Predictors of mental health service utilization as adolescents with attention deficit hyperactivity disorder transition into adulthood
Por:
Girela-Serrano B, Miguélez C, Porras-Segovia AA, Díaz C, Moreno M, Peñuelas-Calvo I, Roselló R, Baca-García E and Carballo JJ
Publicada:
1 mar 2023
Ahead of Print:
1 jun 2022
Resumen:
Background Attention deficit hyperactivity disorder (ADHD) symptoms may persist into adulthood and are likely to cause great problems in young adults. To date, few studies have explored the characteristics of patients diagnosed with ADHD that might influence the utilization of adult mental health services (AMHS). We aimed to examine and identify predictive symptoms of AMHS. Methods We analysed data from 114 participants diagnosed with ADHD from a cohort of adolescents recruited at the age of 12-17 years, who, at the time of data analysis, were over 18 years old. Results Among AMHS users, hyperactivity/impulsivity measures were significantly more severe (t = 2.668, df = 112, p < .001), ADHD combined subtype diagnosis (chi(2) = 4.66, df = 1, p = .031) was more frequent and dysregulation profile in the SDQ-P was also significantly higher (t = -2.497, df = 109, p = .014). However, the dysregulation profile did not remain statistically significant after controlling for type of AMHS contact. Conclusions Our findings suggest that adolescents with ADHD are more likely continue their care under AMHS if they present more severe symptoms of hyperactivity/impulsivity and emotional dysregulation. The better characterization of the patient profile will help clinicians to early identify groups at-risk and to tailor interventions and prevention strategies.
Filiaciones:
Girela-Serrano B:
Westminster Child & Adolescent Mental Health Service, Central and North West London NHS Foundation Trust, London, UK
Division of Psychiatry, Imperial College, London, UK
Miguélez C:
Department of Child and Adolescent Psychiatry, Hospital Niño Jesús, Madrid, Spain
Porras-Segovia AA:
Division of Psychiatry, Imperial College, London, UK
Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain
Díaz C:
Hospital Clinic de Barcelona, Barcelona, Spain
Moreno M:
Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain
Peñuelas-Calvo I:
Department of Child and Adolescent Psychiatry, Hospital 12 de Octubre, Madrid, Spain
:
Division of Psychiatry, Imperial College, London, UK
Department of Psychiatry, University Hospital Doctor Peset of Valencia & University of Valencia, Valencia, Spain
Baca-García E:
Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain
Department of Psychiatry, Hospital Universitario Infanta Elena, Madrid, Spain
Department of Psychiatry, Hospital Universitario Central de Villalba, Madrid, Spain
Department of Psychiatry, Hospital Universitario Rey Juan Carlos, Móstoles, Spain
Department of Psychiatry, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain
Universidad Católica del Maule, Talca, Chile
Université de Nîmes, Nîmes, France
Carballo JJ:
Department of Psychiatry, Hospital Gregorio Marañón, Madrid, Spain
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