ADHD at the workplace: ADHD symptoms, diagnostic status, and work-related functioning

Fuermaier, Anselm B. M.; Tucha, Lara; Butzbach, Marah; Weisbrod, Matthias; Aschenbrenner, Steffen; Tucha, Oliver

doi:10.1007/s00702-021-02309-z

Cited by 35 publications

(29 citation statements)

References 24 publications

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“…Below-average levels of performance were also observed in various higher-order cognitive functions in adults with ADHD, including response inhibition [ 9 , 10 ], planning [ 10 , 11 ], memory [ 12 , 13 , 14 ], and decision-making [ 15 , 16 ]. Cognitive dysfunction may interfere with multiple aspects of daily life functioning and may contribute to, for example, poor performance in education and academic settings, poor financial situation, problems at work, traffic accidents and traffic violations, drug abuse, relationship breakup, and problems in socializing [ 17 , 18 , 19 , 20 , 21 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

Stability of Attention Performance of Adults with ADHD over Time: Evidence from Repeated Neuropsychological Assessments in One-Month Intervals

Guo

Koerts

Tucha

et al. 2022

IJERPH

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Neuropsychological assessments of attention are valuable sources of information in the clinical evaluation of adults with attention-deficit/hyperactivity disorder (ADHD). However, it is unclear whether the attention performance of adults with ADHD is stable or fluctuates over time, which is of great importance in the interpretation of clinical assessments. This study aimed to explore the stability of attention performance of adults with ADHD in repeated assessments at one-month intervals. Twenty-one adults diagnosed with ADHD took part in this study by completing selective attention and vigilance tests three times, each one month apart. Test scores of participants were compared with and interpreted based on test norms. A considerable proportion of ‘below average’ performance scores were observed in most of the variables of selective attention and vigilance in all three assessments. Further, selective attention and vigilance performance scores did not differ significantly between the three repeated assessments. Finally, the majority of participants received consistent test score interpretations across the three repeated assessments. This study confirms previous research and highlights abnormal selective attention and vigilance performance in adults with ADHD. Further, this study preliminarily demonstrates relatively stable attention performance across repeated assessments, which has the potential to support clinical assessment, treatment planning, and evaluation.

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Section: Introductionmentioning

confidence: 99%

Stability of Attention Performance of Adults with ADHD over Time: Evidence from Repeated Neuropsychological Assessments in One-Month Intervals

Guo

Koerts

Tucha

et al. 2022

IJERPH

Self Cite

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“…The same can be true for adult functioning in the workplace. Adults with ADHD will often self-select types of employment that are ADHD-friendly, such as information technology, sales, or any other area that is a source of committed interest for that individual [ 54 , 55 , 56 ]. Difficulty with various aspects of self-regulation such as sleep can be addressed through specific treatments including sleep hygiene [ 57 , 58 , 59 , 60 ].…”

Section: Targeting Functional Impairment In Adhdmentioning

confidence: 99%

A Paradigm for Targeting Functional Impairment as an Outcome in Attention-Deficit/Hyperactivity Disorder

Weiss

2022

Brain Sciences

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Although functional impairment is required for a diagnosis in the DSM 5, the time frame and definition of functional impairment is ambiguous. We present a conceptual review clarifying the difference between functional impairment as a stable trait representing strength or disability in various domains, and functional impairment as secondary to emotional or behavior problems, which is a state sensitive to change with treatment intervention. Functional impairment as a measure of treatment outcome includes both change from baseline and status at the endpoint of treatment. When using a validated measure of function, functional improvement can be defined as the percentage of patients who achieve the Minimal Important Clinical Difference (MCID) and functional remission as the percentage of patients who normalize at treatment endpoint. True treatment remission should be defined as both symptomatic and functional remission.

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“…Many adults with ADHD underperform academically and professionally, compared to their intellectual potential [ 9 ]. ADHD adults report significantly higher work impairment than controls regarding performance and effectiveness as well as attendance, teamwork, and interaction with supervisors [ 10 ]. According to Adamou et al [ 11 ], while adults with ADHD may be highly motivated employees, ADHD-related difficulties will soon begin to adversely affect work performance.…”

Section: Introductionmentioning

confidence: 99%

Stress and work-related mental illness among working adults with ADHD: a qualitative study

et al. 2022

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Background Though many adults with ADHD underperform professionally, are more stressed, and have more days of sickness absence compared to adults without ADHD, few studies have explored the experience of working as an adult with ADHD. This study explores the general experience of working with ADHD, including stress and work-related mental illness. Methods Semi-structured telephone interviews were conducted with 20 working adults with ADHD. Interview topics included how the ADHD diagnosis and/or symptoms of ADHD may have affected participants on the job, how work may have affected participants’ well-being, and the need for support and accommodation. Qualitative content analysis was used to explore verbatim transcripts from the interviews. Results The analysis yielded three themes that describe some of the challenges of working with ADHD: Working and living with ADHD, Needs, and Special abilities, with a total of eight subcategories. Subcategories were Specific challenges; Relationships and cooperation; Negative consequences; Planning, prioritization, organization, and structure; Support, interventions, accommodations, and aids; Openness, understanding, and acceptance; Strategies; Strengths and qualities. Conclusion Further knowledge about the challenges of working with ADHD is needed in workplaces; where organizational support is lacking, much in terms of accommodations and aids is up to the employee, and the disclosure of diagnoses may be associated with great dilemma.

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ADHD at the workplace: ADHD symptoms, diagnostic status, and work-related functioning

Cited by 35 publications

References 24 publications

Stability of Attention Performance of Adults with ADHD over Time: Evidence from Repeated Neuropsychological Assessments in One-Month Intervals

Stability of Attention Performance of Adults with ADHD over Time: Evidence from Repeated Neuropsychological Assessments in One-Month Intervals

A Paradigm for Targeting Functional Impairment as an Outcome in Attention-Deficit/Hyperactivity Disorder

Stress and work-related mental illness among working adults with ADHD: a qualitative study

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