ADHD Follow-Up in Adulthood among Subjects Treated for the Disorder in a Child and Adolescent Mental Health Service from 1995 to 2015 Article Swipe
Rosaria Di Lorenzo
,
Jessica Balducci
,
Anna Cutino
,
Emanuela Latella
,
Giulia Venturi⋄
,
Sergio Rovesti
,
Tommaso Filippini
,
Paola Ferri
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/medicina59020338
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/medicina59020338
Background and Objectives: ADHD is a neurodevelopmental disorder characterized by inattention and hyperactivity/impulsivity and can persist in adulthood. The aim of this study is to deepen knowledge about adult ADHD follow-up. Materials and Methods: This observational study consists of one retrospective part aimed at collecting records of children and adolescents treated for ADHD in the Children and Adolescent Mental Health Service (CAMHS) from 1995 to 2015 and, successively, at identifying their adult follow-up in Adult Mental Health Service (AMHS); the second part consists of ADHD scale administration, Diagnostic Interview for ADHD in Adults (DIVA 2-0) and Adult Self Rating Scale (ASRSv1.1), for the subjects currently being treated at AMHS who agreed to participate in the study. Results: We observed that among the 55 patients treated at CAMHS between 1995 and 2015 for ADHD and subsequently at the AMHS, none presented a diagnosis of ADHD; instead, they were treated for Intellectual Dysfunction (33%), Borderline Personality Disorder (15%) and Anxiety Disorders (9%), and two individuals were also diagnosed with comorbid substance/alcohol abuse (4%). Of the 55 patients, only 25 (45%) were treated at AMHS during the study period. Though we asked for their informed consent to administer the questionnaires, we were able to test only seven patients. The ASRS-V1.1 score showed that 43% of patients reported symptoms of ADHD persistence in adulthood. For DIVA 2.0, 57% of individuals reported scores indicating the persistence of the ADHD inattention component, and 43% the persistence of both ADHD dimensions. Conclusions: ADHD cannot be considered a disorder confined to childhood/adolescence but instead is a chronic and complex condition that can persist into adulthood. The very small size of our final sample may account for both the high ADHD dropout rate over the long follow-up period and the difficult transition from child to adult health care in ADHD treatment. Our investigation suggests the need for specific training in the diagnosis and treatment of adult ADHD and the implementation of transition protocols between minor and adult services to improve long-term treatments.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/medicina59020338
- https://www.mdpi.com/1648-9144/59/2/338/pdf?version=1676024197
- OA Status
- gold
- Cited By
- 11
- References
- 85
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4319920555
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4319920555Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/medicina59020338Digital Object Identifier
- Title
-
ADHD Follow-Up in Adulthood among Subjects Treated for the Disorder in a Child and Adolescent Mental Health Service from 1995 to 2015Work title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-02-10Full publication date if available
- Authors
-
Rosaria Di Lorenzo, Jessica Balducci, Anna Cutino, Emanuela Latella, Giulia Venturi⋄, Sergio Rovesti, Tommaso Filippini, Paola FerriList of authors in order
- Landing page
-
https://doi.org/10.3390/medicina59020338Publisher landing page
- PDF URL
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https://www.mdpi.com/1648-9144/59/2/338/pdf?version=1676024197Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/1648-9144/59/2/338/pdf?version=1676024197Direct OA link when available
- Concepts
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Impulsivity, Persistence (discontinuity), Anxiety, Psychiatry, Mental health, Observational study, Attention deficit hyperactivity disorder, Young adult, Psychology, Borderline personality disorder, Clinical psychology, Medicine, Developmental psychology, Engineering, Pathology, Geotechnical engineeringTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
11Total citation count in OpenAlex
- Citations by year (recent)
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2025: 6, 2024: 3, 2023: 2Per-year citation counts (last 5 years)
- References (count)
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85Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.suggests | 304 |
| abstract_inverted_index.symptoms | 214 |
| abstract_inverted_index.training | 309 |
| abstract_inverted_index.ASRS-V1.1 | 206 |
| abstract_inverted_index.Disorders | 158 |
| abstract_inverted_index.Interview | 88 |
| abstract_inverted_index.Materials | 31 |
| abstract_inverted_index.condition | 261 |
| abstract_inverted_index.currently | 104 |
| abstract_inverted_index.diagnosed | 165 |
| abstract_inverted_index.diagnosis | 141, 312 |
| abstract_inverted_index.difficult | 291 |
| abstract_inverted_index.follow-up | 72, 287 |
| abstract_inverted_index.knowledge | 26 |
| abstract_inverted_index.long-term | 331 |
| abstract_inverted_index.patients, | 174 |
| abstract_inverted_index.patients. | 204 |
| abstract_inverted_index.presented | 139 |
| abstract_inverted_index.protocols | 323 |
| abstract_inverted_index.treatment | 314 |
| abstract_inverted_index.Adolescent | 57 |
| abstract_inverted_index.Background | 0 |
| abstract_inverted_index.Borderline | 152 |
| abstract_inverted_index.Diagnostic | 87 |
| abstract_inverted_index.administer | 194 |
| abstract_inverted_index.adulthood. | 17, 219, 266 |
| abstract_inverted_index.collecting | 44 |
| abstract_inverted_index.component, | 235 |
| abstract_inverted_index.considered | 248 |
| abstract_inverted_index.follow-up. | 30 |
| abstract_inverted_index.indicating | 228 |
| abstract_inverted_index.transition | 292, 322 |
| abstract_inverted_index.treatment. | 301 |
| abstract_inverted_index.(ASRSv1.1), | 100 |
| abstract_inverted_index.Dysfunction | 150 |
| abstract_inverted_index.Objectives: | 2 |
| abstract_inverted_index.Personality | 153 |
| abstract_inverted_index.adolescents | 49 |
| abstract_inverted_index.dimensions. | 243 |
| abstract_inverted_index.identifying | 69 |
| abstract_inverted_index.inattention | 10, 234 |
| abstract_inverted_index.individuals | 162, 225 |
| abstract_inverted_index.participate | 112 |
| abstract_inverted_index.persistence | 217, 230, 239 |
| abstract_inverted_index.treatments. | 332 |
| abstract_inverted_index.Conclusions: | 244 |
| abstract_inverted_index.Intellectual | 149 |
| abstract_inverted_index.subsequently | 134 |
| abstract_inverted_index.characterized | 8 |
| abstract_inverted_index.investigation | 303 |
| abstract_inverted_index.observational | 35 |
| abstract_inverted_index.retrospective | 40 |
| abstract_inverted_index.successively, | 67 |
| abstract_inverted_index.implementation | 320 |
| abstract_inverted_index.administration, | 86 |
| abstract_inverted_index.questionnaires, | 196 |
| abstract_inverted_index.substance/alcohol | 168 |
| abstract_inverted_index.neurodevelopmental | 6 |
| abstract_inverted_index.childhood/adolescence | 253 |
| abstract_inverted_index.hyperactivity/impulsivity | 12 |
| cited_by_percentile_year.max | 99 |
| cited_by_percentile_year.min | 94 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 8 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8600000143051147 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.90648214 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |