scholarly journals Young adult outcomes in the follow-up of the multimodal treatment study of attention-deficit/hyperactivity disorder: symptom persistence, source discrepancy, and height suppression

2017 ◽  
Vol 58 (6) ◽  
pp. 663-678 ◽  
Author(s):  
James M. Swanson ◽  
L. Eugene Arnold ◽  
Brooke S.G. Molina ◽  
Margaret H. Sibley ◽  
Lily T. Hechtman ◽  
...  
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Young Adult ◽  
Attention Deficit ◽  
Multimodal Treatment ◽  
Adult Outcomes ◽  
Hyperactivity Disorder ◽  
Young Adult Outcomes ◽  
Disorder Symptom ◽  
Symptom Persistence

Young adult outcome of attention deficit hyperactivity disorder: a controlled 10-year follow-up study

2006 ◽  
Vol 36 (2) ◽  
pp. 167-179 ◽  
Author(s):  
JOSEPH BIEDERMAN ◽  
MICHAEL C. MONUTEAUX ◽  
ERIC MICK ◽  
THOMAS SPENCER ◽  
TIMOTHY E. WILENS ◽  
...  
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Young Adult ◽  
Anxiety Disorders ◽  
Attention Deficit ◽  
Lifetime Prevalence ◽  
High Morbidity ◽  
Hyperactivity Disorder ◽  
Oppositional Defiant ◽  
Wide Range

Background. Our objective was to estimate the lifetime prevalence of psychopathology in a sample of youth with and without attention deficit hyperactivity disorder (ADHD) through young adulthood using contemporaneous diagnostic and analytic techniques.Method. We conducted a case-control, 10-year prospective study of ADHD youth. At baseline, we assessed consecutively referred male, Caucasian children with (n=140) and without (n=120) DSM-III-R ADHD, aged 6–18 years, ascertained from psychiatric and pediatric sources to allow for generalizability of results. At the 10-year follow-up, 112 (80%) and 105 (88%) of the ADHD and control children, respectively, were reassessed (mean age 22 years). We created the following categories of psychiatric disorders: Major Psychopathology (mood disorders and psychosis), Anxiety Disorders, Antisocial Disorders (conduct, oppositional-defiant, and antisocial personality disorder), Developmental Disorders (elimination, language, and tics disorder), and Substance Dependence Disorders (alcohol, drug, and nicotine dependence), as measured by blinded structured diagnostic interview.Results. The lifetime prevalence for all categories of psychopathology were significantly greater in ADHD young adults compared to controls, with hazard ratios and 95% confidence intervals of 6·1 (3·5–10·7), 2·2 (1·5–3·2), 5·9 (3·9–8·8), 2·5 (1·7–3·6), and 2·0 (1·3–3·0), respectively, for the categories described above.Conclusions. By their young adult years, ADHD youth were at high risk for a wide range of adverse psychiatric outcomes including markedly elevated rates of antisocial, addictive, mood and anxiety disorders. These prospective findings provide further evidence for the high morbidity associated with ADHD across the life-cycle and stress the importance of early recognition of this disorder for prevention and intervention strategies.

Adaptive Multimodal Treatment for Children with Attention-Deficit-/Hyperactivity Disorder: An 18 Month Follow-Up

2014 ◽  
Vol 46 (1) ◽  
pp. 44-56 ◽  
Author(s):  
Manfred Döpfner ◽  
Elena Ise ◽  
Tanja Wolff Metternich-Kaizman ◽  
Stephanie Schürmann ◽  
Christiane Rademacher ◽  
...  
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Attention Deficit ◽  
Multimodal Treatment ◽  
Hyperactivity Disorder

Do early internalizing and externalizing problems predict later irritability in adolescents with attention-deficit/hyperactivity disorder?

2016 ◽  
Vol 51 (4) ◽  
pp. 393-402 ◽  
Author(s):  
Melissa Mulraney ◽  
Nardia Zendarski ◽  
Fiona Mensah ◽  
Harriet Hiscock ◽  
Emma Sciberras
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Attention Deficit ◽  
Symptom Severity ◽  
Externalizing Problems ◽  
Cross Sectional ◽  
Hyperactivity Disorder ◽  
Parent Mental Health ◽  
Disorder Symptom ◽  
Internalizing And Externalizing

Objective: Irritable mood is common in children with attention-deficit/hyperactivity disorder. Research to date has primarily comprised cross-sectional studies; thus, little is known about the antecedents of irritability. Furthermore, existing cross-sectional studies generally focus on the association between irritability and comorbidities and do not examine broader aspects of functioning. Finally, previous research has neglected to include child-report of irritability. This study aimed to address these gaps using data from a longitudinal study of children with attention-deficit/hyperactivity disorder. Method: Children aged 5–13 years (mean = 10.2; standard deviation = 1.9) with attention-deficit/hyperactivity disorder were recruited from pediatric practices across Victoria, Australia. This study reports on those who had reached adolescence (12 years or older, mean = 13.8; standard deviation = 1.2) at the 3-year follow-up ( n = 140). Internalizing and externalizing problems were measured using the Strengths and Difficulties Questionnaire. At follow-up, parent-reported and adolescent self-reported irritability was assessed using the Affective Reactivity Index. Parent and adolescent outcomes measured at follow-up included attention-deficit/hyperactivity disorder symptom severity, sleep, behavior and parent mental health. Results: Children with externalizing problems at age 10 had higher parent-reported irritability (β = 0.31, 95% confidence interval = [0.17,–0.45], p = 0.001) in adolescence. Cross-sectional analyses found that irritability was associated with increased attention-deficit/hyperactivity disorder symptom severity and sleep problems; poorer emotional, behavioral and social functioning; and poorer parent mental health. Conclusion: Our findings highlight the importance of assessing for and managing early conduct problems in children with attention-deficit/hyperactivity disorder, as these predict ongoing irritability which, in turn, is associated with poorer functioning across a number of domains.

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