Mortality, ADHD, and Psychosocial Adversity in Adults With Childhood ADHD: A Prospective Study

Barbaresi, William J.; Colligan, Robert C.; Weaver, Amy L.; Voigt, Robert G.; Killian, Jill M.; Katusic, Slavica K.

doi:10.1542/peds.2012-2354

Cited by 334 publications

(306 citation statements)

References 36 publications

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“…This is a clinically relevant result and not just a trivial pattern. This result is reported in various articles such as [39][40] which note the persistence of ADHD as the child ages and persists even into adulthood.…”

Section: Important Results and Interesting Observationssupporting

confidence: 65%

Sequence Mining of Comorbid Neurodevelopmental Disorders Using the SPADE Algorithm

Pimus¹,

Peleg

Schertz³

2016

Methods Inf Med

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SummaryObjectives: Understanding the progression of comorbid neurodevelopmental disorders (NDD) during different critical time periods may contribute to our comprehension of the underlying pathophysiology of NDDs. The objective of our study was to identify frequent temporal sequences of developmental diagnoses in noisy patient data. Methods: We used a data set of 2810 patients, documenting NDD diagnoses given to them by an NDD expert at a child developmental center during multiple visits at different ages. Extensive preprocessing steps were developed in order to allow the data set to be processed by an efficient sequence mining algorithm (SPADE). Results: The discovered sequences were validated by cross validation for 10 iterations; all correlation coefficients for support, confidence and lift measures were above 0.75 and their proportions were similar. No significant differences between the distributions of sequences were found using KolmogorovSmirnov test. Conclusions:We have demonstrated the feasibility of using the SPADE algorithm for discovery of valid temporal sequences of comorbid disorders in children with NDDs. The identification of such sequences would be beneficial from clinical and research perspectives. Moreover, these sequences could serve as features for developing a full-fledged temporal predictive model.

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Section: Important Results and Interesting Observationssupporting

confidence: 65%

Sequence Mining of Comorbid Neurodevelopmental Disorders Using the SPADE Algorithm

Pimus¹,

Peleg

Schertz³

2016

Methods Inf Med

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“…Psychiatric comorbidities affect almost 70% of individuals with ADHD and account for increases in the long-term complexity of ADHD 7 . Oppositional defiant disorder (ODD) is frequently preceded by and associated with ADHD.…”

Section: Introductionmentioning

confidence: 99%

Household task demands for quiet and focused behavior facilitate performance by ADHD youth

Mendes

Drummond

Miranda

et al. 2016

Arq. Neuro-Psiquiatr.

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Attention-deficit/hyperactivity disorder (ADHD) is a heterogeneous condition associated with functional impact on several dimensions of a child' s life 1 . This heterogeneity may be partially explained by the diversity of symptoms contributing to clinical presentations with distinct functional compromise 2,3 . ADHD is characterized by variable degrees of hyperactivity, impulsivity, and/or inattentive symptoms, affecting children' s participation in school and in their household routine .In school, children with ADHD usually exhibit worse academic performance than children developing typically Conflict of interest:There is no conflict of interest to declare. ABSTRACTThis study evaluated the associations among symptoms of attention-deficit/hyperactivity disorder (ADHD) and of oppositional defiant disorder (ODD) in children and adolescents' performance in household tasks and assistance provided by caregivers. Parents of children from 6 to 14 years old with ADHD (n = 67) were interviewed with the Children Helping Out: Responsibilities, Expectations, and Supports (CHORES) instrument. Significant correlations were found between symptoms of ODD and assistance in self-care tasks (r = −0.31; p = 0.01); symptoms of hyperactivity correlated with assistance in self-care (r = −0.30, p = 0.01); and family-care (r = −0.25, p = 0.04) tasks. Age was directly associated with the number of tasks performed by children and inversely related to the assistance provided by caregivers. A greater number of ODD symptoms resulted in more household assistance from caregivers. Characteristics of ODD symptoms, such as disobedience and hostility in the face of authority, may limit these children in accessing household tasks by their own initiative, requiring assistance from caregivers.Keywords: environment; behavior; attention deficit disorder with hyperactivity; caregivers. RESUMOEste estudo avaliou transversalmente a correlação entre sintomas de transtorno de déficit de atenção e hiperatividade (TDAH) e de oposição com desempenho de crianças e adolescentes nas tarefas domésticas e assistência disponibilizada pelos cuidadores. Pais de crianças e adolescentes com TDAH (n = 67), de 6 a 14 anos, foram entrevistados com o children helping out: responsibilities, expectations and supports (CHORES). Foram encontradas correlações significativas entre sintomas de oposição e assistência em cuidado próprio (r = -0,31; p = 0,01) e de hiperatividade com assistência em cuidado próprio (r = -0,30, p = 0,01) e em cuidado familiar (r = -0,25, p = 0,04). Idade está diretamente correlacionada ao número de tarefas desempenhadas pela criança e inversamente associada à assistência disponibilizada pelos cuidadores. Maior número de sintomas de oposição resultou em maior assistência disponibilizada. Características dos sintomas de oposição, como a desobediência e hostilidade frente às autoridades, são limitantes para que essas crianças acessem as tarefas por iniciativa própria, demandando maior assistência dos cuidadores.

