ADHD burden of illness in older adults: a life course perspective
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To explore the burden of illness and impact on patients’ quality of life (QoL) experiences in older ADHD adults.
Telephone interviews were conducted with older adult participants diagnosed with ADHD later in life. Transcripts were analyzed following a grounded theory approach.
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.
Older adults’ QoL suffers from the accumulative negative impact of ADHD symptoms/impairments on their professional, economic, social, and emotional well-being.
KeywordsAttention deficit disorder with hyperactivity Quality of life Adult Aged
Adult ADHD quality of life measure
Attention-deficit hyperactivity disorder
- 1.American Psychiatric Association. (2000). Diagnostic and statistical manual of mental discorders: DSM-IV-TR. Washington, DC: American Psychiatric Association.Google Scholar
- 2.Wetzel, M. W., & Burke, W. J. (2008). Addressing attention-deficit/hyperactivity disorder in later adulthood. Clinical Geriatrics, 16(11), 33–39.Google Scholar
- 5.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.PubMedGoogle Scholar
- 8.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.Google Scholar
- 9.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.Google Scholar
- 10.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. Google Scholar
- 11.Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory; strategies for qualitative research. Chicago: Aldine Pub. Co.Google Scholar
- 12.U.S. Census Bureau. State & County QuickFacts [Internet]. Washington, D.C.: U.S Census Bureau; [updated 2011 Jun 3; cited 2011 Jun 19]. Available from: http://quickfacts.census.gov/qfd/states/00000.html.