{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T07:16:41Z","timestamp":1791357401686,"version":"4.3.1"},"reference-count":34,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,5,2]],"date-time":"2019-05-02T00:00:00Z","timestamp":1556755200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Shire Development LLC"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Atten Disord"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p>Objective: Investigate the association between diagnosis and outcomes in adults with symptoms of ADHD. Method: The Validate Attitudes and Lifestyle Issues in Depression, ADHD and Troubles with Eating (VALIDATE) study collected sociodemographic and clinical characteristics data, and responses from validated questionnaires on health-related quality of life (HRQoL), work productivity, functioning, and self-esteem. ADHD-diagnosed respondents ( n = 444) were matched with respondents with symptomatic ADHD ( n = 1,055) within the same sex-by-age group using propensity score matching. Effects of ADHD diagnosis on each outcome were adjusted for covariates that remained imbalanced after matching, using generalized mixed models. Results: After matching, symptomatic respondents ( n = 867) had worse outcomes than ADHD-diagnosed respondents ( n = 436), as measured by the Work Productivity and Activity Impairment: General Health questionnaire and Sheehan Disability Scale ( p &lt; .001). ADHD-diagnosed respondents had better mean EuroQol five-dimensional five-level (EQ-5D-5L) scores and Rosenberg Self-Esteem Scale scores than symptomatic respondents ( p &lt; .001). Conclusion: ADHD-diagnosed individuals are more likely to experience better functional performance, work-related productivity, HRQoL, and self-esteem than individuals with symptomatic ADHD.<\/jats:p>","DOI":"10.1177\/1087054719841129","type":"journal-article","created":{"date-parts":[[2019,5,2]],"date-time":"2019-05-02T04:58:50Z","timestamp":1556773130000},"page":"136-144","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":54,"title":["Comparison of Quality of Life, Productivity, Functioning and Self-Esteem in Adults Diagnosed With ADHD and With Symptomatic ADHD"],"prefix":"10.1177","volume":"24","author":[{"given":"Manjiri","family":"Pawaskar","sequence":"first","affiliation":[{"name":"Shire, Lexington, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moshe","family":"Fridman","sequence":"additional","affiliation":[{"name":"AMF Consulting, Inc., Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regina","family":"Grebla","sequence":"additional","affiliation":[{"name":"Shire, Lexington, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manisha","family":"Madhoo","sequence":"additional","affiliation":[{"name":"Shire, Lexington, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,5,2]]},"reference":[{"key":"bibr1-1087054719841129","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291706008713"},{"key":"bibr2-1087054719841129","doi-asserted-by":"publisher","DOI":"10.1017\/ipm.2017.49"},{"key":"bibr3-1087054719841129","doi-asserted-by":"publisher","DOI":"10.1177\/1087054707308490"},{"key":"bibr4-1087054719841129","first-page":"10","volume":"9","author":"Agarwal R.","year":"2012","journal-title":"Innovations in Clinical Neuroscience"},{"key":"bibr5-1087054719841129","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1994","edition":"4"},{"key":"bibr6-1087054719841129","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"2000","edition":"4"},{"key":"bibr7-1087054719841129","doi-asserted-by":"publisher","DOI":"10.1586\/14737175.5.4.525"},{"key":"bibr8-1087054719841129","doi-asserted-by":"publisher","DOI":"10.1177\/1087054711435360"},{"key":"bibr9-1087054719841129","first-page":"610","volume":"111","author":"Baron D. 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