Vocational Identity as a Protective Factor for the Occupational Functioning of Adults With ADHD

Abstract

Vocational identity has consistently been linked to occupational well-being, yet its role among adults with ADHD remains unclear. This study examined the benefits of a clear vocational identity to job satisfaction, work amotivation, and income in context of ADHD. Participants were 100 full-time employees with ADHD (51% male; ages 19–30). Controlling for age, sex, and medication status, path analyses revealed a clear vocational identity was associated with higher levels of job satisfaction and protected against work amotivation. ADHD symptoms and executive function problems (time management, organization, motivation) were associated with lower levels of a clear vocational identity. Regression analyses further revealed that a clear vocational identity moderated the adverse effects of ADHD symptoms and executive function problems on job satisfaction and work motivation. Altogether, our findings provide initial evidence that a clear vocational identity may be protective and a promising intervention target for occupational functioning among adults with ADHD.

Keywords

attention-deficit/hyperactivity disorder vocational identity job satisfaction work motivation income

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References

Allee-Smith

P. J.

Winters

R. R.

Drake

Joslin

A. K.

(2013). Test review: Barkley deficits in executive functioning scale (BDEFS). Journal of Psychoeducational Assessment, 31(1), 80–83. https://doi.org/10.1177/0734282912452651

American Psychiatric Association . (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://doi.org/10.1176/appi.books.9780890425787

Anastopoulos

A. D.

Langberg

J. M.

Eddy

L. D.

Silvia

P. J.

Labban

J. D.

(2021). A randomized controlled trial examining CBT for college students with ADHD. Journal of Consulting and Clinical Psychology, 89(1), 21–33. https://doi.org/10.1037/ccp0000553

Barkley

R. A.

(2010). The important role of executive functioning and self-regulation in ADHD. Journal Child Neuropsychology, 113(21), 41–56.

Barkley

R. A.

(2011a). Barkley adult ADHD rating scale-iv (BAARS-IV). Guilford Press.

Barkley

R. A.

(2011b). Barkley deficits in executive functioning scale (BDEFS). Guilford.

Barkley

R. A.

Murphy

K. R.

(2010). Impairment in occupational functioning and adult ADHD: The predictive utility of executive function (EF) ratings versus EF tests. Archives of Clinical Neuropsychology, 25(3), 157–173. https://doi.org/10.1093/arclin/acq014

Becker

S. P.

Langberg

J. M.

Luebbe

A. M.

Dvorsky

M. R.

Flannery

A. J.

(2014). Sluggish cognitive tempo is associated with academic functioning and internalizing symptoms in college students with and without attention‐deficit/hyperactivity disorder. Journal of Clinical Psychology, 70(4), 388–403. https://doi.org/10.1002/jclp.22046

Berinsky

A. J.

Huber

G. A.

Lenz

G. S.

(2012). Evaluating online labor markets for experimental research: Amazon.com's mechanical turk. Political Analysis, 20(3), 351–368. https://doi.org/10.1093/pan/mpr057

10.

Biederman

Faraone

S. V.

Spencer

T. J.

Mick

Monuteaux

M. C.

Aleardi

(2006). Functional impairments in adults with self-reports of diagnosed ADHD: A controlled study of 1001 adults in the community. Journal of Clinical Psychiatry, 67(4), 524–540.

11.

Brown

S. D.

Lent

R. W.

(2023). Social cognitive career theory. In Walsh

W. B.

Flores

L. Y.

Hartung

P. J.

Leong

F. T. L.

(Eds.), Career psychology: Models, concepts, and counseling for meaningful employment (pp. 37–57). American Psychological Association. https://doi.org/10.1037/0000339-003

12.

Brown

T. A.

(2015). Confirmatory factor analysis for applied research. Guilford Publications.

13.

Burnette

C. B.

Luzier

J. L.

Bennett

B. L.

Weisenmuller

C. M.

Kerr

Martin

Keener

Calderwood

(2022). Concerns and recommendations for using Amazon MTurk for eating disorder research. International Journal of Eating Disorders, 55(2), 263–272. https://doi.org/10.1002/eat.23614

14.

