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与 ADHD 相关的症状/与治疗相关的不良副作用及其对 ADHD 成年患者生活质量和工作生产力的影响。

Symptoms associated with ADHD/treatment-related adverse side effects and their impact on quality of life and work productivity in adults with ADHD.

机构信息

Otsuka Pharmaceutical Development & Commercialization, Inc., Princeton, NJ, USA.

Analysis Group, Inc., Montréal, QC, Canada.

出版信息

Curr Med Res Opin. 2023 Jan;39(1):149-159. doi: 10.1080/03007995.2022.2122228. Epub 2022 Sep 30.

Abstract

OBJECTIVE

Describe symptoms associated with ADHD/treatment-related adverse side effects among adults with ADHD in the US and assess their impact on quality of life (QoL) and work productivity.

METHODS

An online survey among adults receiving ADHD medications in the US was conducted to collect information relating to symptoms associated with ADHD/treatment-related adverse side effects. Participants were recruited from the panel of a well-established market research firm, Dynata, from 26 July to 30 July 2021 and were included in the study if they met the eligibility criteria and were willing to participate in the survey. Correlations between symptoms and key outcomes (QoL/employment/work impairment) were estimated using linear regression analyses.

RESULTS

Of 585 participants, 95.2% experienced ≥1 symptom associated with ADHD/treatment-related adverse side effects in the past month (average = 5.8 symptoms). The number of symptoms was significantly correlated with reduced QoL, reduced probability of being employed, and increased work/activity impairment. Among subgroups with insomnia/other sleep disturbances and emotional impulsivity/mood lability, 50.4% and 44.7% reported their symptoms had "a lot" or "extremely" negative impact on their overall well-being, respectively.

CONCLUSIONS

Symptoms associated with ADHD/treatment-related adverse side effects are common and have a substantial negative impact on QoL and reduces patients' probability of employment. Improved management of ADHD/treatment-related adverse side effects and more tolerable treatment options have the potential to improve QoL and work productivity among adults with ADHD.

摘要

目的

描述美国 ADHD 患者的症状与 ADHD 相关治疗不良反应,并评估其对生活质量(QoL)和工作生产力的影响。

方法

通过一项在线调查,收集与 ADHD 相关症状和治疗不良反应的信息。参与者来自一家知名市场研究公司 Dynata 的小组,于 2021 年 7 月 26 日至 7 月 30 日进行了此项调查,符合入选标准且愿意参与调查的参与者被纳入研究。使用线性回归分析评估症状与关键结果(QoL/就业/工作障碍)之间的相关性。

结果

在 585 名参与者中,95.2%在过去一个月内经历过≥1 种与 ADHD 相关治疗不良反应的症状(平均 5.8 种症状)。症状数量与 QoL 降低、就业机会减少和工作/活动障碍增加显著相关。在存在失眠/其他睡眠障碍和情绪冲动/情绪不稳定的亚组中,分别有 50.4%和 44.7%的参与者报告其症状对整体幸福感有“很大”或“极其”负面影响。

结论

与 ADHD 相关治疗不良反应相关的症状很常见,对 QoL 有重大负面影响,并降低了患者的就业几率。改善 ADHD 相关治疗不良反应的管理和提供更耐受的治疗选择,有可能提高 ADHD 成年患者的 QoL 和工作生产力。

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