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Sociodemographics, Comorbidities, Healthcare Utilization and Work Productivity in Japanese Patients with Adult ADHD.

Kirino E, Imagawa H, Goto T, Montgomery W - PLoS ONE (2015)

Bottom Line: ADHD respondents reported significantly more comorbid depression, sleep difficulties, headaches, and anxiety than non-ADHD controls.Respondents with ADHD reported a significantly higher degree of health-related work impairment compared to non-ADHD, with greater absenteeism and decreased work productivity.Japanese adults with ADHD face a substantial burden of illness, including lower overall health status, increased number of comorbidities, greater healthcare utilization, and significant health-related occupational impairment compared to those without ADHD.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychiatry, Juntendo University Shizuoka Hospital, Izunokunishi City, Shizuoka, Japan.

ABSTRACT

Objectives: This study compared the sociodemographic characteristics, comorbidities, healthcare resource utilization, and work productivity among Japanese adults who reported being diagnosed with attention-deficit/hyperactivity disorder (ADHD) to those of a non-ADHD control population.

Methods: Data for this study were captured from an online survey of adults in Japan conducted by Kantar Health using consumer panels. A total of 84 survey participants reported they had received a diagnosis of ADHD from a physician. Survey responses pertaining to functional status and resource utilization from this ADHD group were compared to those from a non-ADHD control group of 100 participants. Comparisons between the ADHD and non-ADHD groups were made using chi-square tests for categorical variables and t-tests for continuous variables.

Results: Participants in the ADHD group were on average slightly younger with a higher proportion of males. ADHD respondents reported significantly more comorbid depression, sleep difficulties, headaches, and anxiety than non-ADHD controls. Over the previous 6 months, the ADHD group made more visits to healthcare providers and the emergency room, and had more hospitalizations than non-ADHD controls. The ADHD group also rated their overall health status lower than the non-ADHD control group. Respondents with ADHD reported a significantly higher degree of health-related work impairment compared to non-ADHD, with greater absenteeism and decreased work productivity. The ADHD group indicated their symptoms negatively impacted relationships, self-esteem, and regular daily activities.

Conclusions: Japanese adults with ADHD face a substantial burden of illness, including lower overall health status, increased number of comorbidities, greater healthcare utilization, and significant health-related occupational impairment compared to those without ADHD. Additional research is needed to develop a better understanding of both the consequences and treatment approaches for Japanese adults with ADHD.

No MeSH data available.


Related in: MedlinePlus

Healthcare Visits over the Past 6 Months.In this self-report survey, the ADHD group consisted of patients who reported being diagnosed with ADHD by a physician. Participants in the ADHD group had significantly more healthcare provider visits, emergency room visits, and hospitalizations when compared to the non-ADHD control group. The ADHD group reported total physician visits at a rate that was 10 times greater, and emergency room visits and hospitalizations at a rate that was approximately 3 times greater than the control group. Abbreviation: ADHD = attention-deficit/hyperactivity disorder; ER = emergency room. *p < 0.05.
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pone.0132233.g002: Healthcare Visits over the Past 6 Months.In this self-report survey, the ADHD group consisted of patients who reported being diagnosed with ADHD by a physician. Participants in the ADHD group had significantly more healthcare provider visits, emergency room visits, and hospitalizations when compared to the non-ADHD control group. The ADHD group reported total physician visits at a rate that was 10 times greater, and emergency room visits and hospitalizations at a rate that was approximately 3 times greater than the control group. Abbreviation: ADHD = attention-deficit/hyperactivity disorder; ER = emergency room. *p < 0.05.

Mentions: Participants in the ADHD group also utilized significantly more healthcare resources over the previous 6 months, as measured by total healthcare provider visits, emergency room visits, and hospitalizations (Fig 2).


Sociodemographics, Comorbidities, Healthcare Utilization and Work Productivity in Japanese Patients with Adult ADHD.

Kirino E, Imagawa H, Goto T, Montgomery W - PLoS ONE (2015)

Healthcare Visits over the Past 6 Months.In this self-report survey, the ADHD group consisted of patients who reported being diagnosed with ADHD by a physician. Participants in the ADHD group had significantly more healthcare provider visits, emergency room visits, and hospitalizations when compared to the non-ADHD control group. The ADHD group reported total physician visits at a rate that was 10 times greater, and emergency room visits and hospitalizations at a rate that was approximately 3 times greater than the control group. Abbreviation: ADHD = attention-deficit/hyperactivity disorder; ER = emergency room. *p < 0.05.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4493035&req=5

pone.0132233.g002: Healthcare Visits over the Past 6 Months.In this self-report survey, the ADHD group consisted of patients who reported being diagnosed with ADHD by a physician. Participants in the ADHD group had significantly more healthcare provider visits, emergency room visits, and hospitalizations when compared to the non-ADHD control group. The ADHD group reported total physician visits at a rate that was 10 times greater, and emergency room visits and hospitalizations at a rate that was approximately 3 times greater than the control group. Abbreviation: ADHD = attention-deficit/hyperactivity disorder; ER = emergency room. *p < 0.05.
Mentions: Participants in the ADHD group also utilized significantly more healthcare resources over the previous 6 months, as measured by total healthcare provider visits, emergency room visits, and hospitalizations (Fig 2).

Bottom Line: ADHD respondents reported significantly more comorbid depression, sleep difficulties, headaches, and anxiety than non-ADHD controls.Respondents with ADHD reported a significantly higher degree of health-related work impairment compared to non-ADHD, with greater absenteeism and decreased work productivity.Japanese adults with ADHD face a substantial burden of illness, including lower overall health status, increased number of comorbidities, greater healthcare utilization, and significant health-related occupational impairment compared to those without ADHD.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychiatry, Juntendo University Shizuoka Hospital, Izunokunishi City, Shizuoka, Japan.

ABSTRACT

Objectives: This study compared the sociodemographic characteristics, comorbidities, healthcare resource utilization, and work productivity among Japanese adults who reported being diagnosed with attention-deficit/hyperactivity disorder (ADHD) to those of a non-ADHD control population.

Methods: Data for this study were captured from an online survey of adults in Japan conducted by Kantar Health using consumer panels. A total of 84 survey participants reported they had received a diagnosis of ADHD from a physician. Survey responses pertaining to functional status and resource utilization from this ADHD group were compared to those from a non-ADHD control group of 100 participants. Comparisons between the ADHD and non-ADHD groups were made using chi-square tests for categorical variables and t-tests for continuous variables.

Results: Participants in the ADHD group were on average slightly younger with a higher proportion of males. ADHD respondents reported significantly more comorbid depression, sleep difficulties, headaches, and anxiety than non-ADHD controls. Over the previous 6 months, the ADHD group made more visits to healthcare providers and the emergency room, and had more hospitalizations than non-ADHD controls. The ADHD group also rated their overall health status lower than the non-ADHD control group. Respondents with ADHD reported a significantly higher degree of health-related work impairment compared to non-ADHD, with greater absenteeism and decreased work productivity. The ADHD group indicated their symptoms negatively impacted relationships, self-esteem, and regular daily activities.

Conclusions: Japanese adults with ADHD face a substantial burden of illness, including lower overall health status, increased number of comorbidities, greater healthcare utilization, and significant health-related occupational impairment compared to those without ADHD. Additional research is needed to develop a better understanding of both the consequences and treatment approaches for Japanese adults with ADHD.

No MeSH data available.


Related in: MedlinePlus