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ADHD and Social Life
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Visual Abstract

Social and emotional difficulties in children with ADHD and the impact on school attendance and healthcare utilization

Impact of Emotional Difficulties on School and Healthcare in ADHD Kids

Classi P, Milton D, Ward S, Sarsour K, Johnston J
Summarized by:
Charles Li, MD
February 27, 2024
study source
Child Adolesc Psychiatry Ment Health
10/04/2012
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What they studied
They explored how social and emotional issues affect school attendance and healthcare use in kids with ADHD.
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What they found
Kids with ADHD and emotional problems missed more school and used more healthcare than those without these issues.
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Why it matters
For kids with ADHD, emotional difficulties can lead to more missed school and more doctor visits.

Objectives

The study aimed to understand how having both social and emotional challenges alongside ADHD affects children's school attendance and their need for medical care. In simpler terms, the researchers wanted to see if kids with ADHD who also feel very sad or anxious miss more school and go to the doctor more often than kids with just ADHD.

Study Quote
Classi et al, 2012

The objective of this study was to examine the impact of co-occurring social and emotional difficulties on missed school days and healthcare utilization among children with attention deficit/hyperactivity disorder (ADHD).

Methods

The study looked at information from a big survey done in the U.S. in 2007. This survey asked parents about their children's health, including if they have ADHD, and their emotional well-being, like if they feel sad or scared often. The researchers used a special kind of math called logistic regression to determine if there's a link between these emotional problems and missing school or needing more healthcare.

Study Quote
Classi et al, 2012

Data were from the 2007 U.S. National Health Interview Survey (NHIS) and were based on parental proxy responses to questions in the Sample Child Core, which includes questions on demographics, health, healthcare treatment, and social and emotional status as measured by questions about de...

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Results

The study found out that kids with ADHD who also have emotional problems like feeling very anxious or sad are more likely to miss a lot of school and need to see doctors or go to the hospital more often. Specifically, kids with ADHD and anxiety might miss over two weeks of school, and those with depression are even more likely to miss school. These kids also end up going to the emergency room or seeing healthcare providers more often because of their emotional difficulties.

Study Quote
Classi et al, 2012

Of the 5896 children aged 6-17 years in the 2007 NHIS, 432 (7.3%) had ADHD, based on parental report. Children with ADHD and comorbid depression, anxiety, or phobias had significantly greater odds of experiencing > 2 weeks of missed school days, ≥ 6 visits to a healthcare provider (HCP),...

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Conclusions

In summary, the study shows that children with ADHD who also face emotional challenges are more likely to miss school and use healthcare services more frequently. This finding is important because it highlights the need to pay attention to not just ADHD but also the emotional well-being of these children to help them do better in school and stay healthy.

Study Quote
Classi et al, 2012

In children with ADHD, the presence of social and emotional problems resulted in greater odds of missed school days and healthcare utilization. These findings should be viewed in light of the limited nature of the parent-report measures used to assess social and emotional problems.

Key Takeaways

Increased School Absence
Children with ADHD and emotional issues are more likely to miss school, highlighting the need for supportive interventions.
Higher Healthcare Usage
These children also tend to use more healthcare services, indicating a higher burden on families and healthcare systems.
Significance of Emotional Support
Providing emotional support to ADHD kids can potentially reduce their healthcare needs and improve their educational outcomes.

Context

ADHD is known to make school harder for kids in various ways. For example, children with the inattentive type of ADHD may struggle with remembering things, which can affect how they do in school. Teenagers with ADHD might act out or have a hard time staying focused, which also makes learning difficult.

Additionally, studies have shown that certain therapies, like Cognitive Behavioral Therapy (CBT), can help children with ADHD improve their planning skills and reduce negative behaviors, which can make a big difference in their school performance. Parents getting involved in these therapy sessions can also boost their effectiveness, making it a team effort to support the child's success in school.