<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-04-19T13:27:00Z</responseDate><request verb="GetRecord" identifier="oai:www.recercat.cat:11351/11385" metadataPrefix="marc">https://recercat.cat/oai/request</request><GetRecord><record><header><identifier>oai:recercat.cat:11351/11385</identifier><datestamp>2025-10-24T10:30:10Z</datestamp><setSpec>com_2072_378070</setSpec><setSpec>com_2072_378040</setSpec><setSpec>col_2072_378092</setSpec></header><metadata><record xmlns="http://www.loc.gov/MARC21/slim" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:doc="http://www.lyncode.com/xoai" xsi:schemaLocation="http://www.loc.gov/MARC21/slim http://www.loc.gov/standards/marcxml/schema/MARC21slim.xsd">
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      <subfield code="a">Merino, María</subfield>
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      <subfield code="a">Maravilla-Herrera, Paulina</subfield>
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      <subfield code="a">Martín Lorenzo, Teresa</subfield>
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      <subfield code="a">Arance, Juan Antonio</subfield>
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      <subfield code="a">Bobes, Julio</subfield>
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      <subfield code="a">Corrales, Montserrat</subfield>
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      <subfield code="c">2024-04-29T10:17:49Z</subfield>
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      <subfield code="c">2024-04-05</subfield>
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      <subfield code="a">Adult ADHD; Burden of disease</subfield>
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      <subfield code="a">TDAH en adultos; Carga de enfermedad</subfield>
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      <subfield code="a">TDAH en adults; Càrrega de malaltia</subfield>
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      <subfield code="a">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.&#xd;
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.&#xd;
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.&#xd;
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.</subfield>
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      <subfield code="a">http://hdl.handle.net/11351/11385</subfield>
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      <subfield code="a">Adults</subfield>
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      <subfield code="a">Trastorn per dèficit d'atenció amb hiperactivitat</subfield>
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      <subfield code="a">Assistència sanitària - Cost</subfield>
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      <subfield code="a">PSYCHIATRY AND PSYCHOLOGY::Mental Disorders::Neurodevelopmental Disorders::Attention Deficit and Disruptive Behavior Disorders::Attention Deficit Disorder with Hyperactivity</subfield>
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      <subfield code="a">HEALTH CARE::Health Care Economics and Organizations::Economics::Costs and Cost Analysis::Cost of Illness</subfield>
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      <subfield code="a">PSIQUIATRÍA Y PSICOLOGÍA::trastornos mentales::trastornos del desarrollo neurológico::trastornos conductuales disruptivos y déficit de atención::trastornos de déficit de atención con hiperactividad</subfield>
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      <subfield code="a">ATENCIÓN DE SALUD::economía y organizaciones para la atención de la salud::economía::costes y análisis de costes::coste de las enfermedades</subfield>
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      <subfield code="a">DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::adulto</subfield>
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      <subfield code="a">The socioeconomic burden of adult attention-deficit/hyperactivity disorder in Spain</subfield>
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