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The impact of attention deficit hyperactivity disorder (ADHD) in adulthood: a qualitative study

Published online by Cambridge University Press:  15 June 2017

C. Watters
Affiliation:
Psychology Services, Markievicz House, HSE, Sligo, Ireland
D. Adamis*
Affiliation:
Mental Health Services, HSE, Sligo, Ireland
F. McNicholas
Affiliation:
Child and Adolescent Psychiatry, School of Medicine, UCD, Dublin, Ireland
B. Gavin
Affiliation:
Child and Adolescent Psychiatry, School of Medicine, UCD, Dublin, Ireland
*
*Address for correspondence: Dr D. Adamis, Mental Health Services, HSE, Sligo, Ireland. (Email: [email protected])

Abstract

Objectives

There is limited evidence of the unmet needs and experiences of adults with attention deficit hyperactivity disorder (ADHD). Previous research in this area is predominantly quantitative by nature, few studies employing qualitative approaches. This study seeks to provide a deeper insight into the lived experiences of adults with ADHD within Western Ireland.

Methods

A qualitative design, consisting of semi-structured face-to-face interviews with a clinical sample in the Sligo/Leitrim area. Participants were eligible for this study if they screened positive for symptoms of ADHD, and diagnosed with ADHD with the Conners’ Adult ADHD Diagnostic Interview for DSM-IV. In total, 11 participants completed this research. The interviews were open ended and exploratory, adopting a phenomenological approach.

Results

Thematic analysis was used to explore three main themes; The Burden of symptoms of ADHD, Perceived Positive and Negative Effects of ADHD and Challenge of Accessing Services, each with several subthemes.

Conclusion

This research highlights the experiences of adults with ADHD. It is important for practitioners to be aware of the perceived positive and negative effects of the disorder, and how it can impact on their patient’s lives. In addition, becoming aware of the stigma associated with ADHD can help clinicians improve upon individual treatment plans to meet their patient’s needs. It is important to note that this sample experienced co-morbid diagnoses and so this may limit the interpretation of the findings. Further research in this area could explore patient’s attitudes towards receiving a formal diagnosis of ADHD.

