Skip to main content
Erschienen in: Quality of Life Research 5/2012

01.06.2012 | Brief Communication

ADHD burden of illness in older adults: a life course perspective

verfasst von: Meryl Brod, Eva Schmitt, Marc Goodwin, Paul Hodgkins, Gwendolyn Niebler

Erschienen in: Quality of Life Research | Ausgabe 5/2012

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To explore the burden of illness and impact on patients’ quality of life (QoL) experiences in older ADHD adults.

Methods

Telephone interviews were conducted with older adult participants diagnosed with ADHD later in life. Transcripts were analyzed following a grounded theory approach.

Results

Mean age of participants (N = 24) was 66 years, and mean age at diagnosis was 57 years; 68% were men and 63% reported other comorbid mental health conditions. ADHD symptoms reported were inattention (71%), impulsivity (58%), hyperactivity (54%), and disorganization (54%). The majority of participants (63%) experienced an accumulated lifetime burden of illness and reported being financially less-well-off, had lower educational achievement, job performance, and greater social isolation due to their ADHD. Older adults reported significantly greater impairments in productivity (P ≤ 0.02) and a better life outlook (P ≤ 0.05) than younger ADHD adults.

Conclusions

Older adults’ QoL suffers from the accumulative negative impact of ADHD symptoms/impairments on their professional, economic, social, and emotional well-being.
Literatur
1.
Zurück zum Zitat American Psychiatric Association. (2000). Diagnostic and statistical manual of mental discorders: DSM-IV-TR. Washington, DC: American Psychiatric Association. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental discorders: DSM-IV-TR. Washington, DC: American Psychiatric Association.
2.
Zurück zum Zitat Wetzel, M. W., & Burke, W. J. (2008). Addressing attention-deficit/hyperactivity disorder in later adulthood. Clinical Geriatrics, 16(11), 33–39. Wetzel, M. W., & Burke, W. J. (2008). Addressing attention-deficit/hyperactivity disorder in later adulthood. Clinical Geriatrics, 16(11), 33–39.
3.
Zurück zum Zitat Simon, V., Czobor, P., Balint, S., Meszaros, A., & Bitter, I. (2009). Prevalence and correlates of adult attention-deficit hyperactivity disorder: Meta-analysis. The British Journal of Psychiatry, 194(3), 204–211.PubMedCrossRef Simon, V., Czobor, P., Balint, S., Meszaros, A., & Bitter, I. (2009). Prevalence and correlates of adult attention-deficit hyperactivity disorder: Meta-analysis. The British Journal of Psychiatry, 194(3), 204–211.PubMedCrossRef
4.
Zurück zum Zitat Biederman, J., Faraone, S. V., Spencer, T. J., Mick, E., Monuteaux, M. C., & Aleardi, M. (2006). Functional impairments in adults with self-reports of diagnosed ADHD: A controlled study of 1001 adults in the community. The Journal of Clinical Psychiatry, 67(4), 524–540.PubMedCrossRef Biederman, J., Faraone, S. V., Spencer, T. J., Mick, E., Monuteaux, M. C., & Aleardi, M. (2006). Functional impairments in adults with self-reports of diagnosed ADHD: A controlled study of 1001 adults in the community. The Journal of Clinical Psychiatry, 67(4), 524–540.PubMedCrossRef
5.
Zurück zum Zitat Biederman, J., Wilens, T., Mick, E., Milberger, S., Spencer, T. J., & Faraone, S. V. (1995). Psychoactive substance use disorders in adults with attention deficit hyperactivity disorder (ADHD): Effects of ADHD and psychiatric comorbidity. The American Journal of Psychiatry, 152(11), 1652–1658.PubMed Biederman, J., Wilens, T., Mick, E., Milberger, S., Spencer, T. J., & Faraone, S. V. (1995). Psychoactive substance use disorders in adults with attention deficit hyperactivity disorder (ADHD): Effects of ADHD and psychiatric comorbidity. The American Journal of Psychiatry, 152(11), 1652–1658.PubMed
6.
