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The burdened life of adults with ADHD: Impairment beyond comorbidity

Published online by Cambridge University Press:  15 April 2020

C.R. Garcia ,
C.H.D. Bau ,
K.L. Silva ,
S.M. Callegari-Jacques ,
C.A.I. Salgado ,
A.G. Fischer ,
M.M. Victor ,
N.O. Sousa ,
R.G. Karam  and
L.A. Rohde
...Show all authors
C.R. Garcia
Affiliation:
Adult ADHD Outpatient Clinic, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil
C.H.D. Bau*
Affiliation:
Adult ADHD Outpatient Clinic, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil Department of Genetics, Instituto de Biociências, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
K.L. Silva
Affiliation:
Adult ADHD Outpatient Clinic, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil
S.M. Callegari-Jacques
Affiliation:
Department of Genetics, Instituto de Biociências, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil Department of Statistics, Instituto de Matemática, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
C.A.I. Salgado
Affiliation:
Adult ADHD Outpatient Clinic, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil
A.G. Fischer
Affiliation:
Adult ADHD Outpatient Clinic, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil
M.M. Victor
Affiliation:
Adult ADHD Outpatient Clinic, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil
N.O. Sousa
Affiliation:
Adult ADHD Outpatient Clinic, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil
R.G. Karam
Affiliation:
Adult ADHD Outpatient Clinic, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil
L.A. Rohde
Affiliation:
Department of Psychiatry, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
P. Belmonte-de-Abreu
Affiliation:
Adult ADHD Outpatient Clinic, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil Department of Psychiatry, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
E.H. Grevet
Affiliation:
Adult ADHD Outpatient Clinic, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil
*
*Corresponding author. Departamento de Genética, UFRGS, Campus do Vale, Av. Bento Gonçalves, 9500 91501-970 Porto Alegre, RS, Brazil. Tel.: +5551 3308 6718; fax: +5551 3308 7311. E-mail address: [email protected] (C.H.D. Bau).
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Abstract

Since approximately 70% of adult patients with attention-deficit/hyperactivity disorder (ADHD) have at least one comorbid disorder, rating of impairment specifically attributable to ADHD is a hard task. Despite the evidence linking environmental adversities with negative outcomes in ADHD, life events measures have not been used to rate the disorder impairment. The present study tested for the first time the hypothesis that increased ADHD severity is associated with an increase in negative recent life events, independently of comorbidity status. The psychiatric diagnoses of 211 adult ADHD outpatients were based on DSM-IV criteria assessed through structured interviews (K-SADS-E for ADHD and ODD, MINI for ASPD and SCID-IV-R for other comorbidities). ADHD severity was evaluated with the Swanson, Nolan and Pelham rating scale (SNAP-IV) and recent life events with the Life Experience Survey. Higher SNAP-IV inattention and hyperactivity scores, female gender, lower socioeconomic status and the presence of comorbid mood disorders were associated with negative life events. Poisson regression models with adjustment for possible confounders confirmed the effect of inattention and hyperactivity severity on negative life events. Our results suggest that the negative life events experienced by these patients are associated to the severity of ADHD independently from comorbid psychiatric disorders.

Keywords

ADHDLife eventsImpairmentSeverityComorbidity
Type
Original articles
Information
European Psychiatry , Volume 27 , Issue 5 , July 2012 , pp. 309 - 313
Copyright
Copyright © Elsevier Masson SAS 2012

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