Hotez Emily, Rosenau Kashia A, Fernandes Priyanka, Eagan Kevin, Shea Lindsay, Kuo Alice A
General Internal Medicine, David Geffen School of Medicine, The University of California, Los Angeles (UCLA), Los Angeles, USA.
Medicine, David Geffen School of Medicine, The University of California, Los Angeles (UCLA), Los Angeles, USA.
Cureus. 2022 Jan 23;14(1):e21520. doi: 10.7759/cureus.21520. eCollection 2022 Jan.
A substantial proportion of college students experience challenges transitioning from pediatrics to the adult healthcare system. Combined internal medicine and pediatrics (Med-Peds) providers are frequently tasked with facilitating this transition and promoting the health and well-being of this population. There is an increasing proportion of college students with Attention Deficit Hyperactivity Disorder (ADHD) in the U.S. This population experiences particularly pronounced challenges navigating the healthcare system and, as a result, often contends with fragmented healthcare. These issues are due to a range of factors, including lack of physician training, education, and resources, as well as a dearth of available research that can inform Med-Peds providers' efforts to support college students with ADHD.
The current study compared a nationally representative sample of U.S. college freshmen with ADHD to those without ADHD on health, academic, and non-academic capacities. This study analyzed population-weighted data from the Cooperative Institutional Research Program's Freshman Survey.
Students with ADHD were more likely to report co-occurring conditions and feelings of depression and overwhelm. They were less likely to report emotional health that was above average or in the highest 10 percentile. Although they reported lower overall academic aspirations, they were more likely to rate themselves in the highest 10th percentile on a range of non-academic capacities.
The results from this study can inform efforts among Med-Peds providers seeking to promote the health and well-being of college students with ADHD.
很大一部分大学生在从儿科过渡到成人医疗体系时面临挑战。内科与儿科联合（Med-Peds）医疗服务提供者常常负责推动这一过渡，并促进这一人群的健康和福祉。在美国，患有注意力缺陷多动障碍（ADHD）的大学生比例不断增加。这一人群在医疗体系中面临尤为显著的挑战，因此，经常遭遇医疗服务碎片化的问题。这些问题是由一系列因素导致的，包括缺乏医生培训、教育和资源，以及缺乏可供参考的研究，这些研究本可为Med-Peds医疗服务提供者支持患有ADHD的大学生提供帮助。
本研究将具有全国代表性的患有ADHD的美国大学新生样本与未患ADHD的新生在健康、学业和非学业能力方面进行了比较。本研究分析了合作机构研究计划新生调查中的人口加权数据。
患有ADHD的学生更有可能报告同时出现的病症以及抑郁和不堪重负的感觉。他们报告情绪健康状况高于平均水平或处于前10%的可能性较小。尽管他们报告的总体学业抱负较低，但在一系列非学业能力方面，他们将自己评为前10%的可能性更大。
本研究结果可为Med-Peds医疗服务提供者促进患有ADHD的大学生的健康和福祉的工作提供参考。
