Britt Laugesen1, Christina Mohr-Jensen2, Søren Kjærgaard Boldsen2, Rikke Jørgensen3, Erik Elgaard Sørensen4, Mette Grønkjær4, Philippa Rasmussen5, Marlene Briciet Lauritsen6. 1. Clinical Nursing Research Unit, Aalborg University Hospital, Denmark. Electronic address: britt.laugesen@rn.dk. 2. Research Unit for Child and Adolescent Psychiatry, Psychiatry, Aalborg University Hospital, Denmark. 3. Unit for Psychiatric Research, Aalborg Psychiatric Hospital, Aalborg University Hospital, Denmark. 4. Clinical Nursing Research Unit, Aalborg University Hospital, Denmark; Department of Clinical Medicine, Aalborg University, Denmark. 5. Adelaide Nursing School, The University of Adelaide, Australia. 6. Research Unit for Child and Adolescent Psychiatry, Psychiatry, Aalborg University Hospital, Denmark; Adelaide Nursing School, The University of Adelaide, Australia.
Abstract
OBJECTIVES: To compare the mean number of medical and psychiatric hospital-based services in children with and without attention deficit hyperactivity disorder (ADHD) and to assess the effect of ADHD on hospital-based service use, including child-, parental-, and socioeconomic-related risk factors. STUDY DESIGN: A Danish birth cohort was followed through 12 years, and children with ADHD were identified using Danish nationwide registries. Poisson regression analyses were used to assess the association of ADHD with service use and to adjust for a comprehensive set of explanatory variables. RESULTS: Children diagnosed with ADHD used more medical and psychiatric hospital-based healthcare than those without ADHD. In children with ADHD, intellectual disability and parental psychiatric disorder were associated with increased medical and psychiatric service use. Low birth weight and low gestational age were associated with increased medical service use. Psychiatric comorbidity and having a divorced or single parent were associated with increased psychiatric service use. CONCLUSIONS: ADHD independently affected medical and psychiatric hospital-based service use even when adjusting for a comprehensive set of explanatory variables. However, the pattern of medical and psychiatric hospital-based service use is complex and cannot exclusively be explained by the child-, parental-, and socioeconomic-related variables examined in this study.
OBJECTIVES: To compare the mean number of medical and psychiatric hospital-based services in children with and without attention deficit hyperactivity disorder (ADHD) and to assess the effect of ADHD on hospital-based service use, including child-, parental-, and socioeconomic-related risk factors. STUDY DESIGN: A Danish birth cohort was followed through 12 years, and children with ADHD were identified using Danish nationwide registries. Poisson regression analyses were used to assess the association of ADHD with service use and to adjust for a comprehensive set of explanatory variables. RESULTS:Children diagnosed with ADHD used more medical and psychiatric hospital-based healthcare than those without ADHD. In children with ADHD, intellectual disability and parental psychiatric disorder were associated with increased medical and psychiatric service use. Low birth weight and low gestational age were associated with increased medical service use. Psychiatric comorbidity and having a divorced or single parent were associated with increased psychiatric service use. CONCLUSIONS:ADHD independently affected medical and psychiatric hospital-based service use even when adjusting for a comprehensive set of explanatory variables. However, the pattern of medical and psychiatric hospital-based service use is complex and cannot exclusively be explained by the child-, parental-, and socioeconomic-related variables examined in this study.
Authors: Matthew M Engelhard; Samuel I Berchuck; Jyotsna Garg; Ricardo Henao; Andrew Olson; Shelley Rusincovitch; Geraldine Dawson; Scott H Kollins Journal: Sci Rep Date: 2020-10-19 Impact factor: 4.379