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. 2005 Feb;90(Suppl 1):i2–i7. doi: 10.1136/adc.2004.059006

The effect of ADHD on the life of an individual, their family, and community from preschool to adult life

V Harpin
PMCID: PMC1765272  PMID: 15665153

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Figure 1.

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 Stages of ADHD. Adapted from Kewley G (1999).6

Figure 2.

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 Emotional and family functioning in children with ADHD compared with controls.13 *Higher scores indicative of greater functioning. CHQ, Child Health Questionnaire.13

Figure 3.

Figure 3

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 Antisocial behaviour in adolescents with ADHD.26 Data primarily represents outcomes in those with conduct disorder as teenagers.

Figure 4.

Figure 4

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 Impact of ADHD in adolescence. Data from Barkley RA;26 (A) Impact at school; (B) impact on health, social, and psychiatric wellbeing.

Figure 5.

Figure 5

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 Driving-related offences in young adults with ADHD and controls. NS, not significant. Data from Barkley RA et al.29

Figure 6.

Figure 6

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 ADHD and comorbidity in Swedish school age children.37 MR, mental retardation; RWD, reading/writing disorder; DC, developmental coordination; ODD, oppositional defiant disorder.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. The MTA Cooperative Group. Multimodal Treatment Study of Children with ADHD. Arch Gen Psychiatry. 1999 Dec;56(12):1073–1086. doi: 10.1001/archpsyc.56.12.1073. [DOI] [PubMed] [Google Scholar]
  2. Alessandri S. M. Attention, play, and social behavior in ADHD preschoolers. J Abnorm Child Psychol. 1992 Jun;20(3):289–302. doi: 10.1007/BF00916693. [DOI] [PubMed] [Google Scholar]
  3. Bagwell C. L., Molina B. S., Pelham W. E., Jr, Hoza B. Attention-deficit hyperactivity disorder and problems in peer relations: predictions from childhood to adolescence. J Am Acad Child Adolesc Psychiatry. 2001 Nov;40(11):1285–1292. doi: 10.1097/00004583-200111000-00008. [DOI] [PubMed] [Google Scholar]
  4. Barkley R. A. Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. Psychol Bull. 1997 Jan;121(1):65–94. doi: 10.1037/0033-2909.121.1.65. [DOI] [PubMed] [Google Scholar]
  5. Barkley R. A., Guevremont D. C., Anastopoulos A. D., DuPaul G. J., Shelton T. L. Driving-related risks and outcomes of attention deficit hyperactivity disorder in adolescents and young adults: a 3- to 5-year follow-up survey. Pediatrics. 1993 Aug;92(2):212–218. [PubMed] [Google Scholar]
  6. Barkley R. A., Murphy K. R., Kwasnik D. Motor vehicle driving competencies and risks in teens and young adults with attention deficit hyperactivity disorder. Pediatrics. 1996 Dec;98(6 Pt 1):1089–1095. [PubMed] [Google Scholar]
  7. Barkley Russell A. Psychosocial treatments for attention-deficit/hyperactivity disorder in children. J Clin Psychiatry. 2002;63 (Suppl 12):36–43. [PubMed] [Google Scholar]
  8. Biederman J., Newcorn J., Sprich S. Comorbidity of attention deficit hyperactivity disorder with conduct, depressive, anxiety, and other disorders. Am J Psychiatry. 1991 May;148(5):564–577. doi: 10.1176/ajp.148.5.564. [DOI] [PubMed] [Google Scholar]
