Childhood Predictors of Adult Functional Outcomes in the Multimodal Treatment Study of Attention-Deficit/Hyperactivity Disorder (MTA)
| Autor: | Roy, Arunima, Hechtman, Lily, Arnold, L Eugene, Swanson, James M, Molina, Brooke SG, Sibley, Margaret H, Howard, Andrea L, MTA Cooperative Group |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Employment Male Pediatric Research Initiative Adolescent Emotions Intelligence Developmental & Child Psychology attention-deficit/hyperactivity disorder Medical and Health Sciences adult outcomes functioning Young Adult Clinical Research 2.3 Psychological Behavioral and Social Science Humans Family childhood predictors Aetiology MTA Cooperative Group Child Multimodal Treatment Study of ADHD study Pediatric Prevention Psychology and Cognitive Sciences Attention Deficit Hyperactivity Disorder (ADHD) Brain Disorders Quality Education Mental Health Attention Deficit Disorder with Hyperactivity Income Educational Status Female social and economic factors Follow-Up Studies |
| Zdroj: | Journal of the American Academy of Child and Adolescent Psychiatry, vol 56, iss 8 |
| Popis: | ObjectiveRecent results from the Multimodal Treatment Study of Attention-Deficit/Hyperactivity Disorder (ADHD; MTA) have demonstrated impairments in several functioning domains in adults with childhood ADHD. The childhood predictors of these adult functional outcomes are not adequately understood. The objective of the present study was to determine the effects of childhood demographic, clinical, and family factors on adult functional outcomes in individuals with and without childhood ADHD from the MTA cohort.MethodRegressions were used to determine associations of childhood factors (age range 7-10 years) of family income, IQ, comorbidity (internalizing, externalizing, and total number of non-ADHD diagnoses), parenting styles, parental education, number of household members, parental marital problems, parent-child relationships, and ADHD symptom severity with adult outcomes (mean age 25 years) of occupational functioning, educational attainment, emotional functioning, sexual behavior, and justice involvement in participants with (n= 579) and without (n= 258) ADHD.ResultsPredictors of adult functional outcomes in ADHD included clinical factors such as baseline ADHD severity, IQ, and comorbidity; demographic factors such as family income, number of household members and parental education; and family factors such as parental monitoring and parental marital problems. Predictors of adult outcomes were generally comparable for children with and without ADHD.ConclusionChildhood ADHD symptoms, IQ, and household income levels are important predictors of adult functional outcomes. Management of these areas early on, through timely treatments for ADHD symptoms, and providing additional support to children with lower IQ and from households with low incomes, could assist in improving adult functioning. |
| Databáze: | OpenAIRE |
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