Traffic and Criminal Behavior of Adults with Attention Deficit–Hyperactivity with a Prospective Follow-Up from Birth to the Age of 40 Years

Koisaari, Tapio; Michelsson, Katarina; Holopainen, Juha M.; Maksimainen, Risto; Päivänsalo, Jussi; Rantala, Kari; Tervo, Timo

doi:10.1080/15389588.2015.1029068

Cited by 30 publications

(24 citation statements)

References 71 publications

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“…Rosler et al [16, 17] found that 45% of prison inmate males and 24.5% of females have ADHD and Einat and Einat [18] found in a randomly selected cohort of Israeli adults imprisoned that 57% had ADHD. Other investigators reported on similar findings [20, 21].…”

Section: Introductionsupporting

confidence: 80%

Cost effectiveness of optimal treatment of ADHD in Israel: a suggestion for national policy

Ornoy¹,

Spivak

2019

Health Econ Rev

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ObjectivesThere are well known behavioral complications of ADHD at adulthood such as learning difficulties resulting in lower education attainments; increased rate of car and other accidents; substance abuse; misconduct and imprisonment. These complications can be prevented or alleviated by effective treatment. In this study we calculated the economic burden of ADHD among adults in Israel and the cost of diagnosing and treating ADHD from childhood to adulthood. We then obtained the cost-benefit ratio of the treatment.MethodsThe data were calculated using accepted estimations of prevalence and cost for the Israeli population assuming a prevalence of 4% among adults which is based on the ADHD prevalence among school age children.ResultsThe estimated cost per person with ADHD due to lower education attainment, higher involvement in crime and car accidents and more drug abuse is 289,969 USD and the estimated cost for optimal treatment is 41,667 USD. Hence, the benefit cost ratio is 7.02 and, assuming only 50% success of treatment, it is 3.51, still a very high cost benefit ratio.ConclusionsSince early diagnosis and appropriate treatment of ADHD is very effective in reducing the various symptoms and complications at adulthood thus enabling a better education and higher income, it seems important to diagnose and offer comprehensive treatment to children with ADHD. Moreover, it seems equally important to continue treatment at adulthood.

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Section: Introductionsupporting

confidence: 80%

Cost effectiveness of optimal treatment of ADHD in Israel: a suggestion for national policy

Ornoy¹,

Spivak

2019

Health Econ Rev

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“…It has also been reported that ADHD patients have a higher mortality risk before the age of 40, which is mainly due to accidents [8]. Several studies and meta-analyses have consistently shown that children, adolescents, and adults with ADHD have an increased overall ~1.2 to 2-fold risk of non-intentional injuries [9,10,11,12,13]. Research investigating the specific factors that contribute to this increased injury risk in ADHD patients is important, with the aim of accident prevention.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of ADHD in Accident Victims: Results of the PRADA Study

Kittel‐Schneider

Wolff

Queiser

et al. 2019

JCM

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Background: Recent research has shown an increased risk of accidents and injuries in ADHD patients, which could potentially be reduced by stimulant treatment. Therefore, the first aim of our study was to evaluate the prevalence of adult ADHD in a trauma surgery population. The second aim was to investigate accident mechanisms and circumstances which could be specific to ADHD patients, in comparison to the general population. Methods: We screened 905 accident victims for ADHD using the ASRS 18-item self-report questionnaire. The basic demographic data and circumstances of the accidents were also assessed. Results: Prevalence of adult ADHD was found to be 6.18% in our trauma surgery patient sample. ADHD accident victims reported significantly higher rates of distraction, stress and overconfidence in comparison to non-ADHD accident victims. Overconfidence and being in thoughts as causal mechanisms for the accidents remained significantly higher in ADHD patients after correction for multiple comparison. ADHD patients additionally reported a history of multiple accidents. Conclusion: The majority of ADHD patients in our sample had not previously been diagnosed and were therefore not receiving treatment. The results subsequently suggest that general ADHD screening in trauma surgery patients may be useful in preventing further accidents in ADHD patients. Furthermore, psychoeducation regarding specific causal accident mechanisms could be implemented in ADHD therapy to decrease accident incidence rate.

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“…4 , 5 These problems put them at risk for failure and dropout from school, increase susceptibility to addiction disorders and criminality, and foretell poorer quality of life. 6 , 7 , 8 , 9 Given the large socioeconomic and health-care burden posed by ADHD, the development of effective and scalable therapeutics for impaired children has great practical relevance.…”

Section: Introductionmentioning

confidence: 99%

Training sensory signal-to-noise resolution in children with ADHD in a global mental health setting

et al. 2016

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Children with attention deficit/hyperactivity disorder (ADHD) have impaired focus on goal-relevant signals and fail to suppress goal-irrelevant distractions. To address both these issues, we developed a novel neuroplasticity-based training program that adaptively trains the resolution of challenging sensory signals and the suppression of progressively more challenging distractions. We evaluated this sensory signal-to-noise resolution training in a small sample, global mental health study in Indian children with ADHD. The children trained for 30 h over 6 months in a double-blind, randomized controlled trial. Training completers showed steady and significant improvements in ADHD-associated behaviors from baseline to post training relative to controls, and benefits sustained in a 6-month follow-up. Post-training cognitive assessments showed significant positive results for response inhibition and Stroop interference tests in training completers vs controls, while measures of sustained attention and short-term memory showed nonsignificant improvement trends. Further, training-driven improvements in distractor suppression correlated with the improved ADHD symptoms. This initial study suggests utility of signal-to-noise resolution training for children with ADHD; it emphasizes the need for further research on this intervention and substantially informs the design of a larger trial.

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Traffic and Criminal Behavior of Adults with Attention Deficit–Hyperactivity with a Prospective Follow-Up from Birth to the Age of 40 Years

Abstract: Subjects with ADHD showed an elevated risk of being involved in criminality and had a higher risk of dying before the age of 40 years. The early detection of ADHD in childhood and appropriate treatments and family support may decrease criminality and save both money and human distress.

Cited by 30 publications

References 71 publications

Cost effectiveness of optimal treatment of ADHD in Israel: a suggestion for national policy

Cost effectiveness of optimal treatment of ADHD in Israel: a suggestion for national policy

Prevalence of ADHD in Accident Victims: Results of the PRADA Study

Training sensory signal-to-noise resolution in children with ADHD in a global mental health setting

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