Setting and Design: Cross-sectional questionnaire-based study in a learning disability clinic situated in a medical college. Materials and Methods: From February 2008 to December 2008, 136 consecutive children newly diagnosed as having DQSpLD with co-occurring ADHD (SpLD/ADHD)DQ or DQSpLD onlyDQ were enrolled. The DISABKIDS chronic generic module (DCGM-37-S (V31)) instrument was used to measure their HRQoL. DCGM-37-S (V31) mean facet and total scores were computed for DQSpLD/ADHDDQ and DQSpLD onlyDQ children groups and compared using independent samples t-test. Results: HRQoL of DQSpLD/ADHDDQ children was significantly better in limitation facet (mean difference: 8.20; 95% confidence interval (CI): 1.75-15.29; P=0.024). Although not statistically significant, the HRQoL of DQSpLD/ADHDDQ children was better in independence, emotion, social inclusion and social exclusion facets; and in total score. Conclusions: DQSpLD/ADHDDQ children perceive their physical functioning to be significantly better. Also their perceptions of their psychosocial functioning are better. Contrary to parent-proxy reports, co-occurring DQuntreatedDQ ADHD does not adversely impact the self-perceived HRQoL of children with DQnewly diagnosedDQ SpLD.


How to cite this article:
Karande S, Venkataraman R. Impact of co‑morbid attention‑deficit/hyperactivity disorder on self‑perceived health‑related quality‑of‑life of children with specific learning disability.Indian J Psychiatry 2013;55:52-58


How to cite this URL:
Karande S, Venkataraman R. Impact of co‑morbid attention‑deficit/hyperactivity disorder on self‑perceived health‑related quality‑of‑life of children with specific learning disability. Indian J Psychiatry [serial online] 2013 [cited 2020 Feb 22 ];55:52-58
Available from: http://www.indianjpsychiatry.org/article.asp?issn=0019-5545;year=2013;volume=55;issue=1;spage=52;epage=58;aulast=Karande;type=0