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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

EV0060

The relationship between occupational status and comorbid psychiatric disorders in young adults with attention-deficit/hyperactivity disorder: a longitudinal chart review

THE RELATIONSHIP BETWEEN OCCUPATIONAL STATUS AND CO-OCCURRING PSYCHIATRIC CONDITIONS IN YOUNG ADULTS WITH ADHD: A LONGITUDINAL CHART REVIEW

Comorbid psychiatric diagnoses in young adults with attention-deficit/hyperactivity disorder vary over time, and there is a bidirectional relationship between occupational status and comorbid diagnoses.

The aim of the study was to examine longitudinal changes in sick leave recommendations and comorbid psychiatric diagnoses in a clinical cohort of young adults diagnosed with attention-deficit/hyperactivity disorder (ADHD), and to investigate the relationships between occupational status and comorbid disorders at baseline and at the three-year follow-up. The longitudinal chart review included 444 young adults diagnosed with ADHD who were receiving outpatient psychiatric care; comorbid psychiatric diagnoses and occupational status at baseline and at the three-year follow-up were extracted from medical records. Cohort characteristics and the prevalence of comorbid diagnoses and occupational status categories were described, and longitudinal changes were analyzed using McNemar’s test and multivariable logistic regression. Statistically significant changes were observed in the prevalence of anxiety disorders, personality disorders, and intellectual disability; the proportion of patients without any comorbid diagnosis decreased, and the proportion of unemployed patients declined significantly from baseline to follow-up. In the regression analyses, baseline comorbid diagnoses were associated with employment status or receiving a sick leave recommendation at follow-up, but not with unemployment; baseline autism spectrum disorder (ASD) and personality disorder were associated with a lower likelihood of employment and a higher likelihood of receiving a sick leave recommendation at follow-up. In the reverse direction, patients with a sick leave recommendation at baseline were more likely to receive an ASD diagnosis at follow-up, whereas patients who were employed at baseline were more likely to have no comorbid diagnosis at follow-up, and this association persisted after adjustment for baseline comorbid diagnoses. In conclusion, because comorbid disorders are not stable over time, identifying high-risk individuals on the basis of a single assessment may be misleading; although the findings are limited by the sample characteristics, they highlight the need for longitudinal research examining the interplay between mental health and labor market participation.

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