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Attention deficit hyperactivity disorder (ADHD)--life insurance implications.

M Jack Cotlar1

  • 1Amerus Life Insurance Group. jack.cotlar@indianapolislife.com

Journal of Insurance Medicine (New York, N.Y.)
|December 26, 2003
PubMed
Summary

Attention deficit hyperactivity disorder (ADHD) affects many youth and can persist into adulthood. A small subset with ADHD faces higher mortality risks, requiring medical recognition.

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Area of Science:

  • Neurobehavioral disorders
  • Child and adolescent psychiatry
  • Public health

Background:

  • Attention deficit hyperactivity disorder (ADHD) is the most prevalent neurobehavioral disorder in youth.
  • ADHD symptoms often persist into adulthood, affecting approximately 50% of individuals.
  • Comorbid conditions like conduct disorders, psychiatric issues, and substance abuse are common in persistent ADHD cases.

Purpose of the Study:

  • To highlight the long-term implications of ADHD in youth.
  • To emphasize the need for recognizing ADHD in adults.
  • To identify a high-risk subgroup of ADHD patients with increased mortality.

Main Methods:

  • Review of epidemiological data on ADHD prevalence and persistence.
  • Analysis of comorbidities associated with ADHD in adolescents and young adults.

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  • Identification of risk factors for increased mortality in the ADHD population.
  • Main Results:

    • ADHD is the leading neurobehavioral disorder in children and adolescents.
    • A significant proportion of individuals with ADHD continue to experience symptoms into their twenties.
    • Certain individuals with ADHD exhibit a mortality rate exceeding that of the general population.

    Conclusions:

    • Medical directors must be vigilant in identifying youth with ADHD who are at elevated risk.
    • Early recognition and intervention are crucial for managing long-term ADHD outcomes.
    • Understanding ADHD's impact on mortality is essential for comprehensive patient care.