Improved but still impaired: symptom-impairment correspondence among youth with attention-deficit hyperactivity disorder receiving community-based care
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OBJECTIVE: To explore correspondences between the trajectories of symptoms and impairments in youth with attention-deficit hyperactivity disorder (ADHD) being treated by in primary care settings. METHODS: Parents of youth (n = 1976) rated their child's symptoms of inattention and hyperactivity/impulsivity, and impairment across a variety of domains. Multilevel models were estimated to characterize the trajectories of symptoms and impairment and to determine whether changes in symptom dimension trajectories corresponded to changes in impairment trajectories over time. RESULTS: Results indicated that symptom dimensions initially improved, then leveled off, and then decreased minimally. However, impairment domains remained largely stable (i.e., neither improved nor worsened). Improvement in inattention symptoms were associated with improved ratings of writing impairment, and improved ratings of hyperactivity/impulsivity symptoms were associated with improved relationship with peers. CONCLUSIONS: Youths with ADHD who are treated by their community pediatrician tend to initially improve in their symptom presentation, although this symptom reduction plateaus and is not associated with corresponding improvements in most areas of impairment.
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Pharmacological treatment for ADHD lacks normalization even in well-titrated doses.
“lack of normalization even in well-titrated doses [9]”
From Proof-of-concept study of an at-home, engaging, digital intervention for pediatric ADHD (2018) · cites this paper as [9]
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Proof-of-concept study of an at-home, engaging, digital intervention for pediatric ADHD
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- Authors
- O'Connor, B. C., Garner, A. A., Peugh, J. L., Simon, J., & Epstein, J. N.
- Affiliations
- Cincinnati Children's Hospital Medical Center (US)
- Venue
- Journal of Developmental & Behavioral Pediatrics
- Published
- 2015-02
- Volume
- 36
- Issue
- 2
- Pages
- 106-114
- ISSN
- 0196-206X (ISSN-L)
- PMC
- PMC4397962
- OpenAlex
- W2047975103
- Cited by
- 31
- References
- 37
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 5 · 2020: 5 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 4 · 2015: 2
- FWCI
- 2.97
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Developmental & Behavioral Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Public Health Service (T32HT10027)
- National Institute of Mental Health (P30MH090322, K24MH064478, R01MH083665)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Keywords
- attention deficit hyperactivity disorder, symptom trajectories, functional disability, inattention, hyperactivity/impulsivity, writing impairment, peer relationships, primary care treatment, youth
- MeSH terms
- Adolescent, Attention Deficit Disorder with Hyperactivity, Child, Child, Preschool, Community Health Services, Female, Follow-Up Studies, Humans, Male, Parents, Registries, Outcome Assessment, Health Care
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