3 ms·

There are actually a lot of causes. Barkley (2018)[1] says: > The reduced ELE linked to ADHD was found to be a function of the first order variables of less ed

There are actually a lot of causes. Barkley (2018)[1] says: > The reduced ELE linked to ADHD was found to be a function of the first order variables of less education, less annual income, greater consumption of alcohol and tobacco, diminished sleep, and poorer overall health status relative to the control group. Moreover, ELE was also shown to be a function of the second order traits of deficient behavioral inhi- bition in daily life and, much less so, of low verbal IQ, greater interpersonal hostility, and deficient nonverbal fluency. and: > For instance, besides ADHD-C itself, this study showed that behavioral disinhibition (as assessed by EF ratings in daily life), verbal IQ, the comorbid psychopathology of hostility, and the EF of nonverbal fluency (and its associa- tion with nonverbal working memory) all uniquely contrib- uted, in descending order, to variation in life expectancy. The largest percentage, however, by far was contributed by behavioral disinhibition. Nigg (2013)[2] says: > ADHD is clearly associated with worse physical health outcomes across multiple domains. These include unhealthy behaviors and outcomes like smoking, illicit substance use disorders, accidental injuries, obesity, and even suicide attempts and completed suicides. ---- Basically, having ADHD means you have less self-control, engage in riskier behaviour (including riskier eating habits, substance abuse, driving, sex. It also means you struggle in life, resulting in suicidality, aggressiveness and anti-social behaviour. You sleep worse. You're more likely to smoke because nicotine is a stimulant which has a medicating effect on ADHD symptoms. [1]: Hyperactive Child Syndrome and Estimated Life Expectancy at Young Adult Follow-Up: The Role of ADHD Persistence and Other Potential Predictors, Barkley 2018 [2]: Attention-deficit/hyperactivity disorder and adverse health outcomes, Nigg 2013 (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322430/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322430/)

zepto 5y ago
> It also means you struggle in life, resulting in suicidality, aggressiveness and anti-social behaviour. This is the stuff that seems like it could be dealt with by society being more accommodating rather than drugs.
- BirdieNZ 5y ago
  How is society being more accommodating going to help with me wanting to be able to live my life like a normal adult rather than struggling with simple things? It isn't society's expectations that make life most difficult for me, it's my own.
  - zepto 5y ago
    Where did you get your idea of how a normal adult lives their life, if not from society?
    - BirdieNZ 5y ago
      I did get it from society, of course. I wouldn't equate changing society's accommodations with changing how easy the normal adult finds life, though. Changing accommodations has no impact on how easy my non-ADHD friends find their lives compared to me. Society can accommodate my difficulty in doing chores but that doesn't change that most of my friends don't find it difficult to take out the rubbish if they want to.
      - zepto 5y ago
        > Society can accommodate my difficulty in doing chores How do you define “chores”? It’s seems very true that people with ADHD find it hard to get through a to-do list in a linear fashion. If that is what it means to do chores, then maybe there is a way to prevent rubbish accumulating that doesn’t require that of you. > that doesn't change that most of my friends don't find it difficult to take out the rubbish if they want to. Do you want to take out the rubbish? Or do you start out wanting to and then want to do something else?
        BirdieNZ 5y ago
        > Do you want to take out the rubbish? Or do you start out wanting to and then want to do something else? Both can occur but the first one is more problematic: I want to take out the rubbish but it feels like torture to force myself to start the task. It's not something easy to explain if you haven't experienced it, but it feels something like there's an invisible wall that prevents me from starting. On meds there is almost no wall. I simply choose to do something and start doing it. It feels miraculous to me. Society has nothing to do with it.

zepto 5y ago

> It also means you struggle in life, resulting in suicidality, aggressiveness and anti-social behaviour. This is the stuff that seems like it could be dealt with by society being more accommodating rather than drugs.

BirdieNZ 5y ago
How is society being more accommodating going to help with me wanting to be able to live my life like a normal adult rather than struggling with simple things? It isn't society's expectations that make life most difficult for me, it's my own.
- zepto 5y ago
  Where did you get your idea of how a normal adult lives their life, if not from society?
  - BirdieNZ 5y ago
    I did get it from society, of course. I wouldn't equate changing society's accommodations with changing how easy the normal adult finds life, though. Changing accommodations has no impact on how easy my non-ADHD friends find their lives compared to me. Society can accommodate my difficulty in doing chores but that doesn't change that most of my friends don't find it difficult to take out the rubbish if they want to.
    - zepto 5y ago
      > Society can accommodate my difficulty in doing chores How do you define “chores”? It’s seems very true that people with ADHD find it hard to get through a to-do list in a linear fashion. If that is what it means to do chores, then maybe there is a way to prevent rubbish accumulating that doesn’t require that of you. > that doesn't change that most of my friends don't find it difficult to take out the rubbish if they want to. Do you want to take out the rubbish? Or do you start out wanting to and then want to do something else?
      - BirdieNZ 5y ago
        > Do you want to take out the rubbish? Or do you start out wanting to and then want to do something else? Both can occur but the first one is more problematic: I want to take out the rubbish but it feels like torture to force myself to start the task. It's not something easy to explain if you haven't experienced it, but it feels something like there's an invisible wall that prevents me from starting. On meds there is almost no wall. I simply choose to do something and start doing it. It feels miraculous to me. Society has nothing to do with it.