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Long-Term Outcomes of ADHD: A Systematic Review of Self-Esteem and Social Function
Open accessAbstract
Objective: To compare the long-term self-esteem and social function outcomes of individuals with untreated and treated ADHD across childhood, adolescence, and adulthood. Method: A systematic search of 12 databases was performed to identify peer-reviewed, primary research articles, published January 1980 to December 2011, reporting long-term self-esteem and/or social function outcomes (≥2 years; life consequences distinct from symptoms) of individuals with untreated or treated ADHD. Results: Overall, 127 studies reported 150 outcomes. Most outcomes were poorer in individuals with untreated ADHD versus non-ADHD controls (57% [13/23] for self-esteem; 73% [52/71] for social function). A beneficial response to treatment (pharmacological, nonpharmacological, and multimodal treatments) was reported for the majority of self-esteem (89% [8/9]) and social function (77% [17/22]) outcomes. Conclusion: Untreated ADHD was associated with poorer long-term self-esteem and social function outcomes compared with non-ADHD controls. Treatment for ADHD was associated with improvement in outcomes; however, further long-term outcome studies are needed.
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“Lower ratings of self-esteem in ADHD patients compared to the healthy control, regardless of ADHD subtypes, have been reported in previous studies [26–28].”
From ADHD subtype-specific cognitive correlates and association with self-esteem: a quantitative difference (2020) · cites this paper as [27]
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“These studies also showed that the treatment of ADHD symptoms was associated with the improvement of self-esteem scores [27] suggesting that self-esteem and ADHD symptoms (including cognitive deficits) are relevant for treatment efficacy.”
From ADHD subtype-specific cognitive correlates and association with self-esteem: a quantitative difference (2020) · cites this paper as [27]
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Metadata
- Authors
- Harpin, V., Mazzone, L., Raynaud, J. P., Kahle, J., & Hodgkins, P.
- Affiliations
- Sheffield Children's NHS Foundation Trust (GB)
- Bambino Gesù Children's Hospital (IT)
- Centre Hospitalier Universitaire de Toulouse (FR)
- BPS International, San Diego, CA, USA
- Shire Development, LLC, Wayne, PA, USA
- Corresponding author
- Harpin, V.
- Venue
- Journal of Attention Disorders
- Publisher
- SAGE Publications
- Published
- 2013-05-22
- Volume
- 20
- Issue
- 4
- Pages
- 295-305
- ISSN
- 1087-0547 (ISSN-L)
- 1557-1246
- OpenAlex
- W2113615951
- Cited by
- 370
- References
- 39
- Citations by year
- 2026: 30 · 2025: 60 · 2024: 53 · 2023: 44 · 2022: 31 · 2021: 65 · 2020: 22 · 2019: 12 · 2018: 13 · 2017: 15 · 2016: 7 · 2015: 11 · 2014: 6
- FWCI
- 5.67
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Journal of Attention Disorders (publishedVersion)
- PubMed (publishedVersion)
- Cineca Institutional Research Information System (Tor Vergata University) (submittedVersion, other-oa)
- Funders
- Shire
- 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, long-term outcomes, self-esteem, social function, untreated ADHD, ADHD treatment, pharmacotherapy, non-pharmacological treatment, multimodal therapy
- MeSH terms
- Adolescent, Adult, Attention Deficit Disorder with Hyperactivity, Child, Combined Modality Therapy, Humans, Male, Personality Disorders, Self Concept, Social Adjustment, Social Behavior, Treatment Outcome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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