الفهرس 
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Abstract
Attention deficit hyperactivity disorder is a common and
serious mental disorder, associated with significant impairment
in quality of life .Children with ADHD often experience
problems with education, interaction with others and emotional
disturbances. Families of ADHD children also suffer a
significant burden, in terms of strain on relationships. (Sumich
and Morgan, 2017). ADHD is affecting a large number of
children that often lasts into adulthood, and is a chronic
condition characterized by persistence of inattention,
hyperactivity and impulsivity that interferes with functioning
or development, whereas the common symptoms of the
disease includes: short attention span, over activity, being
impulsive and restlessness (Barzegary& Zamini ,2017)
ADHD can occur in children with any intellectual
abilities and learning difficulties and may have problems
such as sleep and anxiety disorders, additionally, ADHD
causes problems in how well children do in school, in their
ability to function in society and keep friends. Patients often
describe treatment with stimulant medication as being „life
changing‟. Effective treatment decreases comorbidities, and
improves quality of life. (Guidelines and resources for
practice, 2018).
Aim of the study:-
The aim of the study was to identify the quality of life
of children with ADHD.
Study design:
- A descriptive exploratory design was conducted.
Subjects and methods:
Setting:
The study was carried out in Psychiatric Institute
Outpatient Ain Shams University Hospital (outpatient clinic
of Okasha center for psychiatric Mental Health).
Sampling:
Purposive sampling was selected. All available children
with ADHD at (outpatient clinic of Okasha center for
psychiatric Mental Health). The total number of children
with ADHD was 106 who agreed to participate in the study
prior to any data collection.
Data collection tools:
Tools for collecting data of the present study were
included the following:-
An Arabic questionnaire was developed by the researcher,
after reviewing the related literature, it includes the following:
A-Socio demographic characteristics:
1-Socio demographic characteristics of the children understudy
include age, gender, order in birth……etc.
2-Socio demographic characteristics of family of children
with ADHD include residence, family income, marital status,
family size, type of accompanying child.
3-Medical health history include, duration of illness , regular
on medication ,follow up the doctor’s instructions , the child
follow up at the outpatient clinics continuously, follow up
numbers, follow up place nearing from the house, also
outpatient clinics are comfortable ,and provide good treatment
B-Quality of life questionnaire
This questionnaire was performed by the researcher
depend on literature reviewed to measure quality of life by
asking questions in the questionnaire and it consists 57 items
regarding quality of school life(18 sentences), quality of social
life(8 sentences), quality of daily activities(13sentences),
quality of health and the environment(10sentences), and quality
of psychological life ( 14sentences).(63 sentences.
Pilot study
The aim of pilot study was to:
Identify any unexpected obstacles and problems
Test the tools and its applicability
Ensure the clarity of the assessment sheet
To estimate the time needed to fill the sheet
Pilot study was performed in May to October. The study
tested 10% of the sample from above mentioned setting; it was
conducted to evaluate the simplicity, practicability, legibility,
understandability, feasibility, validity, and reliability of the
tools, it was also used to find the possible problems that might
face the researcher and interfere with data collection to estimate
the time needed to fill in the sheets. Those who shared in the
pilot study were excluded from the main study sample.
Results
More than half (59.4 %) of the ADHD children under study
had a poor total quality life
There were a statistically significant relation between level
of quality of school life of ADHD children and their age,
order of birth, and their educational level
There were a statistically significant relation between level
of quality of school life and their father‟s education, job,
also with mother‟s education, job, income of family, and
type of caregiver accompanying children with p-value
(<0.05), also family size with P-value ≤ 0.001 .Meanwhile
there was no statistical significance of relation between
socio demographic and quality of school life of ADHD
children regarding their father’s age and mother’s age.
There were a statistically significant relation between level
of quality of school life of ADHD children and regularity on
medication, follow up doctor instruction , the child follow
up at the outpatient clinics continuously and follow up
numbers with p-value (<0.05).
There were a statistically significant relation between level
of quality of social life of ADHD children and their order of
birth, being in the school and regularity in the school with pvalue
(<0.05).
There were a statistically significant relation between level of
quality of social life of ADHD children and their father‟s age,
father‟s education, mother‟s education and mother‟s job,
place of residence, and type of caregiver accompanying
children with p-value (<0.05).
There were a statistically significant relation between level
of quality of social life of ADHD children and, duration of
illness, outpatient clinics are comfortable ,and provide good treatment ,and follow up numbers with p-value(<0.05).Also,
follow up doctor instruction ,the child follow up at the
outpatient clinics continuously with p-value ≤ 0.001
There were a statistically significant relation between level
of quality of activities of ADHD children and their age of
child, order of birth, being in the school and are regularity
in the school with p-value (<0.05).of quality of health and
the environment of ADHD children and their father‟s
education and mother‟s education with p-value (<0.05).
There were a statistically significant relation between level
of quality of daily activities of ADHD children and their
father‟s age, father‟s education and father‟s job ,place of
residence ,and family income with p-value (<0.05).
There were a statistically significant relation between level
of quality of daily activities of ADHD children and duration
of illness, regular on medication, outpatient clinics are
comfortable ,and provide good treatment and follow up
numbers with p-value (<0.05).
There were statistically significant relation between level of
quality of health and the environment of ADHD children
and there being in the school with p-value (<0.05).
There were a statistically significant relation between level
of quality of health and the environment of ADHD children and their father‟s education , mother‟s education ,and type
of caregiver accompanying children with p-value (<0.05).
There were a statistically significant relation between level
of quality of health and the environment of ADHD children
and duration of illness, outpatient clinics are comfortable,
and provide good treatment with p-value (<0.05).
There were statistically a significant relation between level
of quality of psychological wellbeing of ADHD children
and their age, gender and being in the school with p-value
(<0.05).
There were a statistically significant relation between level
of quality of psychological wellbeing of ADHD children
and their parent‟s education, family income, and type of
caregiver accompanying children with p-value (<0.05).
There were statistically a significant relation between level
of quality of psychological wellbeing of ADHD children
and their regular on medication, outpatient clinics are
comfortable ,and provide good treatment ,and the child
follow up at the outpatient clinics continuously with p-value
(<0.05).
There were statistically a significant relation between level
of total quality of life of children with ADHD and age,
order of birth, being in the school and regular in the school
with p-value (<0.05).
There were statistically a significant relation between level
of total quality of life of children with ADHD and father
age, mother age , place of residence, and family income,
with p-value (<0.05).Also, father‟s education, mother
education ,and type of caregiver accompanying children
with P-value ≤ 0.001.
There were statistically a significant relation between level
of total quality of life of children with ADHD and duration
of illness, regular on medication, and follow up place
nearing from the house with p-vale (<0.05).Also, the child
follow up at the outpatient clinics continuously with P-value
≤ 0.001