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A Qualitative Analysis of Contextual Factors Relevant to Suspected Late-Onset ADHD.

Publication ,  Journal Article
Mitchell, JT; Sibley, MH; Hinshaw, SP; Kennedy, TM; Chronis-Tuscano, A; Arnold, LE; Swanson, JM; Hechtman, LT; Molina, BSG; Caye, A; Tamm, L ...
Published in: J Atten Disord
March 2021

Objective: Recent studies suggest attention-deficit/hyperactivity disorder (ADHD) may emerge post-childhood. We integrate qualitative methods to systematically characterize contextual factors that may (a) delay identification of ADHD in childhood and (b) inform why ADHD symptoms emerge post-childhood. Method: Suspected late-onset ADHD cases from the local normative comparison group of the Multimodal Treatment Study of ADHD completed a qualitative interview (14 young adults and 7 caregivers). Interviews were qualitatively analyzed. Results: We identified five themes. Three themes may attenuate or delay identification of childhood ADHD: external factors (e.g., supportive adults), internal factors (e.g., strong intellectual functioning), and other factors (e.g., dismissive attitudes toward ADHD). Two themes may accompany an increase in ADHD symptoms post-childhood: external factors (e.g., increased external demands) and internal factors (e.g., perceived stress). Conclusion: Clinicians should probe these factors in suspected late-onset cases to address (a) whether, how, and to what extent ADHD was attenuated in childhood and (b) why symptoms emerge post-childhood.

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Published In

J Atten Disord

DOI

EISSN

1557-1246

Publication Date

March 2021

Volume

25

Issue

5

Start / End Page

724 / 735

Location

United States

Related Subject Headings

  • Young Adult
  • Humans
  • Developmental & Child Psychology
  • Combined Modality Therapy
  • Child
  • Attention Deficit Disorder with Hyperactivity
  • 5203 Clinical and health psychology
  • 5202 Biological psychology
  • 5201 Applied and developmental psychology
  • 1701 Psychology
 

Citation

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Mitchell, J. T., Sibley, M. H., Hinshaw, S. P., Kennedy, T. M., Chronis-Tuscano, A., Arnold, L. E., … Jensen, P. S. (2021). A Qualitative Analysis of Contextual Factors Relevant to Suspected Late-Onset ADHD. J Atten Disord, 25(5), 724–735. https://doi.org/10.1177/1087054719837743
Mitchell, John T., Margaret H. Sibley, Stephen P. Hinshaw, Traci M. Kennedy, Andrea Chronis-Tuscano, L Eugene Arnold, James M. Swanson, et al. “A Qualitative Analysis of Contextual Factors Relevant to Suspected Late-Onset ADHD.J Atten Disord 25, no. 5 (March 2021): 724–35. https://doi.org/10.1177/1087054719837743.
Mitchell JT, Sibley MH, Hinshaw SP, Kennedy TM, Chronis-Tuscano A, Arnold LE, et al. A Qualitative Analysis of Contextual Factors Relevant to Suspected Late-Onset ADHD. J Atten Disord. 2021 Mar;25(5):724–35.
Mitchell, John T., et al. “A Qualitative Analysis of Contextual Factors Relevant to Suspected Late-Onset ADHD.J Atten Disord, vol. 25, no. 5, Mar. 2021, pp. 724–35. Pubmed, doi:10.1177/1087054719837743.
Mitchell JT, Sibley MH, Hinshaw SP, Kennedy TM, Chronis-Tuscano A, Arnold LE, Swanson JM, Hechtman LT, Molina BSG, Caye A, Tamm L, Owens EB, Roy A, Weisner TS, Murray DW, Jensen PS. A Qualitative Analysis of Contextual Factors Relevant to Suspected Late-Onset ADHD. J Atten Disord. 2021 Mar;25(5):724–735.
Journal cover image

Published In

J Atten Disord

DOI

EISSN

1557-1246

Publication Date

March 2021

Volume

25

Issue

5

Start / End Page

724 / 735

Location

United States

Related Subject Headings

  • Young Adult
  • Humans
  • Developmental & Child Psychology
  • Combined Modality Therapy
  • Child
  • Attention Deficit Disorder with Hyperactivity
  • 5203 Clinical and health psychology
  • 5202 Biological psychology
  • 5201 Applied and developmental psychology
  • 1701 Psychology