Attention Deficit Hyperactivity Disorder

Adult Outcome and Its Predictors

Edited by Lily Hechtman

Reports on early and middle adulthood outcome in many different domains, including education, occupation, social and emotional functioning, substance abuse, legal problems, and antisocial behavior
Discusses a wide range of predictors of outcome such as medication and psychosocial treatment, IQ, comorbidity, SES, and family functioning
Emphasizes prognosis and key issues in promoting positive outcomes
Seven different highly respected well-controlled prospective follow-up studies from across the country are reviewed by the researchers who headed them

Attention Deficit Hyperactivity Disorder

Adult Outcome and Its Predictors

Edited by Lily Hechtman

Description

The book provides a comprehensive summary of the best known and most highly respected well-controlled long-term prospective follow-up studies in ADHD. These studies followed children with ADHD and matched controls into young adulthood (mean age 20-25 years) and middle-age (mean age 41 years). They explore a wide variety of outcome areas, e.g. education, occupation, emotional and psychiatric functioning, substance use and abuse, sexual behavior, as well as legal problems. One chapter focuses particularly on the outcome of girls with ADHD. Outcome areas explored are thus comprehensive and clinically very relevant.

The book also explores the possible predictors of adult outcome. A whole chapter is devoted to treatment (medication and psychosocial) as a predictor of outcome.

In addition to treatment, predictors explored include characteristics of the child (e.g., IQ, severity of initial ADHD symptoms, initial comorbidity characteristics of the family, e.g., socioeconomic status, single parenthood, parental pathology, and family functioning.

In a summary chapter, the impact and importance of these various predictors in different outcome areas, e.g. education, occupation, emotional/social functioning, antisocial behavior, substance use and abuse and risky sexual and driving behaviors are explored.

In summary, the book provides a comprehensive view of the prognosis, e.g., long-term outcome of ADHD and key factors which can influence this outcome.

Professionals and the general public will thus get a clear view of what can happen to children with ADHD as they proceed through adolescence and adulthood and address important prognostic and predictive factors in their treatment approaches to ensure better long-term outcome in patients with ADHD.

Attention Deficit Hyperactivity Disorder

Adult Outcome and Its Predictors

Edited by Lily Hechtman

1. Introduction
Lily Hechtman
2. The Montreal Study
Mariya V. Cherkasova, Gabrielle Weiss, Lily Hechtman
3. The New York Study
Sylvaine Houssais, Lily Hechtman, Rachel G. Klein
4. The Milwaukee Study
Russell A. Barkley, Mariellen Fischer
5. The Pittsburgh Study
Brooke S.G. Molina, Margaret H. Sibley, Sarah L. Pedersen, William E. Pelham Jr.
6. The Massachusetts General Hospital Study (Boston)
Mai Uchida, Joseph Biederman
7. The Berkeley Girls Study
Elizabeth B. Owens, Christine A. Zalecki, Stephen P. Hinshaw
8. The Multisite Multimodal Treatment of ADHD Study (MTA)
Arunima Roy, Lily Hechtman
9. Influence of Treatment on Outcome
Lily Hechtman
10. Summary Chapter

Attention Deficit Hyperactivity Disorder

Adult Outcome and Its Predictors

Edited by Lily Hechtman

Author Information

Dr. Lily Hechtman is a Professor of Psychiatry and Pediatrics at McGill University and Director of Research in the Division of Child Psychiatry. Her research has focused on long-term prospective studies of children with ADHD followed into adolescence and adulthood, summarized in: Weiss, G, Hechtman, L: Hyperactive Children Grown Up, second edition, Guilford Press, 1993. Interest in the diagnosis and treatment of adults with ADHD resulted in: Weiss, M, Hechtman, L, Weiss, G: ADHD in Adulthood - A Guide to Current Theory, Diagnosis, and Treatment. The John Hopkins Press, 1999. Drs. Hechtman and Abikoff conducted the first controlled multimodal treatment study of children with ADHD. This study set the stage for the multisite multimodal treatment of children with ADHD (the MTA study). Dr. Hechtman headed one of the sites. Dr. Hechtman has been honored by the American Child and Adults with ADHD (CHADD) organization, and CACAP for

Contributors:

Russell A. Barkley, PhD
Clinical Professor of Psychiatry
Medical University of South Carolina
Charleston, SC, USA

Joseph Biederman, MD
Chief, Clinical and Research Programsý in Pediatric Psychopharmacologyý and Adult ADHD
Director, Bressler Program for Autism Spectrum Disorders
Massachusetts General Hospitalý
Professor of Psychiatryý
Harvard Medical School
Boston, MA, USA

Mariya V. Cherkasova, PhD
University of British Columbia
Vancouver, BC, Canada

Mariellen Fischer, PhD
Associated Mental Health Consultants
Milwaukee, WI, USA

Lily Hechtman, MD, FRCP
Division of Child Psychiatry
Montreal Children's Hospital
McGill University Health Centre
Montréal, QC, Canada

Stephen P. Hinshaw, PhD
Professor of Psychology, University of California, Berkeley
Berkeley, CA, USA
Professor of Psychiatry, University of California, San Francisco
San Francisco, CA, USA

Sylvaine Houssais, MA

Brooke S.G. Molina, PhD
Professor of Psychiatry and Psychology
University of Pittsburgh
Pittsburgh, PA, USA

Elizabeth B. Owens, PhD
Institute of Human Development
University of California, Berkeley
Berkeley, CA, USA

Sarah L. Pedersen, PhD
Department of Psychiatry
University of Pittsburgh
Pittsburgh, PA, USA

William E. Pelham, Jr., PhD
Department of Psychology
Center for Children and Families
Florida International University
Miami, FL, USA

Arunima Roy, MBBS
McGill University Health Centre
Montréal, QC, Canada

Margaret H. Sibley, PhD
Florida International University
Center for Children and Families
Miami, FL, USA

Mai Uchida, MD
Psychiatry Department
Massachusetts General Hospital
Harvard Medical School
Boston, MA, USA

Gabrielle Weiss, MD

Christine A. Zalecki, PhD
University of California, San Francisco
Children's Center at Langley Porter
San Francisco, CA, USA
University of California, Berkeley
Institute of Human Development
Berkeley, CA, USA