Report on Two Cases of Adequate Medical Support System Using the Japanese Version of Kid-KINDL^R Questionnaire for Children with ADHD

抄録

We are investigating whether medical support improves not only the core symptoms of children with attention deficit/hyperactivity disorder (ADHD), but also their quality of life (QOL) using the Japanese version of the Kid-KINDL^R (for ages 7-13 years) questionnaire (Kid-KINDL^R). Herein, we report two cases of adequate medical support using Kid-KINDL^R for children with ADHD. Case 1 is a 9-year-old boy. The Kid-KINDL^R questionnaire revealed that this patient had conflict with his father; however, the father was unaware of such situation and had no understanding of the conflict. In addition to medical treatment, we advised his father to ascertain a good relationship with his son in order to better understand him. Case 2 is an 8-year-old boy who showed a decreasing self-esteem score after administration of medicine, despite improvements in his ADHD symptoms. We considered that the medicine had improved both his self-discernment and his relationships with others, indicating that the medical support was more effective in case 2 than in case 1. The Kid-KINDL^R Questionnaire, and in particular the self-esteem scores, enabled us to understand the QOL changes in the reported cases. We speculated that children with ADHD have a greater obstacle of self-discernment than children showing normal development. However, such children may learn to recognize the concept of self-esteem, and we conclude that it is necessary to support these patients with specialized care to improve their ability to compare themselves with others.