Working Conditions, Work Productivity, Quality of Life, and Depressive Symptoms in Undiagnosed Adults with and without Attention-Deficit/Hyperactivity Disorder (ADHD) Symptoms During the COVID-19 Pandemic

Toru Nakai,1,* Toshinaga Tsuji,1,* Hiroshi Tsuda,2– 5 Takuma Sotodate,5 Yuki Namba,1 Tatsuhiro Uenishi,6 Katsuhiko Iwasaki,6 Kinya Kokubo,7,8 Hiroaki Tomita9 1Medical Affairs Department, Shionogi & Co., Ltd, Osaka, Japan; 2Clinical Research, Innovation and Education Center, Tohok...

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Main Authors: Nakai T, Tsuji T, Tsuda H, Sotodate T, Namba Y, Uenishi T, Iwasaki K, Kokubo K, Tomita H
Format: Article
Language:English
Published: Dove Medical Press 2022-07-01
Series:Neuropsychiatric Disease and Treatment
Subjects:
Online Access:https://www.dovepress.com/working-conditions-work-productivity-quality-of-life-and-depressive-sy-peer-reviewed-fulltext-article-NDT
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author Nakai T
Tsuji T
Tsuda H
Sotodate T
Namba Y
Uenishi T
Iwasaki K
Kokubo K
Tomita H
author_facet Nakai T
Tsuji T
Tsuda H
Sotodate T
Namba Y
Uenishi T
Iwasaki K
Kokubo K
Tomita H
author_sort Nakai T
collection DOAJ
description Toru Nakai,1,* Toshinaga Tsuji,1,* Hiroshi Tsuda,2– 5 Takuma Sotodate,5 Yuki Namba,1 Tatsuhiro Uenishi,6 Katsuhiko Iwasaki,6 Kinya Kokubo,7,8 Hiroaki Tomita9 1Medical Affairs Department, Shionogi & Co., Ltd, Osaka, Japan; 2Clinical Research, Innovation and Education Center, Tohoku University Hospital, Sendai, Japan; 3Department of Neurology, Faculty of Medicine, Juntendo University, Tokyo, Japan; 4Department of Neurology, Faculty of Medicine, Toho University, Tokyo, Japan; 5Japan Medical Office, Takeda Pharmaceutical Company Limited, Tokyo, Japan; 6Data Science Department, Medilead, Inc, Tokyo, Japan; 7Medilead, Inc, Tokyo, Japan; 8Department of International Business, Faculty of International Politics and Economics, Nishogakusha University, Tokyo, Japan; 9Department of Psychiatry, Graduate School of Medicine, Tohoku University, Sendai, Japan*These authors contributed equally to this workCorrespondence: Toru Nakai, Medical Affairs Department, Shionogi & Co., Ltd, 4-7-6, Doshomachi, Chuo-ku, Osaka, 541-0045, Japan, Email toru.nakai@shionogi.co.jpPurpose: This study aims to evaluate the impact of the COVID-19 pandemic on employment status, work productivity, quality of life (QOL), and depressive symptoms in undiagnosed adults with and without attention-deficit/hyperactivity disorder (ADHD) symptoms in Japan.Methods: An observational study used baseline data from a Japanese Medilead Healthcare Panel before the COVID-19 pandemic (October–December 2019). Eligible panel participants were then surveyed during the pandemic (March 2021). ADHD symptoms were screened using the Adult ADHD Self-Report Scale. Changes in QOL (EuroQol 5-Dimensions 5-Levels; EQ-5D-5L) and productivity impairment (Work Productivity and Activity Impairment scale; WPAI) from before to during the pandemic were analyzed in undiagnosed adults with and without ADHD symptoms. Unemployment rate and depressive symptoms (Patient Health Questionnaire; PHQ-9) during the pandemic were compared between groups.Results: Participants with (N=949) and without (N=942) ADHD symptoms completed the survey. The unemployment rate was not significantly different between participants with and without ADHD symptoms. Participants with ADHD symptoms were more likely to change jobs or employers during the pandemic. PHQ-9 scores in participants with ADHD symptoms were significantly higher than in those without ADHD symptoms (8.96 vs 3.57, respectively) during the pandemic. Before the pandemic, WPAI scores were significantly higher and EQ-5D-5L scores lower in participants with ADHD symptoms than in those without. Productivity improved and QOL was not altered during the pandemic in both groups, but productivity and QOL remained poorer among participants with ADHD symptoms than in those without.Conclusion: Productivity was improved among all participants during the COVID-19 pandemic, contrary to expectations. However, adults with ADHD symptoms consistently had lower productivity, poorer QOL, and more depressive symptoms than those without ADHD symptoms.Keywords: absenteeism, ADHD symptoms, ASRS, COVID-19, depression, Japan, presenteeism, quality of life, working from home, work productivity
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spelling doaj.art-eeed8a40f4264c8197f6f7dcacc3520a2022-12-22T02:49:08ZengDove Medical PressNeuropsychiatric Disease and Treatment1178-20212022-07-01Volume 181561157276923Working Conditions, Work Productivity, Quality of Life, and Depressive Symptoms in Undiagnosed Adults with and without Attention-Deficit/Hyperactivity Disorder (ADHD) Symptoms During the COVID-19 PandemicNakai TTsuji TTsuda HSotodate TNamba YUenishi TIwasaki KKokubo KTomita HToru Nakai,1,* Toshinaga Tsuji,1,* Hiroshi Tsuda,2– 5 Takuma Sotodate,5 Yuki Namba,1 Tatsuhiro Uenishi,6 Katsuhiko Iwasaki,6 Kinya Kokubo,7,8 Hiroaki Tomita9 1Medical Affairs Department, Shionogi & Co., Ltd, Osaka, Japan; 2Clinical Research, Innovation and Education Center, Tohoku University Hospital, Sendai, Japan; 