Female sex and burden of depressive symptoms predict insufficient response to telemedical treatment in adult attention-deficit/hyperactivity disorder: results from a naturalistic patient cohort during the COVID-19 pandemic.

COVID-19 WHO well-being attention-deficit/hyperactivity disorder depression telemedicine

Journal

Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006

Informations de publication

Date de publication:
2023
Historique:
received: 25 03 2023
accepted: 18 09 2023
medline: 23 10 2023
pubmed: 23 10 2023
entrez: 23 10 2023
Statut: epublish

Résumé

Attention-deficit/hyperactivity disorder (ADHD) is a chronic neuropsychiatric disorder, that typically manifests itself during childhood and persists in a majority of the affected individuals into adulthood, negatively affecting physical and mental health. Previous studies have shown detrimental effects of the COVID-19 pandemic on mental health in individuals with ADHD. Thus, telemedicine could be a useful tool for optimizing treatment-outcomes in adult ADHD by improving treatment adherence and persistence. However, data on telemedical treatment outcomes in adult patients with ADHD is scarce. We report here the sub-cohort analysis of a naturalistic cohort of adult patients (N = 254) recruited between April 2020-April 2021, comparing the effects of telemedical treatment on participants either clinically diagnosed with depression (N = 54) or ADHD (N = 67). Participants were asked to fill out the WHO-5 repetitively during >12 weeks of telemedical treatment. Furthermore scores of WHO-5, SCL-90R and BDI-II, psychopathology, psychosocial functioning, sociodemographic data, medical records and a feedback survey were analyzed for both groups and compared. Participants with ADHD were further stratified according to the development of well-being during the study period in order to identify factors associated with a satisfactory treatment outcome. Participants with depression reported a significant improvement of well-being during the course of the study, while no such effect could be seen in participants with ADHD on a group level. Despite the good outcome, participants with depression were more severely affected at baseline, with significantly worse psychopathology and a more precarious labor and financial situation. A detailed analysis of ADHD participants without clinical improvement revealed significantly higher BDI-II scores than for ADHD participants with a satisfactory outcome ( Besides screening for depressive symptoms before telemedical treatment, future research should address the specific needs of female ADHD patients as these patients may be at a particularly high risk of being overburdened with family work.

Sections du résumé

Background UNASSIGNED
Attention-deficit/hyperactivity disorder (ADHD) is a chronic neuropsychiatric disorder, that typically manifests itself during childhood and persists in a majority of the affected individuals into adulthood, negatively affecting physical and mental health. Previous studies have shown detrimental effects of the COVID-19 pandemic on mental health in individuals with ADHD. Thus, telemedicine could be a useful tool for optimizing treatment-outcomes in adult ADHD by improving treatment adherence and persistence. However, data on telemedical treatment outcomes in adult patients with ADHD is scarce.
Methods UNASSIGNED
We report here the sub-cohort analysis of a naturalistic cohort of adult patients (N = 254) recruited between April 2020-April 2021, comparing the effects of telemedical treatment on participants either clinically diagnosed with depression (N = 54) or ADHD (N = 67). Participants were asked to fill out the WHO-5 repetitively during >12 weeks of telemedical treatment. Furthermore scores of WHO-5, SCL-90R and BDI-II, psychopathology, psychosocial functioning, sociodemographic data, medical records and a feedback survey were analyzed for both groups and compared. Participants with ADHD were further stratified according to the development of well-being during the study period in order to identify factors associated with a satisfactory treatment outcome.
Results UNASSIGNED
Participants with depression reported a significant improvement of well-being during the course of the study, while no such effect could be seen in participants with ADHD on a group level. Despite the good outcome, participants with depression were more severely affected at baseline, with significantly worse psychopathology and a more precarious labor and financial situation. A detailed analysis of ADHD participants without clinical improvement revealed significantly higher BDI-II scores than for ADHD participants with a satisfactory outcome (
Conclusion UNASSIGNED
Besides screening for depressive symptoms before telemedical treatment, future research should address the specific needs of female ADHD patients as these patients may be at a particularly high risk of being overburdened with family work.

Identifiants

pubmed: 37867771
doi: 10.3389/fpsyt.2023.1193898
pmc: PMC10585110
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1193898

Informations de copyright

Copyright © 2023 Praus, Proctor, Rohrmann, Benedyk, Tost, Hennig, Meyer-Lindenberg and Wahl.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Peter Praus (P)

Central Institute of Mental Health, University of Heidelberg, Mannheim, Germany.

Tanja Proctor (T)

Institute of Medical Biometry (IMBI), University of Heidelberg, Heidelberg, Germany.

Tobias Rohrmann (T)

Central Institute of Mental Health, University of Heidelberg, Mannheim, Germany.

Anastasia Benedyk (A)

Central Institute of Mental Health, University of Heidelberg, Mannheim, Germany.

Heike Tost (H)

Central Institute of Mental Health, University of Heidelberg, Mannheim, Germany.

Oliver Hennig (O)

Central Institute of Mental Health, University of Heidelberg, Mannheim, Germany.

Andreas Meyer-Lindenberg (A)

Central Institute of Mental Health, University of Heidelberg, Mannheim, Germany.

Anna-Sophia Wahl (AS)

Central Institute of Mental Health, University of Heidelberg, Mannheim, Germany.
Brain Research Institute, University of Zurich, Zurich, Switzerland.
Department of Neuroanatomy, Institute of Anatomy, Ludwigs-Maximilians-University, Munich, Germany.
Institute for Stroke and Dementia Research, University Hospital of Ludwigs-Maximilians-University, Munich, Germany.

Classifications MeSH