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The socioeconomic burden of adult attention-deficit/hyperactivity disorder in Spain

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Title: The socioeconomic burden of adult attention-deficit/hyperactivity disorder in Spain
Authors: Maria Merino, Paulina Maravilla-Herrera, Teresa Martín Lorenzo, Juan Antonio Arance, Julio Bobes, Montse Corrales, Fátima Guzmán, María Morales, Carlos Mur
Contributors: Institut Català de la Salut, [Merino M, Maravilla-Herrera P, Martín Lorenzo T] Vivactis Weber, Madrid, Spain. [Arance JA] Albolote Penitentiary, Granada, Spain. [Bobes J] Department of Medicine, Oviedo University, Oviedo, Spain. Department of Psychiatry, Asturias Central University Hospital (HUCA), Oviedo, Spain. Principado de Asturias Health Research Institute—ISPA, Oviedo, Spain. Principado de Asturias Neurosciences Center—INEUROPA, Oviedo, Spain. Network Biomedical Research Centre on Mental Health—CIBERSAM, Oviedo, Spain. [Corrales M] Servei de Psiquiatria, Vall d’Hebron Hospital Universitari, Barcelona, Spain, Vall d'Hebron Barcelona Hospital Campus
Source: Glob Reg Health Technol Assess
Scientia
Scientia. Dipòsit d'Informació Digital del Departament de Salut
instname
Global & Regional Health Technology Assessment, Vol 11, Iss 1 (2024)
Publisher Information: Aboutscience Srl, 2024.
Publication Year: 2024
Subject Terms: NAMED GROUPS::Persons::Age Groups::Adult, Assistència sanitària - Cost, PSIQUIATRÍA Y PSICOLOGÍA::trastornos mentales::trastornos del desarrollo neurológico::trastornos conductuales disruptivos y déficit de atención::trastornos de déficit de atención con hiperactividad, adult ADHD, work productivity loss, burden of disease, ATENCIÓN DE SALUD::economía y organizaciones para la atención de la salud::economía::costes y análisis de costes::coste de las enfermedades, healthcare system, PSYCHIATRY AND PSYCHOLOGY::Mental Disorders::Neurodevelopmental Disorders::Attention Deficit and Disruptive Behavior Disorders::Attention Deficit Disorder with Hyperactivity, DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::adulto, social perspective, 3. Good health, 03 medical and health sciences, Trastorn per dèficit d'atenció amb hiperactivitat, 0302 clinical medicine, substance abuse, Medical technology, HEALTH CARE::Health Care Economics and Organizations::Economics::Costs and Cost Analysis::Cost of Illness, Adults, Original Research Article, R855-855.5
Description: Introduction: The symptoms of attention-deficit/hyperactivity disorder (ADHD) in adults highly interfere with function in multiple dimensions, increasing the economic burden associated with ADHD. The aim of this study was to explore the impact of ADHD in Spanish adults and estimate the associated economic burden within the healthcare, social, economic, and legal domains. Methods: An economic model was developed from a social perspective using a bottom-up approach, based on the scientific literature and a multidisciplinary expert group. Results: The cost incurred per diagnosed adult patient with ADHD included an annual cost of €15,652 and a one-time cost of €7,893 (3,035 M€ and 1,531 M€ for Spain, respectively). Regarding the annual cost, 50% was attributed to costs within the economic domain, of which 53% were work-absenteeism-related. Moreover, 28% was attributed to costs within the social domain, of which 74% were substance-abuse-related. Regarding the one-time cost, 52% was attributed to costs within the healthcare domain, of which approximately 50% were hospitalization-related costs. Moreover, 42% was attributed to costs within the legal domain, of which 62% were imprisonment-related costs. Conclusions: This is the first report on the socioeconomic burden of ADHD in Spanish adults, shedding light on the large burden that adult ADHD poses on the healthcare system and society at large, as symptoms have been shown to impact almost every aspect of life. This is particularly important for undiagnosed/untreated patients with ADHD in Spain, as appropriate treatments have shown positive results in these areas and may reduce its associated socioeconomic burden.
Document Type: Article
Other literature type
File Description: application/pdf
ISSN: 2283-5733
2284-2403
DOI: 10.33393/grhta.2024.2697
Access URL: https://pubmed.ncbi.nlm.nih.gov/38601072
https://hdl.handle.net/11351/11385
https://doaj.org/article/c3d2659cebe845d3afc1046976dd8cad
Rights: CC BY NC
URL: http://creativecommons.org/licenses/by-nc/4.0/Global & Regional Health Technology Assessment - ISSN 2283-5733 - www.aboutscience.eu/grhta (http://www.aboutscience.eu/grhta) This article is published by AboutScience and licensed under Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Commercial use is not permitted and is subject to Publisher’s permissions. Full information is available at www.aboutscience.eu (http://www.aboutscience.eu)
Accession Number: edsair.doi.dedup.....c4cce1f3bca06dc5ddece5fd7dbca34c
Database: OpenAIRE
Description
Abstract:Introduction: The symptoms of attention-deficit/hyperactivity disorder (ADHD) in adults highly interfere with function in multiple dimensions, increasing the economic burden associated with ADHD. The aim of this study was to explore the impact of ADHD in Spanish adults and estimate the associated economic burden within the healthcare, social, economic, and legal domains. Methods: An economic model was developed from a social perspective using a bottom-up approach, based on the scientific literature and a multidisciplinary expert group. Results: The cost incurred per diagnosed adult patient with ADHD included an annual cost of €15,652 and a one-time cost of €7,893 (3,035 M€ and 1,531 M€ for Spain, respectively). Regarding the annual cost, 50% was attributed to costs within the economic domain, of which 53% were work-absenteeism-related. Moreover, 28% was attributed to costs within the social domain, of which 74% were substance-abuse-related. Regarding the one-time cost, 52% was attributed to costs within the healthcare domain, of which approximately 50% were hospitalization-related costs. Moreover, 42% was attributed to costs within the legal domain, of which 62% were imprisonment-related costs. Conclusions: This is the first report on the socioeconomic burden of ADHD in Spanish adults, shedding light on the large burden that adult ADHD poses on the healthcare system and society at large, as symptoms have been shown to impact almost every aspect of life. This is particularly important for undiagnosed/untreated patients with ADHD in Spain, as appropriate treatments have shown positive results in these areas and may reduce its associated socioeconomic burden.
ISSN:22835733
22842403
DOI:10.33393/grhta.2024.2697