Cited by 366Attention Deficit Hyperactivity DisorderChild and Adolescent Psychosocial and Emotional DevelopmentAutism Spectrum Disorder Research

Prospective follow-up of girls with attention-deficit/hyperactivity disorder into early adulthood: Continuing impairment includes elevated risk for suicide attempts and self-injury

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Hinshaw, Stephen P., Owens, Elizabeth B., Zalecki, Christine, Huggins, Suzanne Perrigue, Montenegro-Nevado, Adriana J., Schrodek, Emily, Swanson, Erika N.·2012·Journal of Consulting and Clinical Psychology

Abstract

OBJECTIVE: We performed a 10-year prospective follow-up of a childhood-ascertained (6-12 years), ethnically and socioeconomically diverse sample of girls with attention-deficit/hyperactivity disorder (ADHD; N = 140: combined type [ADHD-C] n = 93; inattentive type [ADHD-I] n = 47) plus a matched comparison group (N = 88). Girls were recruited from schools, mental health centers, pediatric practices, and via advertisements; extensive evaluations confirmed ADHD versus comparison status. METHOD: Ten-year outcomes (age range 17-24 years; retention rate = 95%) included symptoms (ADHD, externalizing, internalizing), substance use, eating pathology, self-perceptions, functional impairment (global, academic, service utilization), self-harm (suicide attempts, self-injury), and driving behavior. RESULTS: Participants with childhood-diagnosed ADHD continued to display higher rates of ADHD and comorbid symptoms, showed more serious impairment (both global and specific), and had higher rates of suicide attempts and self-injury than the comparison sample, with effect sizes from medium to very large; yet the groups did not differ significantly in terms of eating pathology, substance use, or driving behavior. ADHD-C and ADHD-I types rarely differed significantly, except for suicide attempts and self-injury, which were highly concentrated in ADHD-C. Domains of externalizing behavior, global impairment, service utilization, and self-harm (self-injury and suicide attempts) survived stringent control of crucial childhood covariates (age, demographics, comorbidities, IQ). CONCLUSIONS: Girls with childhood ADHD maintain marked impairment by early adulthood, spreading from symptoms to risk for serious self-harm. Our future research addresses the viability of different diagnostic conceptions of adult ADHD and their linkages with core life impairments.

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  • ADHD is diagnosed more often in males, but females with ADHD become notably impaired and develop comorbid disorders starting in adolescence.

    “Although Attention-Deficit/Hyperactivity Disorder shows (ADHD) male predominance, females are significantly impaired and exhibit additional comorbid disorders during adolescence.”

    From Reproductive steroids and ADHD symptoms across the menstrual cycle (2018) · cites this paper as Hinshaw et al., 2012

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  1. Swanson JM School-based assessments and interventions for ADD students 1992 Irvine, CA K.C. Press

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Authors
Hinshaw, S. P., Owens, E. B., Zalecki, C., Huggins, S. P., Montenegro-Nevado, A. J., Schrodek, E., & Swanson, E. N.
Affiliations
  • University of California, Berkeley (US)
  • Institute for Human Development (IN)
  • University of Maryland, College Park (US)
  • Palo Alto University (US)
Venue
Journal of Consulting and Clinical Psychology
Published
2012-12
Volume
80
Issue
6
Pages
1041-1051
ISSN
  • 0022-006X (ISSN-L)
  • 1939-2117
OpenAlex
W2135680338
Cited by
366
References
57
Citations by year
2026: 10 · 2025: 22 · 2024: 22 · 2023: 21 · 2022: 19 · 2021: 24 · 2020: 62 · 2019: 26 · 2018: 22 · 2017: 30 · 2016: 35 · 2015: 24 · 2014: 26 · 2013: 14 · 2012: 7
FWCI
16.16
Type
journal article
Language
en
Open access
Locations
  • Journal of Consulting and Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
National Institute of Mental Health (45064)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
Keywords
attention deficit hyperactivity disorder, girls, early adulthood, long-term outcomes, suicide attempts, self-harm, functional disability, combined type ADHD, inattentive type ADHD, comorbid symptoms, externalizing problems, internalizing problems, substance use, eating pathology, driver behavior, service utilization, adult ADHD
MeSH terms
Adolescent, Attention Deficit Disorder with Hyperactivity, Child, Female, Follow-Up Studies, Humans, Prospective Studies, Risk Factors, Self Concept, Suicide, Attempted, Self-Injurious Behavior, Young Adult

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