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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

Participants Self-rated General Health Status.In this self-report survey, the ADHD group consisted of patients who reported being diagnosed with ADHD by a physician. The mean self-rated health status was 3.6 (SD 1.2) for the ADHD group and 3.0 (SD 0.8) for the non-ADHD control group (p < 0.05). Nearly 3 times as many participants in the ADHD group perceived their health status as being either “poor” or “fair” compared to the control group. Abbreviation: ADHD = attention-deficit/hyperactivity disorder.
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pone.0132233.g003: Participants Self-rated General Health Status.In this self-report survey, the ADHD group consisted of patients who reported being diagnosed with ADHD by a physician. The mean self-rated health status was 3.6 (SD 1.2) for the ADHD group and 3.0 (SD 0.8) for the non-ADHD control group (p < 0.05). Nearly 3 times as many participants in the ADHD group perceived their health status as being either “poor” or “fair” compared to the control group. Abbreviation: ADHD = attention-deficit/hyperactivity disorder.

Mentions: Consistent with the greater frequency of visits to a healthcare provider, the ADHD group also rated their health status lower than the control group. The mean self-rated health status for the ADHD group and control group was 3.6 (standard deviation [SD] 1.2) and 3.0 (SD 0.8), respectively (p < 0.05), with a higher score indicating worse overall health. The modal rating for the ADHD group was “Fair” while the modal rating for the control group was “Good” (Fig 3). In the ADHD group, 62% rated their health as either poor or fair, compared to 31% in the control group.


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

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

Participants Self-rated General Health Status.In this self-report survey, the ADHD group consisted of patients who reported being diagnosed with ADHD by a physician. The mean self-rated health status was 3.6 (SD 1.2) for the ADHD group and 3.0 (SD 0.8) for the non-ADHD control group (p < 0.05). Nearly 3 times as many participants in the ADHD group perceived their health status as being either “poor” or “fair” compared to the control group. Abbreviation: ADHD = attention-deficit/hyperactivity disorder.
© Copyright Policy
Related In: Results  -  Collection

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

pone.0132233.g003: Participants Self-rated General Health Status.In this self-report survey, the ADHD group consisted of patients who reported being diagnosed with ADHD by a physician. The mean self-rated health status was 3.6 (SD 1.2) for the ADHD group and 3.0 (SD 0.8) for the non-ADHD control group (p < 0.05). Nearly 3 times as many participants in the ADHD group perceived their health status as being either “poor” or “fair” compared to the control group. Abbreviation: ADHD = attention-deficit/hyperactivity disorder.
Mentions: Consistent with the greater frequency of visits to a healthcare provider, the ADHD group also rated their health status lower than the control group. The mean self-rated health status for the ADHD group and control group was 3.6 (standard deviation [SD] 1.2) and 3.0 (SD 0.8), respectively (p < 0.05), with a higher score indicating worse overall health. The modal rating for the ADHD group was “Fair” while the modal rating for the control group was “Good” (Fig 3). In the ADHD group, 62% rated their health as either poor or fair, compared to 31% in the control group.

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