Occupational Outcome in Adult ADHD: Impact of Symptom Profile, Comorbid Psychiatric Problems, and Treatment A Cross-Sectional Study of 414 Clinically Diagnosed Adult ADHD Patients
Occupational Outcome in Adult ADHD: Impact of Symptom Profile, Comorbid Psychiatric Problems, and Treatment A Cross-Sectional Study of 414 Clinically Diagnosed Adult ADHD Patients
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DOI：
10.1177/1087054708329777
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发表时间：
2009-09-01
影响因子：
3
通讯作者：
Haavik, Jan
中科院分区：
文献类型：
--
作者：
Halmoy, Anne;Fasmer, Ole Bernt;Haavik, Jan
目的：探讨成人注意缺陷多动障碍（ADHD）患者的症状特征、共病精神问题和治疗对职业结局的影响。方法：成人ADHD患者（N = 414）回答问卷评分过去和现在的症状ADHD，共病条件，治疗史和工作状态。结果：24%的患者报告正在工作，而基于人群的对照组（N = 359）为79%。ADHD、药物滥用和抑郁或焦虑病史的组合亚型与失业相关。目前和过去的ADHD治疗与工作有关。Logistic回归分析显示，儿童时期的兴奋剂治疗是成年后工作的最强预测因素（比值比= 3.2，p = 0.014）。结论：ADHD的早期识别和治疗是成年后工作的一个强有力的预测因素，独立于合并症，药物滥用和目前的治疗。(J.的AT。Dis. 2009; 13（2）175-187）
Objective: To determine the effects of symptom profile, comorbid psychiatric problems, and treatment on occupational outcome in adult ADHD patients. Method: Adult ADHD patients (N = 414) responded to questionnaires rating past and present symptoms of ADHD, comorbid conditions, treatment history, and work status. Results: Of the patients, 24% reported being in work, compared to 79% in a population-based control group (N = 359). Combined subtype of ADHD, substance abuse, and a reported history of depression or anxiety were correlated with being out of work. Current and past medical treatment of ADHD was correlated with being in work. Logistic regression analyses showed that stimulant therapy during childhood was the strongest predictor for being in work as adults (odds ratio = 3.2, p =.014). Conclusion: Early recognition and treatment of ADHD is a strong predictor of being in work as an adult, independently of comorbidity, substance abuse, and current treatment. (J. of Att. Dis. 2009; 13(2) 175-187)