Associated predictors of functional impairment among adolescents with ADHD-a cross-sectional study

被引:9
作者
Meyer, Jenny [1 ]
Alaie, Iman [1 ,2 ]
Ramklint, Mia [1 ]
Isaksson, Johan [1 ,3 ]
机构
[1] Uppsala Univ, Dept Med Sci, Child & Adolescent Psychiat Unit, S-75185 Uppsala, Sweden
[2] Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, Stockholm, Sweden
[3] Karolinska Inst, Ctr Neurodev Disorders KIND, Dept Womens & Childrens Hlth, Ctr Psychiat Res, Stockholm, Sweden
关键词
ADHD; Functional impairment; Adolescents; Multiple informants; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; DEFICIT HYPERACTIVITY DISORDER; SELF-REPORT SCALE; DIFFICULTIES QUESTIONNAIRE SDQ; SHEEHAN DISABILITY SCALE; GENDER-DIFFERENCES; YOUNG ADOLESCENTS; CHILDREN; HEALTH; ORGANIZATION;
D O I
10.1186/s13034-022-00463-0
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Background Attention-deficit/hyperactivity disorder (ADHD) in adolescence is associated with functional impairment in several domains of life. To enable development of interventions that more effectively target functional impairment in this age group, the associations between clinical characteristics and impairment need to be clarified. The aim of this study was to investigate the associations between ADHD and functional impairment, if they varied by sex, and the potential impact of comorbid psychiatric symptoms on the associations. Methods This was a cross-sectional study including adolescents with ADHD (n = 164) and a reference group of adolescents without ADHD (n = 106). Self-ratings and parental ratings of functional impairment in different life domains were used as outcomes in all analyses. Differences between groups were investigated with comparative analyses. General linear models (GLMs) were used to explore associations between ADHD symptoms and functional impairment in adolescents with ADHD, while adjusting for of comorbid symptoms, sex, and medication. Results Adolescents with ADHD displayed higher levels of functional impairment than peers without ADHD, and girls with ADHD rated higher impairment than their male counterparts. The combined ADHD presentation was associated with the highest levels of self-reported impairment, while parental ratings indicated comparable levels of overall impairment across presentations. In the adjusted GLMs, symptoms of inattention were strongly associated with self- and parent-rated impairment in school, but symptoms of hyperactivity/impulsivity were not, whereas symptoms of both inattention and hyperactivity/impulsivity were modestly associated with self-rated impairment with friends. Further, both emotional and conduct problems were associated with impairment in daily life. Conclusions Our results suggest that attention difficulties, in particular, seem to impair academic functioning in adolescents with ADHD, and interventions targeting such difficulties are warranted. In addition, comorbid symptoms need to be assessed and treated, and self-reports of functioning should be included in research and clinical practice involving adolescents.
引用
收藏
页数:13
相关论文
共 62 条
[1]  
[Anonymous], 2013, DIAGN STAT MAN MENT
[2]   Attention-deficit hyperactivity disorder and problems in peer relations: Predictions from childhood to adolescence [J].
Bagwell, CL ;
Molina, BSG ;
Pelham, WE ;
Hoza, B .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2001, 40 (11) :1285-1292
[3]   Co-occurring Mental Health Problems and Peer Functioning Among Youth with Attention-Deficit/Hyperactivity Disorder: A Review and Recommendations for Future Research [J].
Becker, Stephen P. ;
Luebbe, Aaron M. ;
Langberg, Joshua M. .
CLINICAL CHILD AND FAMILY PSYCHOLOGY REVIEW, 2012, 15 (04) :279-302
[4]  
Berk L.E., 2005, CHILD DEV
[5]   Functional impairments in adults with self-reports of diagnosed ADHD: A controlled study of 1001 adults in the community [J].
Biederman, J ;
Faraone, SV ;
Spencer, TJ ;
Mick, E ;
Monuteaux, MC ;
Aleardi, M .
JOURNAL OF CLINICAL PSYCHIATRY, 2006, 67 (04) :524-540
[6]   Absence of gender effects on attention deficit hyperactivity disorder: Findings in nonreferred subjects [J].
Biederman, J ;
Kwon, A ;
Aleardi, M ;
Chouinard, VA ;
Marino, T ;
Cole, H ;
Mick, E ;
Faraone, SV .
AMERICAN JOURNAL OF PSYCHIATRY, 2005, 162 (06) :1083-1089
[7]   Treatment of Attention-Deficit/Hyperactivity Disorder in Adolescents A Systematic Review [J].
Chan, Eugenia ;
Fogler, Jason M. ;
Hammerness, Paul G. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2016, 315 (18) :1997-2008
[8]   Review: Adult Outcome as Seen Through Controlled Prospective Follow-up Studies of Children With Attention-Deficit/Hyperactivity Disorder Followed Into Adulthood [J].
Cherkasova, Mariya, V ;
Roy, Arunima ;
Molina, Brooke S. G. ;
Scott, Gabrielle ;
Weiss, Gabrielle ;
Barkley, Russell A. ;
Biederman, Joseph ;
Uchida, Mai ;
Hinshaw, Stephen P. ;
Owens, Elizabeth B. ;
Hechtman, Lily .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2022, 61 (03) :378-391
[9]   Ten-year review of rating scales. V: Scales assessing attention-deficit/hyperactivity disorder [J].
Collett, BR ;
Ohan, JL ;
Myers, KM .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2003, 42 (09) :1015-1037
[10]   Comparative efficacy and tolerability of medications for attention-deficit hyperactivity disorder in children, adolescents, and adults: a systematic review and network meta-analysis [J].
Cortese, Samuele ;
Adamo, Nicoletta ;
Del Giovane, Cinzia ;
Mohr-Jensen, Christina ;
Hayes, Adrian J. ;
Carucci, Sara ;
Atkinson, Lauren Z. ;
Tessari, Luca ;
Banaschewski, Tobias ;
Coghill, David ;
Hollis, Chris ;
Simonoff, Emily ;
Zuddas, Alessandro ;
Barbui, Corrado ;
Purgato, Marianna ;
Steinhausen, Hans-Christoph ;
Shokraneh, Farhad ;
Xia, Jun ;
Cipriani, Andrea .
LANCET PSYCHIATRY, 2018, 5 (09) :727-738