  9. Biederman J., Wilens T. E., Mick E., Faraone S. V., Spencer T. Does attention-deficit hyperactivity disorder impact the developmental course of drug and alcohol abuse and dependence? Biol Psychiatry. 1998 Aug 15;44(4):269–273. doi: 10.1016/s0006-3223(97)00406-x. [DOI] [PubMed] [Google Scholar]
  10. Biederman J., Wilens T. E., Mick E., Faraone S. V., Spencer T. Does attention-deficit hyperactivity disorder impact the developmental course of drug and alcohol abuse and dependence? Biol Psychiatry. 1998 Aug 15;44(4):269–273. doi: 10.1016/s0006-3223(97)00406-x. [DOI] [PubMed] [Google Scholar]
  11. Biederman Joseph, Faraone Stephen V., Monuteaux Michael C., Plunkett Elizabeth A., Gifford Julie, Spencer Thomas. Growth deficits and attention-deficit/hyperactivity disorder revisited: impact of gender, development, and treatment. Pediatrics. 2003 May;111(5 Pt 1):1010–1016. doi: 10.1542/peds.111.5.1010. [DOI] [PubMed] [Google Scholar]
  12. Brown R. T., Pacini J. N. Perceived family functioning, marital status, and depression in parents of boys with attention deficit disorder. J Learn Disabil. 1989 Nov;22(9):581–587. doi: 10.1177/002221948902200911. [DOI] [PubMed] [Google Scholar]
  13. Cox Daniel J., Merkel R. Lawrence, Penberthy Jennifer Kim, Kovatchev Boris, Hankin Cheryl S. Impact of methylphenidate delivery profiles on driving performance of adolescents with attention-deficit/hyperactivity disorder: a pilot study. J Am Acad Child Adolesc Psychiatry. 2004 Mar;43(3):269–275. doi: 10.1097/00004583-200403000-00007. [DOI] [PubMed] [Google Scholar]
  14. DiScala C., Lescohier I., Barthel M., Li G. Injuries to children with attention deficit hyperactivity disorder. Pediatrics. 1998 Dec;102(6):1415–1421. doi: 10.1542/peds.102.6.1415. [DOI] [PubMed] [Google Scholar]
  15. DuPaul G. J., McGoey K. E., Eckert T. L., VanBrakle J. Preschool children with attention-deficit/hyperactivity disorder: impairments in behavioral, social, and school functioning. J Am Acad Child Adolesc Psychiatry. 2001 May;40(5):508–515. doi: 10.1097/00004583-200105000-00009. [DOI] [PubMed] [Google Scholar]
  16. Edwards G., Barkley R. A., Laneri M., Fletcher K., Metevia L. Parent-adolescent conflict in teenagers with ADHD and ODD. J Abnorm Child Psychol. 2001 Dec;29(6):557–572. doi: 10.1023/a:1012285326937. [DOI] [PubMed] [Google Scholar]
  17. Faraone S. V., Biederman J., Chen W. J., Milberger S., Warburton R., Tsuang M. T. Genetic heterogeneity in attention-deficit hyperactivity disorder (ADHD): gender, psychiatric comorbidity, and maternal ADHD. J Abnorm Psychol. 1995 May;104(2):334–345. doi: 10.1037/0021-843X.104.2.334. [DOI] [PubMed] [Google Scholar]
  18. Faraone Stephen V., Wilens Timothy. Does stimulant treatment lead to substance use disorders? J Clin Psychiatry. 2003;64 (Suppl 11):9–13. [PubMed] [Google Scholar]
  19. Finkelstein J. A., Davis R. L., Dowell S. F., Metlay J. P., Soumerai S. B., Rifas-Shiman S. L., Higham M., Miller Z., Miroshnik I., Pedan A. Reducing antibiotic use in children: a randomized trial in 12 practices. Pediatrics. 2001 Jul;108(1):1–7. doi: 10.1542/peds.108.1.1. [DOI] [PubMed] [Google Scholar]
  20. Frame Kathleen, Kelly Lynn, Bayley Elizabeth. Increasing perceptions of self-worth in preadolescents diagnosed with ADHD. J Nurs Scholarsh. 2003;35(3):225–229. doi: 10.1111/j.1547-5069.2003.00225.x. [DOI] [PubMed] [Google Scholar]
  21. Freeman R. D., Fast D. K., Burd L., Kerbeshian J., Robertson M. M., Sandor P. An international perspective on Tourette syndrome: selected findings from 3,500 individuals in 22 countries. Dev Med Child Neurol. 2000 Jul;42(7):436–447. doi: 10.1017/s0012162200000839. [DOI] [PubMed] [Google Scholar]
