Young adult educational and vocational outcomes of children diagnosed with ADHD.
Young adult educational and vocational outcomes of children diagnosed with ADHD.
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DOI：
10.1007/s10802-012-9658-z
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发表时间：
2013-01
影响因子：
3.6
通讯作者：
Kent KM
中科院分区：
文献类型：
--
作者：
Kuriyan AB;Pelham WE Jr;Molina BS;Waschbusch DA;Gnagy EM;Sibley MH;Babinski DE;Walther C;Cheong J;Yu J;Kent KM
注意缺陷多动障碍儿童在工作和教育方面的成功率下降是他们关注的问题，因为他们有广泛的学术困难;然而，很少有研究从经验上研究这一点，甚至更少研究这些结果的预测因素和个体差异。目前的研究比较了有和没有ADHD儿童诊断的年轻人的教育和职业结果以及这些结果的预测因素。参与者来自匹兹堡ADHD纵向研究（帕尔斯），这是一项每年收集数据的前瞻性研究。几乎所有变量都存在显著的组间差异，例如与没有儿童ADHD病史的成年人相比，成年人的教育和职业成就较低。尽管存在平均差异，但教育功能是广泛的。高中学业成绩显著预测高中后教育的入学率，学术和纪律问题介导了儿童多动症和高中后教育之间的关系。有趣的是，ADHD诊断和纪律问题对职业地位有负面预测作用，而高中后教育的入学率是一个积极的预测因素。较高的学业问题和ADHD诊断率对失业有积极的预测作用。这项研究支持需要针对儿童和青少年的预测因素的干预措施，除了继续治疗ADHD在年轻的成年期，针对发展适当的里程碑，如完成高中后教育，获得和保持稳定的就业。
Decreased success at work and educational attainment by adulthood are of concern for children with ADHD given their widely documented academic difficulties; however there are few studies that have examined this empirically and even fewer that have studied predictors and individual variability of these outcomes. The current study compares young adults with and without a childhood diagnosis of ADHD on educational and occupational outcomes and the predictors of these outcomes. Participants were from the Pittsburgh ADHD Longitudinal Study (PALS), a prospective study with yearly data collection. Significant group differences were found for nearly all variables such that educational and occupational attainment was lower for adults with compared to adults without histories of childhood ADHD. Despite the mean difference, educational functioning was wide-ranging. High school academic achievement significantly predicted enrollment in post-high school education and academic and disciplinary problems mediated the relationship between childhood ADHD and post-high school education. Interestingly, ADHD diagnosis and disciplinary problems negatively predicted occupational status while enrollment in post-high school education was a positive predictor. Job loss was positively predicted by a higher rate of academic problems and diagnosis of ADHD. This study supports the need for interventions that target the child and adolescent predictors of later educational and occupational outcomes in addition to continuing treatment of ADHD in young adulthood targeting developmentally appropriate milestones, such as completing post-high school education and gaining and maintaining stable employment.
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影响因子：
5.9
作者：
FISCHER, M;BARKLEY, RA;SMALLISH, L
通讯作者：
SMALLISH, L
影响因子：
3.3
作者：
HECHTMAN, L;WEISS, G
通讯作者：
WEISS, G
DOI：
10.1016/s0002-7138(09)60500-8
发表时间：
1984-01-01
影响因子：
13.3
作者：
HECHTMAN, L;WEISS, G;AMSEL, R
通讯作者：
AMSEL, R
影响因子：
2.6
作者：
Hechtman, L
通讯作者：
Hechtman, L
DOI：
10.1097/01.chi.0000189134.97436.e2
发表时间：
2006-02-01
影响因子：
13.3
作者：
Barkley, RA;Fischer, M;Fletcher, K
通讯作者：
Fletcher, K