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“…1,3,4 Boys have a greater prevalence of ADHD than girls, 4 with the average age of onset at 7 years. 5 The majority of childhood ADHD persists into young adulthood, 6,7 resulting in continued mental health service expenditures and decreased quality of life. 8 ADHD has been linked to difficulties in education attainment, family and peer relationships, and additional comorbid mental health and/or neurodevelopmental disorders.…”

mentioning

confidence: 99%

Mental Health Services Utilization and Expenditures Among Children Enrolled in Employer-Sponsored Health Plans

2017

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BACKGROUND AND OBJECTIVES: Mental illness in children increases the risk of developing mental health disorders in adulthood, and reduces physical and emotional well-being across the life course. The Mental Health Parity and Addiction Equity Act (MHPAEA, 2008) aimed to improve access to mental health treatment by requiring employer-sponsored health plans to include insurance coverage for behavioral health services. METHODS: Investigators used IBM Watson/Truven Analytics MarketScan claims data (2007–2013) to examine: (1) the distribution of mental illness; (2) trends in utilization and out-of-pocket expenditures; and (3) the overall effect of the MHPAEA on mental health services utilization and out-of-pocket expenditures among privately-insured children aged 3 to 17 with mental health disorders. Multivariate Poisson regression and linear regression modeling techniques were used. RESULTS: Mental health services use for outpatient behavioral health therapy (BHT) was higher in the years after the implementation of the MHPAEA (2010–2013). Specifically, before the MHPAEA implementation, the annual total visits for BHT provided by mental health physicians were 17.1% lower and 2.5% lower for BHT by mental health professionals, compared to years when MHPAEA was in effect. Children covered by consumer-driven and high-deductible plans had significantly higher out-of-pocket expenditures for BHT compared to those enrolled PPOs. CONCLUSIONS: Our findings demonstrate increased mental health services use and higher out-of-pocket costs per outpatient visit after implementation of the MHPAEA. As consumer-driven and high-deductible health plans continue to grow, enrollees need to be cognizant of the impact of health insurance benefit designs on health services offered in these plans.

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Mortality, ADHD, and Psychosocial Adversity in Adults With Childhood ADHD: A Prospective Study

Cited by 334 publications

References 36 publications

Sequence Mining of Comorbid Neurodevelopmental Disorders Using the SPADE Algorithm

Sequence Mining of Comorbid Neurodevelopmental Disorders Using the SPADE Algorithm

Household task demands for quiet and focused behavior facilitate performance by ADHD youth

Mental Health Services Utilization and Expenditures Among Children Enrolled in Employer-Sponsored Health Plans

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