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ADHD often persists into adulthood

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  • ADHD often persists into adulthood

    A summary of a new long-term study that followed children with ADHD into adulthood.

    ADHD often persists into adulthood
    By: Theresa Boyle Health reporter, The Star, Published on Mon Mar 04 2013

    Almost a third of children with attention-deficit hyperactivity disorder continue to have the condition into adulthood, and more than half also go on to get diagnosed with at least one psychiatric disorder, according to a new study in the journal Pediatrics.

    The first large population based study to follow children into adulthood also found that children with ADHD are more likely to commit suicide and be incarcerated as adults.

    The study followed 5,718 children born in Rochester between 1976 and 1982. Of those, 367 children were diagnosed with ADHD. And of that subset, 232 were involved in follow-up research.

    They discovered that 29 per cent of children with ADHD still had the condition as adults.

    “We need to have a chronic disease approach to ADHD as we do for diabetes. The system of care has to be designed for the long haul,” says lead investigator Dr. William Barbaresi of Boston Children’s Hospital.

    Here is the abstract of the article in Pediatrics:

    Mortality, ADHD, and Psychosocial Adversity in Adults With Childhood ADHD: A Prospective Study
    William J. Barbaresi, MDa, Robert C. Colligan, PhDb, Amy L. Weaver, MSc, Robert G. Voigt, MDd, Jill M. Killian, BSc, and Slavica K. Katusic, MDc


    OBJECTIVE: We examined long-term outcomes of attention-deficit/hyperactivity disorder (ADHD) in a population-based sample of childhood ADHD cases and controls, prospectively assessed as adults.

    METHODS: Adults with childhood ADHD and non-ADHD controls from the same birth cohort (N = 5718) were invited to participate in a prospective outcome study. Vital status was determined for birth cohort members. Standardized mortality ratios (SMRs) were constructed to compare overall and cause-specific mortality between childhood ADHD cases and controls. Incarceration status was determined for childhood ADHD cases. A standardized neuropsychiatric interview was administered.

    RESULTS: Vital status for 367 childhood ADHD cases was determined: 7 (1.9%) were deceased, and 10 (2.7%) were currently incarcerated. The SMR for overall survival of childhood ADHD cases versus controls was 1.88 (95% confidence interval [CI], 0.83–4.26; P = .13) and for accidents only was 1.70 (95% CI, 0.49–5.97; P = .41). However, the cause-specific mortality for suicide only was significantly higher among ADHD cases (SMR, 4.83; 95% CI, 1.14–20.46; P = .032). Among the childhood ADHD cases participating in the prospective assessment (N = 232; mean age, 27.0 years), ADHD persisted into adulthood for 29.3% (95% CI, 23.5–35.2). Participating childhood ADHD cases were more likely than controls (N = 335; mean age, 28.6 years) to have ≥1 other psychiatric disorder (56.9% vs 34.9%; odds ratio, 2.6; 95% CI, 1.8–3.8; P < .01).

    CONCLUSIONS: Childhood ADHD is a chronic health problem, with significant risk for mortality, persistence of ADHD, and long-term morbidity in adulthood.

    There is a better summary of the Pidatrics article in USA Today.
    A lot of parents ask if TS will continue into adulthood, here's are the study's findings in terms of ADHD:

    Growing up with ADHD
    Among those age 27 who had been diagnosed with ADHD as children:
    -- 37.5% had no ADHD and no psychiatric disorders
    -- 33.2% had no ADHD and one or more psychiatric disorders
    -- 23.7% had ADHD and one or more psychiatric disorders
    -- 5.6% had ADHD and no psychiatric disorders
    Last edited by Tina; March 5, 2013, 09:40 AM.
    Tina, Forum Moderator, TSFC Staff Liaison

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