The socioeconomic burden of adult attention-deficit/hyperactivity disorder in Spain
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 ec...
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| Format: | Article |
| Language: | English |
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AboutScience Srl
2024-04-01
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| Series: | Global & Regional Health Technology Assessment |
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| Online Access: | https://journals.aboutscience.eu/index.php/grhta/article/view/2697 |
| _version_ | 1797217531215216640 |
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| author | Maria Merino Paulina Maravilla-Herrera Teresa Martín Lorenzo Juan Antonio Arance Julio Bobes Montse Corrales Fátima Guzmán María Morales Carlos Mur |
| author_facet | Maria Merino Paulina Maravilla-Herrera Teresa Martín Lorenzo Juan Antonio Arance Julio Bobes Montse Corrales Fátima Guzmán María Morales Carlos Mur |
| author_sort | Maria Merino |
| collection | DOAJ |
| 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.
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| first_indexed | 2024-04-24T12:03:20Z |
| format | Article |
| id | doaj.art-c3d2659cebe845d3afc1046976dd8cad |
| institution | Directory Open Access Journal |
| issn | 2284-2403 2283-5733 |
| language | English |
| last_indexed | 2024-04-24T12:03:20Z |
| publishDate | 2024-04-01 |
| publisher | AboutScience Srl |
| record_format | Article |
| series | Global & Regional Health Technology Assessment |
| spelling | doaj.art-c3d2659cebe845d3afc1046976dd8cad2024-04-08T13:23:20ZengAboutScience SrlGlobal & Regional Health Technology Assessment2284-24032283-57332024-04-0111110.33393/grhta.2024.2697The socioeconomic burden of adult attention-deficit/hyperactivity disorder in SpainMaria Merino0Paulina Maravilla-Herrera1Teresa Martín Lorenzo2Juan Antonio Arance3Julio Bobes4Montse Corrales5Fátima Guzmán6María Morales7Carlos Mur8Vivactis Weber, Madrid - SpainVivactis Weber, Madrid - SpainVivactis Weber, Madrid - SpainAlbolote Penitentiary, Granada - SpainDepartment 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, and Network Biomedical Research Centre on Mental Health—CIBERSAM, Oviedo - SpainDepartment of Psychiatry, Vall d’Hebron University Hospital, Barcelona - SpainFundación Educación Activa, Madrid - SpainDepartment of Psychiatry, Puerta de Hierro University Hospital, Majadahonda - SpainDepartment of Psychiatry, Hospital Nostra Senyora de Meritxell, Escaldes-Engordany - AndorraIntroduction: 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. https://journals.aboutscience.eu/index.php/grhta/article/view/2697adult ADHDburden of diseasehealthcare systemsocial perspectivesubstance abusework productivity loss |
| spellingShingle | Maria Merino Paulina Maravilla-Herrera Teresa Martín Lorenzo Juan Antonio Arance Julio Bobes Montse Corrales Fátima Guzmán María Morales Carlos Mur The socioeconomic burden of adult attention-deficit/hyperactivity disorder in Spain Global & Regional Health Technology Assessment adult ADHD burden of disease healthcare system social perspective substance abuse work productivity loss |
| title | The socioeconomic burden of adult attention-deficit/hyperactivity disorder in Spain |
| title_full | The socioeconomic burden of adult attention-deficit/hyperactivity disorder in Spain |
| title_fullStr | The socioeconomic burden of adult attention-deficit/hyperactivity disorder in Spain |
| title_full_unstemmed | The socioeconomic burden of adult attention-deficit/hyperactivity disorder in Spain |
| title_short | The socioeconomic burden of adult attention-deficit/hyperactivity disorder in Spain |
| title_sort | socioeconomic burden of adult attention deficit hyperactivity disorder in spain |
| topic | adult ADHD burden of disease healthcare system social perspective substance abuse work productivity loss |
| url | https://journals.aboutscience.eu/index.php/grhta/article/view/2697 |
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