University of Exeter Medical School, Exeter, UK
Department of Psychiatry, University of Oxford, Oxford, UK.
BMJ Open. 2024 Aug 17;14(8):e083539. doi: 10.1136/bmjopen-2023-083539.
This study aimed to explore the perspectives of people with attention deficit hyperactivity disorder (ADHD), their supporters and primary care professionals (PCPs), on the wider physical and mental health needs of people with ADHD and the support currently available.
Qualitative semi-structured interviews, analysed using reflexive thematic analysis.
Five general practice surgeries across England.
Participants with lived experience (people with ADHD and their supporters (n=11)) and PCPs (n=9) (eg, general practitioners and practice managers), recruited via clinical academic networks and previous work packages of this study.
We generated three major themes in relation to ADHD, using reflexive thematic analysis: understanding health, barriers to health and addressing health. Within these, participants reflected on mental and physical health challenges, as well as wider social difficulties and variability in support offered/accessed.
This study highlights that health problems in ADHD are complex and rooted both in individual factors (eg, mental health) and social factors (eg, support). This study also highlights the differences in expectations and fulfilment of healthcare.
本研究旨在探讨注意力缺陷多动障碍（ADHD）患者、其支持者和初级保健专业人员（PCP）对 ADHD 患者更广泛的身心健康需求以及当前可用支持的看法。
定性半结构化访谈，使用反思性主题分析进行分析。
英格兰的五家全科医生诊所。
具有生活经验的参与者（ADHD 患者及其支持者（n=11））和 PCP（n=9）（例如全科医生和诊所经理），通过临床学术网络和本研究的先前工作包招募。
我们使用反思性主题分析生成了三个与 ADHD 相关的主要主题：理解健康、健康障碍和解决健康问题。在这些主题中，参与者反映了心理健康和身体健康挑战，以及更广泛的社会困难和提供/获得的支持的差异。
本研究强调了 ADHD 中的健康问题是复杂的，既植根于个人因素（例如心理健康），也植根于社会因素（例如支持）。本研究还强调了医疗保健的期望和实现之间的差异。