Zurück zum Zitat Kollins, S. H., McClernon, F. J., & Fuemmeler, B. F. (2005). Association between smoking and attention-deficit/hyperactivity disorder symptoms in a population-based sample of young adults. Archives of General Psychiatry, 62(10), 1142–1147.PubMedCrossRef Kollins, S. H., McClernon, F. J., & Fuemmeler, B. F. (2005). Association between smoking and attention-deficit/hyperactivity disorder symptoms in a population-based sample of young adults. Archives of General Psychiatry, 62(10), 1142–1147.PubMedCrossRef
7.
Zurück zum Zitat Biederman, J., & Faraone, S. V. (2006). The effects of attention-deficit/hyperactivity disorder on employment and household income. MedGenMed, 8(3), 12.PubMed Biederman, J., & Faraone, S. V. (2006). The effects of attention-deficit/hyperactivity disorder on employment and household income. MedGenMed, 8(3), 12.PubMed
8.
Zurück zum Zitat da Silva, M. A., Louza, M. (2008). Case of a 67-year-old woman diagnosed with ADHD successfully treated with methylphenidate. Journal of Attention Disorders, 11(6), 623. da Silva, M. A., Louza, M. (2008). Case of a 67-year-old woman diagnosed with ADHD successfully treated with methylphenidate. Journal of Attention Disorders, 11(6), 623.
9.
Zurück zum Zitat Guldberg-Kjar, T., Johansson, B. (2009). Old people reporting childhood AD/HD symptoms: Retrospectively self-rated AD/HD symptoms in a population-based Swedish sample aged 65–80. Nordic Journal of Psychiatry, 63(5), 375–382. Guldberg-Kjar, T., Johansson, B. (2009). Old people reporting childhood AD/HD symptoms: Retrospectively self-rated AD/HD symptoms in a population-based Swedish sample aged 65–80. Nordic Journal of Psychiatry, 63(5), 375–382.
10.
Zurück zum Zitat Brod, M., Johnston, J., Able, S., Swindle, R. (2006). Validation of the adult attention-deficit/hyperactivity disorder quality-of-life Scale (AAQoL): a disease-specific quality-of-life measure. Quality of Life Research, 15(1), 117–129. Brod, M., Johnston, J., Able, S., Swindle, R. (2006). Validation of the adult attention-deficit/hyperactivity disorder quality-of-life Scale (AAQoL): a disease-specific quality-of-life measure. Quality of Life Research, 15(1), 117–129.
11.
Zurück zum Zitat Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory; strategies for qualitative research. Chicago: Aldine Pub. Co. Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory; strategies for qualitative research. Chicago: Aldine Pub. Co.
13.
Zurück zum Zitat Brook, D. W., Brook, J. S., Zhang, C., & Koppel, J. (2010). Association between attention-deficit/hyperactivity disorder in adolescence and substance use disorders in adulthood. Archives of Pediatric & Adolescent Medicine, 164(10), 930–934.CrossRef Brook, D. W., Brook, J. S., Zhang, C., & Koppel, J. (2010). Association between attention-deficit/hyperactivity disorder in adolescence and substance use disorders in adulthood. Archives of Pediatric & Adolescent Medicine, 164(10), 930–934.CrossRef
14.
Zurück zum Zitat Cohen, S. (2004). Social relationships and health. The American Psychologist, 59(8), 676–684.PubMedCrossRef Cohen, S. (2004). Social relationships and health. The American Psychologist, 59(8), 676–684.PubMedCrossRef
15.
Zurück zum Zitat Guest, G., Bunce, A., & Johnson, L. (2006). How many respondents are enough?: An experiment with data saturation and variability. Field Methods, 18(1), 59–82.CrossRef Guest, G., Bunce, A., & Johnson, L. (2006). How many respondents are enough?: An experiment with data saturation and variability. Field Methods, 18(1), 59–82.CrossRef
Metadaten
Titel
ADHD burden of illness in older adults: a life course perspective
verfasst von
Meryl Brod
Eva Schmitt
Marc Goodwin
Paul Hodgkins
Gwendolyn Niebler
Publikationsdatum
01.06.2012
Verlag
Springer Netherlands
Erschienen in
Quality of Life Research / Ausgabe 5/2012
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-011-9981-9

Weitere Artikel der Ausgabe 5/2012

Quality of Life Research 5/2012 Zur Ausgabe