Surprising ADHD research finds greater life demands linked to reduced symptoms
www.psypost.org
Recent research found that ADHD often fluctuates, with most individuals experiencing alternating periods of remission and recurrence influenced by environmental demands, rather than following a static course of persistence or permanent remission. Recovery is rare, occurring in only 9.1%.

Curious to hear what others think, as this definitely aligns with my own experiences.

The original study is behind a paywall, but I’m trying to see if I can get a hold of the full text somehow. For now, here’s the abstract.

Abstract

Objectives: Recent studies report a fluctuating course of attention-deficit/ hyperactivity disorder (ADHD) across development characterized by intermittent periods of remission and recurrence. In the Multimodal Treatment of ADHD (MTA) study, we investigated fluctuating ADHD including clinical expression over time, childhood predictors, and between- and within-person associations with factors hypothesized as relevant to remission and recurrence.

Methods: Children with DSM-5 ADHD, combined type (N = 483), participating in the MTA adult follow-up were assessed 9 times from baseline (mean age = 8.46) to 16-year follow-up (mean age = 25.12). The fluctuating subgroup (63.8% of sample) was compared to other MTA subgroups on variables of interest over time.

Results: The fluctuating subgroup experienced multiple fluctuations over 16 years (mean = 3.58, SD = 1.36) with a 6- to 7-symptom within-person difference between peaks and troughs. Remission periods typically first occurred in adolescence and were associated with higher environmental demands (both between- and within-person), particularly at younger ages. Compared to other groups, the fluctuating subgroup demonstrated moderate clinical severity. In contrast, the stable persistent group (10.8%) was specifically associated with early and lasting risk for mood disorders, substance use problems in adolescence/ young adulthood, low medication utilization, and poorer response to childhood treatment. Protective factors were detected in the recovery group (9.1%; very low parental psychopathology) and the partial remission group (15.6%; higher rates of comorbid anxiety).

Conclusions: In the absence of specific risk or protective factors, individuals with ADHD demonstrated meaningful within-individual fluctuations across development. Clinicians should communicate this expectation and monitor fluctuations to trigger as-needed return to care. During remission periods, individuals with ADHD successfully manage increased demands and responsibilities.

  • TʜᴇʀᴀᴘʏGⒶʀʏ@lemmy.blahaj.zoneEnglish
    9·
    7 hours ago

    surprising

    As a therapist with ADHD and lots of clients with ADHD, this is not a surprise to me at all, and I can’t imagine it’s a surprise to anyone else in the field (that would be surprising)

    • QualifiedKitten@lemmy.worldOPEnglish
      4·
      6 hours ago

      Any suggestions on ways someone might use this theory to better manage their symptoms? How can I make myself feel more busy when life isn’t keeping me busy enough?

      I’ve tried asking my manager for more work, but they’ve instead shifted some of my work to other people. I’ve been considering looking for a second job, but I’m afraid that will swing things too far to the other side.