Attention Deficit Hyperactivity Disorder (ADHD) in Military Contexts with regard to Psychosocial and Occupational...

ADHD is typically characterised by inattention, impulsivity, and hyperactivity, often persisting into adulthood and influencing occupational performance, social interactions, and mental well-being. This scoping review and narrative synthesis aims to address a critical knowledge gap by systematically mapping the existing research on ADHD in military contexts with regard to psychosocial and occupational outcomes. As such, the aims of this study were (a) to aggregate findings regarding ADHD and psychosocial and occupational outcomes of military personnel and (b) to critically review and provide an account of the methodological quality of these studies.

A systematic search across four electronic databases (PubMed, PsycINFO, Embase and CINAHL) detected and retrieved 1,956 studies. After removal of duplicates, 1,263 titles and abstracts were screened. Following this, 106 articles progressed to full text review, and a total of 51 studies were included in the current scoping review and narrative synthesis.

The review indicated that ADHD is strongly associated with comorbid conditions such as post-traumatic stress disorder (PTSD), depression, and substance use disorders, though the extent to which these outcomes are attributable to ADHD versus broader environmental factors remains debated. Occupational functioning outcomes are similarly complex, with some studies reporting challenges in training, career progression, and retention, while others highlight the adaptability and strengths of personnel with ADHD when adequately supported.

While ADHD presents both occupational and psychosocial challenges for military personnel, existing research primarily focuses on impairment rather than adaptation or strengths. Future studies should adopt a more holistic approach, incorporating neuroaffirmative principles, environmental factors, and individual variability with a view to informing current practices.