Objective:

ADHD treatment has positive effects on behavioral symptoms and psychosocial functioning, but studies that follow children treated for ADHD into adulthood are rare.

Method:

This follow-up study assessed symptom severity and functional outcomes of adults (n = 70) who had received individualized ADHD treatment in the Cologne Adaptive Multimodal Treatment (CAMT) Study at ages 6 to 10 years.

Results:

Despite symptomatic improvement, participants reported poorer educational and occupational outcomes than expected (e.g., currently unemployed: 17%). They had also been in contact with the justice system more often than expected (e.g., lifetime convictions: 33%) and were impaired on health-related outcomes (e.g., substance use problems: 15%). Several social outcomes were favorable (e.g., long-term relationship/married: 63%).

Conclusion:

Compared to the general population or norm samples, CAMT participants had a higher relative risk (RR) of functional impairments, demonstrating the need for continued support for a substantial proportion of the young adults.

中文翻译：

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患有注意力缺陷/多动障碍的儿童长大：多模式治疗后的 18 年随访。

客观的：

ADHD 治疗对行为症状和社会心理功能有积极影响，但对接受 ADHD 治疗至成年的儿童进行随访的研究很少。

方法：

这项后续研究评估 了在科隆适应性多模式治疗 (CAMT) 研究中接受个性化 ADHD 治疗的 6 至 10 岁成人（n = 70）的症状严重程度和功能结果。

结果：

尽管症状有所改善，但参与者报告的教育和职业结果比预期的要差（例如，目前失业：17%）。他们也比预期更频繁地与司法系统接触（例如，终生定罪：33%）并且在与健康相关的结果方面受到损害（例如，物质使用问题：15%）。一些社会结果是有利的（例如，长期关系/已婚：63%）。

结论：

与一般人群或常模样本相比，CAMT 参与者的功能障碍相对风险 ( RR )更高，这表明需要对很大一部分年轻人提供持续支持。