  22. Gillberg Christopher, Gillberg I. Carina, Rasmussen Peder, Kadesjö Björn, Söderström Henrik, Råstam Mania, Johnson Mato, Rothenberger Aribert, Niklasson Lena. Co-existing disorders in ADHD -- implications for diagnosis and intervention. Eur Child Adolesc Psychiatry. 2004;13 (Suppl 1):I80–I92. doi: 10.1007/s00787-004-1008-4. [DOI] [PubMed] [Google Scholar]
  23. Huss M., Lehmkuhl U. Methylphenidate and substance abuse: a review of pharmacology, animal, and clinical studies. J Atten Disord. 2002;6 (Suppl 1):S65–S71. doi: 10.1177/070674370200601s09. [DOI] [PubMed] [Google Scholar]
  24. Johnston C., Mash E. J. Families of children with attention-deficit/hyperactivity disorder: review and recommendations for future research. Clin Child Fam Psychol Rev. 2001 Sep;4(3):183–207. doi: 10.1023/a:1017592030434. [DOI] [PubMed] [Google Scholar]
  25. Johnston C., Mash E. J. Families of children with attention-deficit/hyperactivity disorder: review and recommendations for future research. Clin Child Fam Psychol Rev. 2001 Sep;4(3):183–207. doi: 10.1023/a:1017592030434. [DOI] [PubMed] [Google Scholar]
  26. Kadesjö B., Gillberg C. The comorbidity of ADHD in the general population of Swedish school-age children. J Child Psychol Psychiatry. 2001 May;42(4):487–492. [PubMed] [Google Scholar]
  27. Kaidar I., Wiener J., Tannock R. The attributions of children with Attention-Deficit/ Hyperactivity Disorder for their problem behaviors. J Atten Disord. 2003 Apr;6(3):99–109. doi: 10.1177/108705470300600302. [DOI] [PubMed] [Google Scholar]
  28. Kendall J. Sibling accounts of attention deficit hyperactivity disorder (ADHD). Fam Process. 1999 Spring;38(1):117–136. doi: 10.1111/j.1545-5300.1999.00117.x. [DOI] [PubMed] [Google Scholar]
  29. Klein R. G., Mannuzza S. Hyperactive boys almost grown up. III. Methylphenidate effects on ultimate height. Arch Gen Psychiatry. 1988 Dec;45(12):1131–1134. doi: 10.1001/archpsyc.1988.01800360079012. [DOI] [PubMed] [Google Scholar]
  30. Krueger M., Kendall J. Descriptions of self: an exploratory study of adolescents with ADHD. J Child Adolesc Psychiatr Nurs. 2001 Apr-Jun;14(2):61–72. doi: 10.1111/j.1744-6171.2001.tb00294.x. [DOI] [PubMed] [Google Scholar]
  31. Leibson C. L., Katusic S. K., Barbaresi W. J., Ransom J., O'Brien P. C. Use and costs of medical care for children and adolescents with and without attention-deficit/hyperactivity disorder. JAMA. 2001 Jan 3;285(1):60–66. doi: 10.1001/jama.285.1.60. [DOI] [PubMed] [Google Scholar]
  32. Lisska Megan C., Rivkees Scott A. Daily methylphenidate use slows the growth of children: a community based study. J Pediatr Endocrinol Metab. 2003 Jun;16(5):711–718. doi: 10.1515/jpem.2003.16.5.711. [DOI] [PubMed] [Google Scholar]
  33. Mannuzza S., Klein R. G., Bessler A., Malloy P., LaPadula M. Adult outcome of hyperactive boys. Educational achievement, occupational rank, and psychiatric status. Arch Gen Psychiatry. 1993 Jul;50(7):565–576. doi: 10.1001/archpsyc.1993.01820190067007. [DOI] [PubMed] [Google Scholar]
  34. Mannuzza S., Klein R. G. Long-term prognosis in attention-deficit/hyperactivity disorder. Child Adolesc Psychiatr Clin N Am. 2000 Jul;9(3):711–726. [PubMed] [Google Scholar]
  35. Mannuzza Salvatore, Klein Rachel G., Moulton John L., 3rd Does stimulant treatment place children at risk for adult substance abuse? A controlled, prospective follow-up study. J Child Adolesc Psychopharmacol. 2003 Fall;13(3):273–282. doi: 10.1089/104454603322572606. [DOI] [PubMed] [Google Scholar]
