Dataset Information

Wider health needs in attention deficit hyperactivity disorder from lived and professional experience: a qualitative framework analysis.

ABSTRACT:

Objectives

This study aimed to explore the perspectives of people with attention deficit hyperactivity disorder (ADHD), their supporters and primary care professionals (PCPs), on the wider physical and mental health needs of people with ADHD and the support currently available.

Design

Qualitative semi-structured interviews, analysed using reflexive thematic analysis.

Setting

Five general practice surgeries across England.

Participants

Participants with lived experience (people with ADHD and their supporters (n=11)) and PCPs (n=9) (eg, general practitioners and practice managers), recruited via clinical academic networks and previous work packages of this study.

Results

We generated three major themes in relation to ADHD, using reflexive thematic analysis: understanding health, barriers to health and addressing health. Within these, participants reflected on mental and physical health challenges, as well as wider social difficulties and variability in support offered/accessed.

Conclusions

This study highlights that health problems in ADHD are complex and rooted both in individual factors (eg, mental health) and social factors (eg, support). This study also highlights the differences in expectations and fulfilment of healthcare.

SUBMITTER: Ward J

PROVIDER: S-EPMC11331868 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature

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Publications

Wider health needs in attention deficit hyperactivity disorder from lived and professional experience: a qualitative framework analysis.

Ward John J McBride Audrey A Gudka Rebecca R Becker Kieran K Newlove-Delgado Tamsin T Price Anna A

BMJ open 20240817 8

<h4>Objectives</h4>This study aimed to explore the perspectives of people with attention deficit hyperactivity disorder (ADHD), their supporters and primary care professionals (PCPs), on the wider physical and mental health needs of people with ADHD and the support currently available.<h4>Design</h4>Qualitative semi-structured interviews, analysed using reflexive thematic analysis.<h4>Setting</h4>Five general practice surgeries across England.<h4>Participants</h4>Participants with lived experien ...[more]

PMID: 39153774

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Project description:ObjectivePreterm birth has been associated with an increased risk of attention-deficit/hyperactivity disorder (ADHD)-like symptoms and cognitive impairments similar to those seen in ADHD, including attention and inhibitory control difficulties. Yet data on direct comparisons across ADHD and preterm birth on cognitive-neurophysiological measures are limited.MethodWe directly compared 186 preterm-born adolescents to 69 term-born adolescents with ADHD and 135 term-born controls on cognitive-performance and event-related potential measures associated with attentional and inhibitory processing from a cued continuous performance test (CPT-OX), which we have previously shown to discriminate between the adolescents with ADHD and controls. We aimed to elucidate whether the ADHD-like symptoms and cognitive impairments in preterm-born individuals reflect identical cognitive-neurophysiological impairments in term-born individuals with ADHD.ResultsGo-P3 amplitude was reduced, reflecting impaired executive response control, in preterm-born adolescents compared to both controls and adolescents with ADHD. Moreover, in preterm-born adolescents, as in term-born adolescents with ADHD, contingent negative variation amplitude was attenuated, reflecting impairments in response preparation compared to controls. Although the ADHD group showed significantly increased NoGo-P3 amplitude at FCz compared to preterm group, at Cz preterm-born adolescents demonstrated significantly decreased NoGo-P3 amplitude compared to the control group, similar to term-born adolescents with ADHD.ConclusionThese findings indicate impairments in response preparation, executive response control, and response inhibition in preterm-born adolescents. Although the response preparation and response inhibition impairments found in preterm-born adolescents overlap with those found in term-born adolescents with ADHD, the preterm group also shows unique impairments, suggesting more wide-ranging impairments in the preterm group compared to the ADHD group.

Dataset Information

Wider health needs in attention deficit hyperactivity disorder from lived and professional experience: a qualitative framework analysis.

Objectives

Design

Setting

Participants

Results

Conclusions

Publications

Wider health needs in attention deficit hyperactivity disorder from lived and professional experience: a qualitative framework analysis.

Similar Datasets

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