Cardoso

Duarte

M. E.

Pacheco

Janeiro

I. N.

(2022). Life design group-based intervention fostering vocational identity, career adaptability, and career decision-making self-efficacy. Cypriot Journal of Educational Sciences, 17(5), 1453–1467. https://doi.org/10.18844/cjes.v17isi.1.6674

15.

Caroline

S. S. S.

Sudhir

P. M.

Mehta

U. M.

Kandasamy

Thennarasu

Benegal

(2024). Assessing adult ADHD: An updated review of rating scales for adult attention deficit hyperactivity disorder (ADHD). Journal of Attention Disorders, 28(7), 1045–1062. https://doi.org/10.1177/10870547241226654

16.

Chan

E. S.

Langberg

J. M.

(2024). Predicting occupational outcomes for individuals with ADHD: The role of hyperactivity/impulsivity and executive functioning. Journal of Occupational Rehabilitation, 36, 1–11. https://doi.org/10.1007/s10926-024-10259-y

17.

Crocetti

De Lise

Pagano

Bobba

Maratia

Meeus

Bacaro

(2024). What’s your vocation? A meta-analysis of interventions tackling youth educational and professional identity. Identity, 25(2), 1–19. https://doi.org/10.1080/15283488.2024.2394861

18.

Crocetti

De Lise

Pagano

Bobba

Maratia

Meeus

Bacaro

(2025). What’s Your Vocation? A Meta-Analysis of Interventions Tackling Youth Educational and Professional Identity. Identity, 25(2), 197–215. https://doi.org/10.1080/15283488.2024.2394861

19.

Dipeolu

Sniatecki

J. L.

Storlie

C. A.

Hargrave

(2013). Dysfunctional career thoughts and attitudes as predictors of vocational identity among young adults with attention deficit hyperactivity disorder. Journal of Vocational Behavior, 82(2), 79–84. https://doi.org/10.1016/j.jvb.2013.01.003

20.

Enders

C. K.

Bandalos

D. L.

(2001). The relative performance of full information maximum likelihood estimation for missing data in structural equation models. Structural Equation Modeling, 8(3), 430–457. https://doi.org/10.1207/S15328007SEM0803_5

21.

Ferragina

(2020). Family policy and women's employment outcomes in 45 high‐income countries: A systematic qualitative review of 238 comparative and national studies. Social Policy & Administration, 54(7), 1016–1066. https://doi.org/10.1111/spol.12584

22.

Gagné

Forest

Vansteenkiste

Crevier-Braud

Van den Broeck

Aspeli

A. K.

Bellerose

Benabou

Chemolli

Güntert

S. T.

Halvari

Indiyastuti

D. L.

Johnson

P. A.

Molstad

M. H.

Naudin

Ndao

Olafsen

A. H.

Roussel

Wang

Westbye

(2015). The multidimensional work motivation scale: Validation evidence in seven languages and nine countries. European Journal of Work and Organizational Psychology, 24(2), 178–196. https://doi.org/10.1080/1359432X.2013.877892

23.

Gibbins

Weiss

M. D.

Goodman

D. W.

Hodgkins

P. S.

Landgraf

J. M.

Faraone

S. V.

(2010). ADHD-hyperactive/impulsive subtype in adults. Mental Illness, 2(1), 41–45. https://doi.org/10.4081/mi.2010.e9

24.

Goodman

J. K.

Cryder

C. E.

Cheema

(2013). Data collection in a flat world: The strengths and weaknesses of mechanical turk samples. Journal of Behavioral Decision Making, 26(3), 213–224. https://doi.org/10.1002/bdm.1753

25.

Gordon

C. T.

Fabiano

G. A.

(2019). The transition of youth with ADHD into the workforce: Review and future directions. Clinical Child and Family Psychology Review, 22(3), 316–347. https://doi.org/10.1007/s10567-019-00274-4

26.

Hayes

A. F.

(2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Publications.

27.

Henning

C. T.

Summerfeldt

L. J.

Parker

J. D.

(2024). Longitudinal associations between symptoms of ADHD and life success: From emerging adulthood to early middle adulthood. Journal of Attention Disorders, 28(7), 1139–1151. https://doi.org/10.1177/10870547241239148

28.

