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Aim <p>Attention-deficit/hyperactivity disorder (ADHD) imposes a substantial economic burden through increased healthcare utilization, caregiver burden, and reduced productivity. Research on these economic consequences has expanded in recent years. This study aims to examine the evolution, concentration, and conceptual structure of the scientific literature on the economic burden of ADHD.</p> Subject and methods <p>A bibliometric analysis was conducted using the Web of Science Core Collection covering the period 2000–2026. Performance analysis and science mapping were performed in R using the Bibliometrix package.</p> Results <p>A total of 140 studies published across 95 journals and involving authors from 45 countries were included. Scientific production remained limited during the early 2000s but increased markedly after 2015, reaching its highest level in 2025. Research output was geographically concentrated, with the United States accounting for 214 author affiliations (37.9%). The literature involved 636 authors and demonstrated a high degree of collaboration, with a mean of 5.49 authors per article. The <i>Journal of Attention Disorders</i> was the most productive outlet. Thematic and conceptual analyses showed that the literature is primarily structured around pediatric ADHD, prevalence, productivity outcomes, and cost-of-illness estimation, while adult ADHD and parenting stress remain comparatively less developed research themes.</p> Conclusion <p>Research on the economic burden of ADHD has grown rapidly but remains geographically concentrated and institutionally uneven. Important domains including adult ADHD and caregiver burden receive comparatively limited attention. Expanding geographically diverse and life-course-oriented research will be important for generating globally relevant evidence and informing equitable mental health policy.</p>

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Economic burden of attention-deficit/hyperactivity disorder: a bibliometric and thematic analysis

  • 期刊论文

  • 发表日期：

    2026年7月2日

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  • Quazi Nazmus Sakib,
  • Tamanna Rimi,
  • Mushfika Binta Latif,
  • Ahmed Aziz

摘要

Aim

Attention-deficit/hyperactivity disorder (ADHD) imposes a substantial economic burden through increased healthcare utilization, caregiver burden, and reduced productivity. Research on these economic consequences has expanded in recent years. This study aims to examine the evolution, concentration, and conceptual structure of the scientific literature on the economic burden of ADHD.

Subject and methods

A bibliometric analysis was conducted using the Web of Science Core Collection covering the period 2000–2026. Performance analysis and science mapping were performed in R using the Bibliometrix package.

Results

A total of 140 studies published across 95 journals and involving authors from 45 countries were included. Scientific production remained limited during the early 2000s but increased markedly after 2015, reaching its highest level in 2025. Research output was geographically concentrated, with the United States accounting for 214 author affiliations (37.9%). The literature involved 636 authors and demonstrated a high degree of collaboration, with a mean of 5.49 authors per article. The Journal of Attention Disorders was the most productive outlet. Thematic and conceptual analyses showed that the literature is primarily structured around pediatric ADHD, prevalence, productivity outcomes, and cost-of-illness estimation, while adult ADHD and parenting stress remain comparatively less developed research themes.

Conclusion

Research on the economic burden of ADHD has grown rapidly but remains geographically concentrated and institutionally uneven. Important domains including adult ADHD and caregiver burden receive comparatively limited attention. Expanding geographically diverse and life-course-oriented research will be important for generating globally relevant evidence and informing equitable mental health policy.