Altszuler Amy R, Page Timothy F, Gnagy Elizabeth M, Coxe Stefany, Arrieta Alejandro, Molina Brooke S G, Pelham William E
Department of Psychology, Center for Children and Families, Florida International University, 11200 SW 8th St AHC1 140, Miami, FL, 33199, USA.
Department of Health Policy and Management, Florida International University, 11200 SW 8th St., AHC5 447, Miami, FL, 33199, USA.
J Abnorm Child Psychol. 2016 Aug;44(6):1217-29. doi: 10.1007/s10802-015-0093-9.
This study used data from the Pittsburgh ADHD Longitudinal Study (PALS) to evaluate financial outcomes of young adults (YA) with ADHD relative to comparisons. Participants for this study included 309 individuals who had been diagnosed with ADHD (DSM-III-R or DSM-IV) in childhood and 208 comparison YA without childhood ADHD diagnoses (total N = 517) who were followed through age 25. Participants were predominately male (88 %) and Caucasian (84 %). Diagnostic interviews were conducted in childhood. Young adults and their parents reported on financial outcomes and a number of predictor variables. Young adults with ADHD experienced greater financial dependence on family members (p < 0.05) and the welfare system (p < 0.01) and had lower earnings (p < 0.05) than comparisons. ADHD diagnostic status, education attainment, and delinquency were significant predictors of financial outcomes. A projection of lifetime earnings indicated that ADHD group participants could expect to earn $543,000-$616,000 less over their lifetimes than comparisons. Due to the propensity of individuals with ADHD to underreport problems, the data are likely to be underestimates. These findings support the need for interventions to improve labor market outcomes as well as the development of interventions that target the management of personal finances for individuals with ADHD in young adulthood.
本研究使用了匹兹堡注意力缺陷多动障碍纵向研究(PALS)的数据,以评估患有注意力缺陷多动障碍(ADHD)的青年与对照组相比的财务状况。本研究的参与者包括309名在童年时期被诊断患有ADHD(DSM-III-R或DSM-IV)的个体,以及208名未被诊断患有童年ADHD的对照青年(总样本量N = 517),他们一直被随访至25岁。参与者主要为男性(88%)和白种人(84%)。童年时期进行了诊断访谈。青年及其父母报告了财务状况和一些预测变量。与对照组相比,患有ADHD的青年对家庭成员(p < 0.05)和福利系统(p < 0.01)的财务依赖更大,收入更低(p < 0.05)。ADHD诊断状态、教育程度和犯罪行为是财务状况的重要预测因素。对终身收入的预测表明,ADHD组参与者一生的收入预计比对照组少54.3万至61.6万美元。由于ADHD患者倾向于少报问题,这些数据可能被低估。这些发现支持了开展干预措施以改善劳动力市场状况的必要性,以及针对青年期ADHD患者个人财务管理的干预措施的开发。