The economic burden of adult attention deficit hyperactivity disorder: A sibling comparison cost analysis
The economic burden of adult attention deficit hyperactivity disorder: A sibling comparison cost analysis
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DOI：
10.1016/j.eurpsy.2019.06.011
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发表时间：
2019-09-01
影响因子：
7.8
通讯作者：
Walldorf, J.
中科院分区：
文献类型：
--
作者：
Daley, D.;Jacobsen, R. H.;Walldorf, J.
目的：注意缺陷多动障碍（ADHD）是一种伴随着巨大经济损失的终身疾病。虽然ADHD的经济负担已被广泛估计，但研究之间的报告成本存在相当大的差异，这些研究通常只关注健康结果，缺乏足够的控制，无法纠正遗传和共享环境因素的影响。本研究的目的是克服这些局限性，以达到更全面的了解ADHD的经济负担。方法：使用丹麦国家登记册5269成人ADHD的诊断，在成年人谁没有收到在童年的诊断确定。排除数据缺失、共病诊断和没有同性兄弟姐妹且无任何精神病诊断的病例，形成由460个兄弟姐妹二对组成的最终队列。使用横截面的方法集中在2010年，每个成年人与ADHD和他们的兄弟姐妹之间的成本差异进行了计算，从健康，教育，犯罪，就业和社会关怀registers.Results检索的数据：成年人与ADHD有相当低的可支配收入和支付较少的税比他们的兄弟姐妹。他们还获得了更多的国家福利，比他们的兄弟姐妹有更高的健康，社会保障和犯罪成本。2010年的总平均成本差异为20,134欧元以上，比他们的兄弟姐妹为每个成年人与ADHD.Conclusion：ADHD是与相当大的成本，这是由个人和国家承担，并强调需要考虑更广泛的经济影响ADHD超出收入和医疗保健利用成本。(C)2019 Elsevier Masson SAS。All rights reserved.
Aim: Attention Deficit Hyperactivity Disorder (ADHD) is a lifespan disorder associated with considerable economic cost. While the economic burden of ADHD has been widely estimated, there is considerable variation in reported costs between studies, which typically focus on health outcomes only, lack adequate control and fail to correct for the influence of genetic and shared environmental factors. The aim of this study is to overcome these limitations to reach a fuller understanding of the economic burden of ADHD.Method: Using the Danish National Registers 5269 adults with a diagnosis of ADHD in adulthood who had not received a diagnosis in childhood were identified. Excluding cases with missing data, comorbid diagnoses, and cases without a same sex sibling free of any diagnosed psychiatric diagnoses, a final cohort was formed consisting of 460 sibling dyads. Using a cross-sectional method focusing on the year 2010, cost differences between each adult with ADHD and their sibling were calculated from data retrieved from health, education, crime, employment and social care registers.Results: Adults with ADHD had considerably lower disposable income and paid less tax than their siblings. They also received more state benefits, had higher costs for health, social care, and crime than their siblings. The total average costs difference for the year 2010 was 20,134 euros more than their sibling for each adult with ADHD.Conclusion: ADHD is associated with considerable costs which are borne by both the individual and the state and underlines the need to consider the wider economic impact of ADHD beyond income and healthcare utilisation costs. (C) 2019 Elsevier Masson SAS. All rights reserved.