3Department of Neurology, Faculty of Medicine, Juntendo University, Tokyo, Japan; 4Department of Neurology, Faculty of Medicine, Toho University, Tokyo, Japan; 5Japan Medical Office, Takeda Pharmaceutical Company Limited, Tokyo, Japan; 6Data Science Department, Medilead, Inc, Tokyo, Japan; 7Medilead, Inc, Tokyo, Japan; 8Department of International Business, Faculty of International Politics and Economics, Nishogakusha University, Tokyo, Japan; 9Department of Psychiatry, Graduate School of Medicine, Tohoku University, Sendai, Japan*These authors contributed equally to this workCorrespondence: Toru Nakai, Medical Affairs Department, Shionogi & Co., Ltd, 4-7-6, Doshomachi, Chuo-ku, Osaka, 541-0045, Japan, Email toru.nakai@shionogi.co.jpPurpose: This study aims to evaluate the impact of the COVID-19 pandemic on employment status, work productivity, quality of life (QOL), and depressive symptoms in undiagnosed adults with and without attention-deficit/hyperactivity disorder (ADHD) symptoms in Japan.Methods: An observational study used baseline data from a Japanese Medilead Healthcare Panel before the COVID-19 pandemic (October–December 2019). Eligible panel participants were then surveyed during the pandemic (March 2021). ADHD symptoms were screened using the Adult ADHD Self-Report Scale. Changes in QOL (EuroQol 5-Dimensions 5-Levels; EQ-5D-5L) and productivity impairment (Work Productivity and Activity Impairment scale; WPAI) from before to during the pandemic were analyzed in undiagnosed adults with and without ADHD symptoms. Unemployment rate and depressive symptoms (Patient Health Questionnaire; PHQ-9) during the pandemic were compared between groups.Results: Participants with (N=949) and without (N=942) ADHD symptoms completed the survey. The unemployment rate was not significantly different between participants with and without ADHD symptoms. Participants with ADHD symptoms were more likely to change jobs or employers during the pandemic. PHQ-9 scores in participants with ADHD symptoms were significantly higher than in those without ADHD symptoms (8.96 vs 3.57, respectively) during the pandemic. Before the pandemic, WPAI scores were significantly higher and EQ-5D-5L scores lower in participants with ADHD symptoms than in those without. Productivity improved and QOL was not altered during the pandemic in both groups, but productivity and QOL remained poorer among participants with ADHD symptoms than in those without.Conclusion: Productivity was improved among all participants during the COVID-19 pandemic, contrary to expectations. However, adults with ADHD symptoms consistently had lower productivity, poorer QOL, and more depressive symptoms than those without ADHD symptoms.Keywords: absenteeism, ADHD symptoms, ASRS, COVID-19, depression, Japan, presenteeism, quality of life, working from home, work productivityhttps://www.dovepress.com/working-conditions-work-productivity-quality-of-life-and-depressive-sy-peer-reviewed-fulltext-article-NDTabsenteeismadhd symptomsasrscovid-19depressionjapanpresenteeismquality of lifeworking from homework productivity
spellingShingle Nakai T
Tsuji T
Tsuda H
Sotodate T
Namba Y
Uenishi T
Iwasaki K
Kokubo K
Tomita H
Working Conditions, Work Productivity, Quality of Life, and Depressive Symptoms in Undiagnosed Adults with and without Attention-Deficit/Hyperactivity Disorder (ADHD) Symptoms During the COVID-19 Pandemic
Neuropsychiatric Disease and Treatment
absenteeism
adhd symptoms
asrs
covid-19
depression
japan
presenteeism
quality of life
working from home
work productivity
title Working Conditions, Work Productivity, Quality of Life, and Depressive Symptoms in Undiagnosed Adults with and without Attention-Deficit/Hyperactivity Disorder (ADHD) Symptoms During the COVID-19 Pandemic
title_full Working Conditions, Work Productivity, Quality of Life, and Depressive Symptoms in Undiagnosed Adults with and without Attention-Deficit/Hyperactivity Disorder (ADHD) Symptoms During the COVID-19 Pandemic
title_fullStr Working Conditions, Work Productivity, Quality of Life, and Depressive Symptoms in Undiagnosed Adults with and without Attention-Deficit/Hyperactivity Disorder (ADHD) Symptoms During the COVID-19 Pandemic
title_full_unstemmed Working Conditions, Work Productivity, Quality of Life, and Depressive Symptoms in Undiagnosed Adults with and without Attention-Deficit/Hyperactivity Disorder (ADHD) Symptoms During the COVID-19 Pandemic
title_short Working Conditions, Work Productivity, Quality of Life, and Depressive Symptoms in Undiagnosed Adults with and without Attention-Deficit/Hyperactivity Disorder (ADHD) Symptoms During the COVID-19 Pandemic
title_sort working conditions work productivity quality of life and depressive symptoms in undiagnosed adults with and without attention deficit hyperactivity disorder adhd symptoms during the covid 19 pandemic
topic absenteeism
adhd symptoms
asrs
covid-19
depression
japan
presenteeism
quality of life
working from home
work productivity
url https://www.dovepress.com/working-conditions-work-productivity-quality-of-life-and-depressive-sy-peer-reviewed-fulltext-article-NDT
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