Diagnostic delay in ADHD : Duration of untreated illness and its socio‐demographic and clinical predictors in a sample of adult outpatients
| Autor: | Giulia di Girolamo, Francesca Malandrone, Giuseppe Maina, Francesco Oliva, Santina Mirabella, Paolo Ferreri |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Delayed Diagnosis Time Factors Current age Socio demographics early treatment underdiagnosis Multiple linear regression model Interquartile range Outpatients Health care medicine Humans ADHD Family history Psychiatry Biological Psychiatry Demography Depressive Disorder Major business.industry adult diagnostic delay medicine.disease duration of untreated illness Psychiatry and Mental health Attention Deficit Disorder with Hyperactivity Proper treatment Major depressive disorder Pshychiatric Mental Health business |
| Zdroj: | Early Intervention in Psychiatry. 15:957-965 |
| ISSN: | 1751-7893 1751-7885 |
| DOI: | 10.1111/eip.13041 |
| Popis: | AIM To investigate the Duration of Untreated Illness (DUI) and its socio-demographic and clinical predictors in a sample of adult ADHD outpatients. METHODS The DUI of 150 adult outpatients with a confirmed diagnosis of DSM-IV ADHD was calculated. Non-parametric tests were used to evaluate differences in DUI among subgroups and to build a correlation matrix. Subsequently, a multiple linear regression model was performed. RESULTS The median DUI was 17 years (interquartile range [IQR] = 14). DUI was longer in employed patients, those with a family history of ADHD, those with a history of major depressive disorder and those who had predominantly inattentive ADHD in childhood. The current age, age at administration of the first proper treatment and education level were correlated with DUI. Current age (63.3% of total variance), family history of ADHD and the presence of a predominantly inattentive type in childhood (together, 2.6% of total variance) were all predictors of DUI. CONCLUSIONS Information programmes for caregivers and training for health care professionals should be promoted to foster the early recognition of covert inattentive symptoms and shorten DUI. |
| Databáze: | OpenAIRE |
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