Type
Original Research
Copyright
© College of Psychiatrists of Ireland 2017 

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References

Able, SL, Johnston, JA, Adler, LA, Swindle, RW (2007). Functional and psychosocial impairment in adults with undiagnosed ADHD. Psychological Medicine 37, 97107.Google Scholar
Adamis, D, O’Neill, D, Mulligan, O, O’Mahony, E, Murthy, S, McCarthy, G, McNicholas, F (2016). Prevalence of ADHD in adult psychiatric outpatient clinics in Sligo/Leitrim Area, Ireland. European Psychiatry 33, S445S446.Google Scholar
Adler, LA, Spencer, T, Faraone, SV, Kessler, RC, Howes, MJ, Biederman, J, Secnik, K (2006). Validity of pilot Adult ADHD Self-Report Scale (ASRS) to rate adult ADHD symptoms. Annals of Clinical Psychiatry 18, 145148.Google Scholar
Agarwal, R, Goldneberg, M, Perry, R, IsHak, WW (2012). The quality of life of adults with attention deficit hyperactivity disorder: a systematic review. Innovations in Clinical Neuroscience 9, 1021.Google Scholar
Barkley, RA, Fischer, M, Smallish, L, Fletcher, K (2004). Young adult follow-up of hyperactive children: antisocial activities and drug use. Journal of Child Psychology and Psychiatry 45, 195211.Google Scholar
Brod, M, Schmitt, E, Goodwin, M, Hodgkins, P, Niebler, G (2012). ADHD burden of illness in older adults: a life course perspective. Quality of Life Research 21, 795799.Google Scholar
Canu, WH, Newman, ML, Morrow, TL, Pope, DLW (2008). Social appraisal of adult ADHD: stigma and influences of the beholder’s big five personality traits. Journal of Attention Disorders 11, 77710.Google Scholar
Davidson, MA (2008). ADHD in adults: a review of the literature. Journal of Attention Disorders 11, 628641.Google Scholar
Faraone, SV, Biederman, J (1998). Neurobiology of attention-deficit/hyperactivity disorder. Biological Psychiatry 44, 951958.Google Scholar
Faraone, SV, Biederman, J, Mick, E (2006). The age-dependent decline of attention deficit hyperactivity disorder: a meta-analysis of follow-up studies. Psychological Medicine 36, 159165.Google Scholar
Faraone, SV, Biederman, J, Spencer, T, Wilens, T, Seidman, LJ, Mick, E, Doyle, AE (2000). Attention-deficit/hyperactivity disorder in adults: an overview. Biological Psychiatry 48, 920.Google Scholar
Harpin, V, Mazzone, L, Raynaud, JP, Kahle, J, Hodgkins, P (2013). Long-term outcomes of ADHD: a systematic review of self-esteem and social functioning. Journal of Attention Disorders 20, 111.Google Scholar
Henry, E, Hill Jones, S (2011). Experiences of older adult women diagnosed with attention deficit hyperactivity disorder. Journal of Women & Aging 23, 246262.Google Scholar
Lebowitz, MS (2013). Stigmatization of ADHD: a developmental review. Journal of Attention Disorders 20, 199205.Google Scholar
Matheson, L, Asherson, P, Wong, ICK, Hodgkins, P, Setyawan, J, Sasane, R, Clifford, S (2013). Adult ADHD patient experiences of impairment, service provision and clinical management in England: a qualitative study. BMC Health Services Research 13, 184.Google Scholar
McCarthy, S, Wilton, L, Murray, M, Hodgkins, P, Asherson, P, Wong, I (2013). Management of adult attention deficit hyperactivity disorder in UK primary care: a survey of general practitioners. Health and Quality of Life Outcomes 11, 22.Google Scholar
Murphy, KR, Adler, LA (2004). Assessing attention-deficit/hyperactivity disorder in adults: focus on rating scales. Journal of Clinical Psychiatry 65, 1217.Google Scholar
Nigg, JT, Butler, KM, Huang-Pollock, CL, Henderson, JM (2002). Inhibitory processes in adults with persistent childhood onset ADHD. Journal of Consulting and Clinical Psychology 70, 153157.Google Scholar
Pope, C, Mays, N (1995). Qualitative research: reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research. British Medical Journal 311, 4245.Google Scholar
Rapport, LJ, Friedman, SR, Tzelepis, A, Van Voorhis, A (2002). Experienced emotion and affect recognition in adult attention-deficit/hyperactivity disorder. Neuropsychology 16, 102110.Google Scholar
Richards, TL, Deffenbacher, JL, Rosen, LA, Barkley, RA, Rodricks, T (2006). Driving anger and driving behaviour in adults with ADHD. Journal of Attention Disorders 10, 5464.Google Scholar
Rosler, M, Casas, M, Konofal, E, Buitelaar, J (2010). Attention deficit hyperactivity disorder in adults. World Journal of Biological Psychiatry 11, 684698.Google Scholar
Schubiner, H, Tzelepis, A, Milberger, S, Lockhart, N, Kruger, M, Kelley, BJ, Schoener, EP (2000). Prevalence of attention-deficit/hyperactivity disorder and conduct disorder among substance abusers. Journal of Clinical Psychiatry 61, 244251.Google Scholar
Shaw, M, Hodgkins, P, Caci, H, Young, S, Kahle, J, Woods, AG, Arnold, LE. (2012). A systematic review and analysis of long-term outcomes in attention deficit hyperactivity disorder: effects of treatment and non-treatment. BMC Medicine 10, 115.Google Scholar
Sheehan, DV, Lecrubier, Y, Sheehan, KH, Amorim, P, Janavs, J, Weiller, E, Hergueta, T, Baker, R, Dunbar, GC (1998). The Mini-International Neuropsychiatric Interview (MINI): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry 59 (Suppl. 20): 2233.Google Scholar
Swensen, AR, Birnbaum, HG, Secnik, K, Marynchenko, M, Greenberg, P, Claxton, A (2003). Attention-deficit/hyperactivity disorder: increased costs for patients and their families. Journal of American Academy of Child and Adolescent Psychiatry 42, 14151423.Google Scholar
Weiss, M, Gibbins, C, Goodman, DW, Hodgkins, PS, Landgraf, JM, Faraone, SV (2010). Moderators and mediators of symptoms and quality of life outcomes in an open-label study of adults treated for attention-deficit/hyperactivity disorder. Journal of Clinical Psychiatry 71, 381390.Google Scholar
Wilens, TE, Dodson, WA (2004). A clinical perspective of attention-deficit/hyperactivity disorder into adulthood. Journal of Clinical Psychiatry 65, 13011313.Google Scholar
Young, S (2005). Coping strategies used by adults with ADHD. Personality and Individual Differences 38, 809816.Google Scholar
Young, S, Bramham, J, Gray, K, Rose, E (2008). The experience of receiving a diagnosis and treatment of ADHD in adulthood. A qualitative study of clinically referred patients using interpretative phenomenological analysis. Journal of Attention Disorders 11, 493503.Google Scholar