Hirschi

Herrmann

(2012). Vocational identity achievement as a mediator of presence of calling and life satisfaction. Journal of Career Assessment, 20(3), 309–321. https://doi.org/10.1177/1069072711436158

29.

Holland

J. L.

(1985). My vocational situation: A diagnostic and counseling manual. Psychological Assessment Resources.

30.

Hora

G. P. R.

Ribas Júnior

Souza

M. A. D.

(2018). State of the art of job satisfaction measures: A systematic review. Trends in Psychology, 26(2), 971–986. https://doi.org/10.9788/TP2018.2-16Pt

31.

Wang

Sui

Zheng

Liu

(2022). Professional identity and turnover intention amongst Chinese social workers: Roles of job burnout and a social work degree. British Journal of Social Work, 52(3), 1703–1723. https://doi.org/10.1093/bjsw/bcab155

32.

Humlum

M. K.

Kleinjans

K. J.

Nielsen

H. S.

(2012). An economic analysis of identity and career choice. Economic Inquiry, 50(1), 39–61. https://doi.org/10.1111/j.1465-7295.2009.00234.x

33.

Kline

R. B.

(2023). Principles and practice of structural equation modeling. Guilford publications.

34.

Klotz

V. K.

Billett

Winther

(2014). Promoting workforce excellence: Formation and relevance of vocational identity for vocational educational training. Empirical Research in Voc Education and Training, 6(6), 1–20. https://doi.org/10.1186/s40461-014-0006-0

35.

Kofler

M. J.

Irwin

L. N.

Soto

E. F.

Groves

N. B.

Harmon

S. L.

Sarver

D. E.

(2019). Executive functioning heterogeneity in pediatric ADHD. Journal of Abnormal Child Psychology, 47(2), 273–286. https://doi.org/10.1007/s10802-018-0438-2

36.

Kush

Cochran

(1993). Enhancing a sense of agency through career planning. Journal of Counseling Psychology, 40(4), 434–439. https://doi.org/10.1037/0022-0167.40.4.434

37.

Lan

Lawrence

R. K.

Zimmer-Gembeck

M. J.

Conlon

E. G.

(2025). Internal and predictive validity of subscale scores of the short-form Barkley deficits in executive functioning scale (BDEFS) in research. Applied Neuropsychology: Adult, 1–13. https://doi.org/10.1080/23279095.2025.2542498

38.

Levanon-Erez

Cohen

Traub Bar-Ilan

Maeir

(2016). Occupational identity of adolescents with ADHD: A mixed methods study. Scandinavian Journal of Occupational Therapy, 24(1), 32–40. https://doi.org/10.1080/11038128.2016.1217927

39.

Muthén

B. O.

(2009). Statistical analysis with latent variables (123, 6). Wiley.

40.

Nauta

M. M.

(2010). The development, evolution, and status of Holland’s theory of vocational personalities: Reflections and future directions for counseling psychology. Journal of Counseling Psychology, 57(1), 11–22. https://doi.org/10.1037/a0018213

41.

Paolacci

Chandler

Ipeirotis

P. G.

(2010). Running experiments on Amazon mechanical turk. Judgment and Decision Making, 5(5), 411–419. https://doi.org/10.1017/S1930297500002205

42.

Peer

Brandimarte

Samat

Acquisti

(2017). Beyond the turk: Alternative platforms for crowdsourcing behavioral research. Journal of Experimental Social Psychology, 70, 153–163. https://doi.org/10.1016/j.jesp.2017.01.006

43.

Qin

Tang

(2023). Risk perceptions of COVID-19, vocational identity, and employment aspirations of Chinese aviation students: A structural equation modeling approach. BMC Public Health, 23(1), 2175. https://doi.org/10.1186/s12889-023-17144-y

44.

Rivas-Vazquez

R. A.

Diaz

S. G.

Visser

M. M.

Rivas-Vazquez

A. A.

(2023). Adult ADHD: Underdiagnosis of a treatable condition. Journal of Health Service Psychology, 49(1), 11–19. https://doi.org/10.1007/s42843-023-00077-w

45.