  36. Mattes J. A., Gittelman R. Growth of hyperactive children on maintenance regimen of methylphenidate. Arch Gen Psychiatry. 1983 Mar;40(3):317–321. doi: 10.1001/archpsyc.1983.01790030087011. [DOI] [PubMed] [Google Scholar]
  37. Pelham W. E., Jr, Lang A. R. Can your children drive you to drink? Stress and parenting in adults interacting with children with ADHD. Alcohol Res Health. 1999;23(4):292–298. [PMC free article] [PubMed] [Google Scholar]
  38. Podolski C. L., Nigg J. T. Parent stress and coping in relation to child ADHD severity and associated child disruptive behavior problems. J Clin Child Psychol. 2001 Dec;30(4):503–513. doi: 10.1207/S15374424JCCP3004_07. [DOI] [PubMed] [Google Scholar]
  39. Poulton A., Cowell C. T. Slowing of growth in height and weight on stimulants: a characteristic pattern. J Paediatr Child Health. 2003 Apr;39(3):180–185. doi: 10.1046/j.1440-1754.2003.00107.x. [DOI] [PubMed] [Google Scholar]
  40. Schubiner H., Tzelepis A., Milberger S., Lockhart N., Kruger M., Kelley B. J., Schoener E. P. Prevalence of attention-deficit/hyperactivity disorder and conduct disorder among substance abusers. J Clin Psychiatry. 2000 Apr;61(4):244–251. doi: 10.4088/jcp.v61n0402. [DOI] [PubMed] [Google Scholar]
  41. Sonuga-Barke E. J., Daley D., Thompson M., Laver-Bradbury C., Weeks A. Parent-based therapies for preschool attention-deficit/hyperactivity disorder: a randomized, controlled trial with a community sample. J Am Acad Child Adolesc Psychiatry. 2001 Apr;40(4):402–408. doi: 10.1097/00004583-200104000-00008. [DOI] [PubMed] [Google Scholar]
  42. Sonuga-Barke Edmund J. S., Daley David, Thompson Margaret. Does maternal ADHD reduce the effectiveness of parent training for preschool children's ADHD? J Am Acad Child Adolesc Psychiatry. 2002 Jun;41(6):696–702. doi: 10.1097/00004583-200206000-00009. [DOI] [PubMed] [Google Scholar]
  43. Spencer T., Biederman J., Wilens T. Growth deficits in children with attention deficit hyperactivity disorder. Pediatrics. 1998 Aug;102(2 Pt 3):501–506. [PubMed] [Google Scholar]
  44. Sullivan M. A., Rudnik-Levin F. Attention deficit/hyperactivity disorder and substance abuse. Diagnostic and therapeutic considerations. Ann N Y Acad Sci. 2001 Jun;931:251–270. doi: 10.1111/j.1749-6632.2001.tb05783.x. [DOI] [PubMed] [Google Scholar]
  45. Swensen Andrine R., Birnbaum Howard G., Secnik Kristina, Marynchenko Maryna, Greenberg Paul, Claxton Ami. Attention-deficit/hyperactivity disorder: increased costs for patients and their families. J Am Acad Child Adolesc Psychiatry. 2003 Dec;42(12):1415–1423. doi: 10.1097/00004583-200312000-00008. [DOI] [PubMed] [Google Scholar]
  46. Szatmari P., Offord D. R., Boyle M. H. Ontario Child Health Study: prevalence of attention deficit disorder with hyperactivity. J Child Psychol Psychiatry. 1989 Mar;30(2):219–230. doi: 10.1111/j.1469-7610.1989.tb00236.x. [DOI] [PubMed] [Google Scholar]
  47. Taylor E. Clinical foundations of hyperactivity research. Behav Brain Res. 1998 Jul;94(1):11–24. doi: 10.1016/s0166-4328(97)00165-4. [DOI] [PubMed] [Google Scholar]
  48. Weiss G., Hechtman L., Milroy T., Perlman T. Psychiatric status of hyperactives as adults: a controlled prospective 15-year follow-up of 63 hyperactive children. J Am Acad Child Psychiatry. 1985 Mar;24(2):211–220. doi: 10.1016/s0002-7138(09)60450-7. [DOI] [PubMed] [Google Scholar]
  49. Wilens Timothy E. Impact of ADHD and its treatment on substance abuse in adults. J Clin Psychiatry. 2004;65 (Suppl 3):38–45. [PubMed] [Google Scholar]

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