Halmøy Anne, Fasmer Ole Bernt, Gillberg Christopher, Haavik Jan
University of Bergen, Norway.
J Atten Disord. 2009 Sep;13(2):175-87. doi: 10.1177/1087054708329777. Epub 2009 Apr 16.
To determine the effects of symptom profile, comorbid psychiatric problems, and treatment on occupational outcome in adult ADHD patients.
Adult ADHD patients (N = 414) responded to questionnaires rating past and present symptoms of ADHD, comorbid conditions, treatment history, and work status.
Of the patients, 24% reported being in work, compared to 79% in a population-based control group (N = 359). Combined subtype of ADHD, substance abuse, and a reported history of depression or anxiety were correlated with being out of work. Current and past medical treatment of ADHD was correlated with being in work. Logistic regression analyses showed that stimulant therapy during childhood was the strongest predictor for being in work as adults (odds ratio = 3.2, p = .014).
Early recognition and treatment of ADHD is a strong predictor of being in work as an adult, independently of comorbidity, substance abuse, and current treatment.
确定症状特征、共病精神问题及治疗对成年注意缺陷多动障碍（ADHD）患者职业结局的影响。
成年ADHD患者（N = 414）对问卷进行作答，问卷内容涉及ADHD过去和当前的症状、共病情况、治疗史及工作状态。
患者中，24%报告有工作，相比之下，基于人群的对照组（N = 359）中有工作的比例为79%。ADHD的混合型、药物滥用以及报告有抑郁或焦虑史与失业相关。ADHD当前和过去的药物治疗与有工作相关。逻辑回归分析表明，儿童期使用兴奋剂治疗是成年后有工作的最强预测因素（优势比 = 3.2，p = .014）。
ADHD的早期识别和治疗是成年后有工作的有力预测因素，独立于共病、药物滥用和当前治疗。