Roselló

Berenguer

Baixauli

, et al. (2020). Empirical examination of executive functioning, ADHD associated behaviors, and functional impairments in adults with persistent ADHD, remittent ADHD, and without ADHD. BMC Psychiatry, 20, 134. https://doi.org/10.1186/s12888-020-02542-y

46.

Schein

Adler

L. A.

Childress

Gagnon-Sanschagrin

Davidson

Kinkead

Lefebvre

Guérin

(2022). Economic burden of attention-deficit/hyperactivity disorder among adults in the United States: A societal perspective. Journal of Managed Care & Specialty Pharmacy, 28(2), 168–179. https://doi.org/10.18553/jmcp.2021.21290

47.

Skogli

E. W.

Orm

Fossum

I. N.

Andersen

P. N.

Øie

M. G.

(2022). Attention-deficit/hyperactivity disorder persistence from childhood into young adult age: A 10-year longitudinal study. Cognitive Neuropsychiatry, 27(6), 447–457. https://doi.org/10.1080/13546805.2022.2123735

48.

Skorikov

V. B.

Vondracek

F. W.

(2007). Vocational identity. In Skorikov

V. B.

Patton

(Eds.), Career development in childhood and adolescence (pp. 143–168). Sense Publishers. https://doi.org/10.1163/9789460911392_010

49.

Song

Zha

Yang

Zhang

Rudan

Global Health Epidemiology Reference Group GHERG . (2021). The prevalence of adult attention-deficit hyperactivity disorder: A global systematic review and meta-analysis. Journal of Global Health, 11, 04009. https://doi.org/10.7189/jogh.11.04009

50.

Spector

P. E.

(1997). Job satisfaction: Application, assessment, causes, and consequences (Vol. 3). Sage.

51.

Turjeman-Levi

Itzchakov

Engel-Yeger

(2024). Executive function deficits mediate the relationship between employees’ ADHD and job burnout. AIMS public health, 11(1), 294. https://doi.org/10.3934/publichealth.2024015

52.

Van den Broeck

Howard

J. L.

Van Vaerenbergh

Leroy

Gagné

(2021). Beyond intrinsic and extrinsic motivation: A meta-analysis on self-determination theory’s multidimensional conceptualization of work motivation. Organizational Psychology Review, 11(3), 240–273. https://doi.org/10.1177/20413866211006173

53.

Wang

H. M.

Qin

Q. Y.

Y. R.

Hong

J. F.

S. W.

(2022). Effectiveness of a professional identity promotion strategy for nursing students during the COVID‐19 pandemic: A quasi‐experimental study. Japan Journal of Nursing Science, 19(3), e12479. https://doi.org/10.1111/jjns.12479

54.

Welsh

Schmitt-Wilson

(2013). Executive function, identity, and career decision-making in college students. SAGE Open, 3(4), 2158244013505755. https://doi.org/10.1177/2158244013505755

55.

Wilens

T. E.

Biederman

Faraone

S. V.

Martelon

Westerberg

Spencer

T. J.

(2009). Presenting ADHD symptoms, subtypes, and comorbid disorders in clinically referred adults with ADHD. The Journal of Clinical Psychiatry, 70(11), 1557. https://doi.org/10.4088/JCP.08m04785pur

56.

Yang

Zhang

X. D.

Guo

K. Y.

Lam

H. J.

Pan

J. D.

Liu

R. D.

Ling

D. L.

(2023). Implementation of a motivational programme based on existence-relatedness-growth theory in nursing undergraduate interns: A quasi-experimental study. Nurse Education Today, 129, 105894. https://doi.org/10.1016/j.nedt.2023.105894

57.

Zainudin

Z. N.

Rong

L. W.

Nor

A. M.

Yusop

Y. M.

Othman

W. N. W.

(2020). The relationship of holland theory in career decision making: A systematic review of literature. Journal of Critical Reviews, 7(9), 884–892. https://doi.org/10.31838/jcr.07.09.165