OTSurveyJournal of occupational rehabilitation2026

Predicting Occupational Outcomes for Individuals with ADHD: The Role of Hyperactivity/Impulsivity and Executive Functioning.

Elizabeth S M Chan, Joshua M Langberg

PMID 39668306

WHAT IT FOUND

For adults with ADHD, hyperactivity/impulsivity and time management problems predicted lower income, more written warnings, greater boredom, and poorer relationships with coworkers and supervisors.

Inattention predicted warnings and coworker dissatisfaction but not income or boredom.

Key findings

01Higher hyperactivity/impulsivity symptoms were associated with lower income, more written warnings, greater boredom, and lower satisfaction with coworkers and supervisors.

02Greater difficulties with time management were associated with lower income, more written warnings, greater boredom, and lower satisfaction with coworkers and supervisors.

03Inattention symptoms were associated with more written warnings and less satisfaction with coworkers, but not with income, boredom, or supervisor satisfaction.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The study used self-report measures for all variables, including income and disciplinary actions, which may be subject to recall bias or inaccurate reporting. The cross-sectional design prevents conclusions about causality or directionality. The sample was recruited from Amazon Mechanical Turk and may not represent the broader population of working adults with ADHD. The study defined full-time work as 20+ hours per week, which may differ from traditional 40-hour work environments. Internal consistency for some measures, particularly Job Satisfaction subscales (alpha 0.60-0.61), was modest.

Declared interests

The authors declared no conflicts of interest. The study was approved by the Rutgers University Institutional Review Board.

The easy way to misread this

Do not assume that inattention is the primary predictor of all workplace difficulties in ADHD. In this sample, inattention did not predict income, boredom, or supervisor satisfaction, while hyperactivity/impulsivity and time management problems predicted these outcomes more consistently.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →