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| Identifier |
000419993 |
| Title |
Κλινικοί και ψυχοκοινωνικοί παράγοντες που συμβάλλουν στη βαρύτητα των συμπτωμάτων ΔΕΠΥ : Διαχρονική μελέτη |
| Alternative Title |
Clinical and Psychosocial Predictors of ADHD symptom severity |
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Author
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Μουδατσάκη, Μαρίνα
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Thesis advisor
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Σίμος, Παναγιώτης
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Reviewer
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Καστελλάκης, Ανδρέας
Γιακουμάκη, Στυλιανή
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| Abstract |
The current thesis addresses clinical and psychosocial factors that affect the severity and evolution of Attention Deficit Hyperactivity Disorder (ADHD)symptoms in children. The study involved 130 children evaluated at the ADHD Unit of a University Hospital Child Psychiatry Clinic between 2012 and 2017. Based on comprehensive clinical and neuropsychological evaluation 62 children were given a diagnosis of Mixed type ADHD whereas 52 children did not meet formal criteria of ADHD of any type. Data obtained at T1 (diagnostic assessment) included parent and teacher behavior and psychiatric symptom scales. Follow up data (conducted during the first semester of 2018; T2) were collected through a semi-structured telephone interview with the child’s mother assessing child behavior, psychiatric manifestations, duration and quality of sleep and, in addition, anxiety and depression symptoms and quality of life of the mother.
Contrary to the study hypothesis, we failed to find differences between the two groups on subjective sleep duration and quality characteristics. Mediated regression analyses revealed that sleep may impact behavioral and psychiatric manifestations in both the mother and child over time, across groups. With respect to the child, sleep quality mediated the longitudinal association between (a) behavioral manifestations and inattention symptoms and (b) psychiatric symptoms and behavioral problems. Moreover, poor sleep quality mediated the association between child anxiety symptoms at T1 and maternal depression symptoms at T2.
In conclusion, sleep quality appears to be a significant predictor of the evolution of behavioral and attention control capacity in children suspected for ADHD and also account for the impact of internalizing symptoms between child and mother.
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| Language |
Greek, English |
| Subject |
Attention deficit hyperactivity disorder |
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Sleep disorders |
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Διαταραχές ύπνου |
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Διαταραχή ελλειμματικής προσοχής και υπερικινητικότητας |
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Ημερήσια υπνηλία |
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Συμπεριφορά |
| Issue date |
2018-12-05 |
| Collection
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School/Department--School of Medicine--Department of Medicine--Post-graduate theses
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Type of Work--Post-graduate theses
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| Views |
312 |
Κλινικοί και ψυχοκοινωνικοί παράγοντες που συμβάλλουν στη βαρύτητα των συμπτωμάτων ΔΕΠΥ : Διαχρονική μελέτη
