Evidence map›Paper›PMID 40026115›Full record

ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2025

Impaired health-related quality of life, and depressive symptoms in a cohort of healthy adults with symptoms of attention deficit/hyperactivity disorder.

Annemette Hald, Ole Birger Pedersen, Kristoffer Sølvsten Burgdorf, Lise W Thørner, Christina Mikkelsen, Lea A N Christoffersen, Henrik Ullum, Henrik Hjalgrim, Christian Erikstrup, Mie T Bruun and 7 more

Abstract read
In one paragraph

Article in European psychiatry : the journal of the Association of European Psychiatrists, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Annemette HaldViro-Immunology Research Unit, Department of Infectious Diseases, Rigshospitalet Copenhagen University Hospital, Copenhagen, Denmark.ORCID 0000-0001-6906-8159
Ole Birger PedersenDepartment of Clinical Immunology, Zealand University Hospital, Køge, Denmark.ORCID 0000-0003-2312-5976
Kristoffer Sølvsten BurgdorfNovo Nordisk Foundation Center for Protein Research, University of Copenhagen, Copenhagen, Denmark.
Lise W ThørnerDepartment of Clinical Immunology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0003-4391-4956
Christina MikkelsenDepartment of Clinical Immunology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0002-2945-6197
Lea A N ChristoffersenDepartment of Clinical Immunology, Zealand University Hospital, Køge, Denmark.ORCID 0000-0002-5816-6324
Henrik UllumStatens Serum Institut, Copenhagen, Denmark.ORCID 0000-0001-7306-9058
Henrik HjalgrimDanish Cancer Society Research Center, Copenhagen, Denmark.ORCID 0000-0002-4436-6798
Christian ErikstrupDepartment of Clinical Immunology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0001-6551-6647
Mie T BruunDepartment of Clinical Immunology, Odense University Hospital, Odense, Denmark.ORCID 0000-0002-8819-5388
Bitten AagaardDepartment of Clinical Immunology, Aalborg University Hospital, Aalborg, Denmark.ORCID 0000-0001-8306-1332
Susan MikkelsenDepartment of Clinical Immunology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0001-7806-1143
Thomas F HansenDepartment of Neurology, Danish Headache center/Danish Multiple Sclerosis Center, Copenhagen University Hospital, Rigshospitalet, Glostrup, Denmark.
Thomas WergeInstitute of Biological Psychiatry, Copenhagen Mental Health Services, Copenhagen University Hospital, Roskilde, Denmark.
Andrew J SchorkInstitute of Biological Psychiatry, Copenhagen Mental Health Services, Copenhagen University Hospital, Roskilde, Denmark.ORCID 0000-0003-4164-9335
Sisse Rye OstrowskiDepartment of Clinical Immunology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0001-5288-3851
Maria DidriksenDepartment of Clinical Immunology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0002-4856-496X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAttention deficit/hyperactivity disorder (ADHD) prevalence has increased in the last 10 years, most likely due to increased recognition by clinicians. Even so, an issue with under-diagnostics may persist. Historically ADHD has been described as a male-dominant disorder. However, recent evidence shows that ADHD prevalence is similar between the sexes, but that the related impairment or symptomatology might vary. This study estimated the prevalence of undiagnosed ADHD symptoms (pADHD) and explored the sex-stratified symptomatology and associations with self-perceived health-related quality of life (HRQL) and experience of depressive symptoms.

methodsThis was done in a unique cohort of 50,937 healthy blood donors - individuals who successfully maintain regular commitments despite potential ADHD symptoms. ADHD symptoms were estimated using the Adult ADHD Self-Report Scale (ASRS), health-related quality of life (HRQL) measured using mental and physical component scores (MCS/PCS) estimated based on a 12-item Short-Form Health Survey (SF-12) with a higher score indicating better HRQL, and depressive symptoms were measured using Major Depression Inventory (MDI) with higher score indicating more depressive symptoms.

resultsIn total, 3% were classified with pADHD (sex ratio 1:1). pADHD was associated with reduced MCS and PCS, and increased MDI score. Males scored on average higher on inattentive symptoms compared to females, whereas females scored on average higher on hyperactive-impulsive symptoms. Individuals scoring high on the combined inattentive and hyperactive-impulsive ADHD symptom presentation were most likely to be impaired in terms of higher MDI scores and lower PCS when compared to non-ADHD controls.

conclusionsIn conclusion, ADHD symptoms are common in this seemingly healthy and undiagnosed population. Symptom presentations differ between sexes and the type of presentation seems to impact the association with depressive symptoms and level of reduced HRQL.

Indexed as

Attention Deficit Disorder with HyperactivityDepressionQuality of LifeAdultCohort StudiesFemaleHumansMaleMiddle AgedPrevalenceSex FactorsYoung AdultADHD presentationADHD symptomatologyASRSDBDSDepressive disorder

Identifiers

PMID40026115
PMCPMC12041732

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.