Open AccessRisk Factors for Disability Pension among Young Adults Diagnosed with Attention-deficit Hyperactivity Disorder (ADHD) in Adulthood
Author(s) -
Lingjing Chen,
Ellenor MittendorferRutz,
Emma Björkenstam,
Syed Rahman,
Klas Gustafsson,
Heidi Taipale,
Antti Tanskanen,
Lisa Ekselius,
Magnus Helgesson
Publication year - 2021
Publication title -
journal of attention disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.076
H-Index - 72
eISSN - 1557-1246
pISSN - 1087-0547
DOI - 10.1177/10870547211025605
Subject(s) - disability pension , hazard ratio , attention deficit hyperactivity disorder , psychology , young adult , anxiety , psychiatry , proportional hazards model , autism , schizophrenia (object oriented programming) , comorbidity , confidence interval , medicine , population , developmental psychology , environmental health
Objective: To investigate risk factors of disability pension (DP) in young adults diagnosed with ADHD in Sweden.Method: In total, 9718 individuals diagnosed with incident ADHD in young adult age (19–29 years) 2006 to 2011, were identified through national registers. They were followed for 5 years and Cox regression models were applied to analyze the DP risk (overall and by sex), associated with socio-demographics, work-related factors, and comorbid disorders.Results: Twenty-one percent of all received DP. Being younger at diagnosis (hazard ratio [HR] = 1.54; 95%confidence interval [CI] 1.39–1.71); low educational level (HR = 1.97; 95%CI 1.60–2.43 for 90 days [HR = 2.48; 95%CI2.17–2.83]); and schizophrenia/psychoses (HR = 2.16; 95%CI 1.66–2.80), autism (HR = 1.87; 95%CI 1.42–2.46), anxiety (HR = 1.34; 95%CI 1.22–1.49) were significantly associated with an increased risk of DP. Similar risk patterns were found in men and women.Conclusion: Work-related factors and comorbid mental disorders need to be highlighted in early vocational rehabilitation for individuals with ADHD.