Sammanfattning
Background: Occupational identity (OI) is shaped by occupational experiences over time and
has been studied among individuals with a variety of health conditions. Adolescents with ADHD
face numerous challenges in their occupational performance that may threaten their OI.
Objective: This study sought to compare the occupational identities of adolescents with and
without ADHD and to gain a deeper understanding of the characteristics of OI among adolescents
with ADHD.
Methods: Sixty-four adolescents with (n ¼ 21) and without ADHD (n ¼ 43) were interviewed
using the Occupational Performance History Interview (OPHI-II). A mixed methodology was
applied, using quantitative and subsequent qualitative content analyses of 10 interviews, with a
directed approach.
Results: OPHI-II OI interval scores and 7/11 items of the OI scale were significantly lower in the
ADHD group compared to controls. In the qualitative content analyses, three major themes were
found: (i) the meaning of success in academic participation, (ii) the consequences of not succeeding
in academic participation and (iii) self-explanations for not succeeding in academic
participation.
Conclusion: Findings demonstrate the presence of OI challenges among adolescents with
ADHD. Occupational therapy intervention may be needed in order to promote occupational
adaptation.