Current issues and trends in the diagnosis and treatment of adults with ADHD

Cumyn, Lucy; Kolář, Dušan; Keller, Amanda; Hechtman, Lily

doi:10.1586/14737175.7.10.1375

Cited by 12 publications

(13 citation statements)

References 91 publications

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“…Other investigators have reported similar results. [5][6][7]24 The converse is also true. ADHD is found frequently in adult probands with depressive disorders.…”

Section: Key Learning Issue #1: Adhd Persists Into Adulthoodmentioning

confidence: 85%

“…17 Another study of 104 boys with ADHD found that 11% had disabling ADHD in adulthood. 17,18 Other studies have reported that 60% of children with ADHD will exhibit sub-clinical symptoms of ADHD 4,6,[19][20][21][22] in adulthood. ADHD is best understood as a childhood-onset neurodevelopmental disorder that may persist into adulthood.…”

Section: Key Learning Issue #1: Adhd Persists Into Adulthoodmentioning

confidence: 99%

“…6,7,34,36,[42][43][44][45][46][47][48] Comorbid depression occurs frequently in adult ADHD (see Table 2). According to the National Comorbidity Survey Replication study, 8 the prevalence of MDD in adults with ADHD was 18.6% (SE 4.2) compared to 7.8% (SE 0.4) in non-ADHD respondents (OR 2.7).…”

Section: Key Learning Issue #1: Adhd Persists Into Adulthoodmentioning

confidence: 99%

“…[1][2][3][4] The National Comorbidity Survey Replication Study found 36% of adults who met the criteria for ADHD as children continued to meet the diagnostic criteria as adults. [5][6][7] The overall prevalence of adults who meet the diagnosis of ADHD was 4.4%. 8 The Cross National Prevalence study estimated an average adult ADHD prevalence of 3.4% with lower income countries reporting a lower prevalence (1.9%) than higher income countries (4.2%).…”

Section: Introductionmentioning

confidence: 99%

“…Although some clinicians have challenged the validity of the diagnosis, the evidence supports the existence of adult ADHD. [5][6][7][8] Until recently, adult ADHD was not included in medical school curricula or in postgraduate medical training and many health providers are therefore unfamiliar with the diagnosis and management of adult ADHD, in particular when it occurs in conjunction with psychiatric disorders such as major depressive disorder (MDD).…”

Section: Introductionmentioning

confidence: 99%

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Adult ADHD and comorbid depression: A consensus-derived diagnostic algorithm for ADHD

McIntosh¹,

Kutcher²,

Binder³

et al. 2009

NDT

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Objective: Many patients present to their physician with depression as their primary symptom. However, depression may mask other comorbid disorders. This article presents diagnostic criteria and treatment recommendations (and monitoring) pertaining to the diagnosis of adult attention defi cit hyperactivity disorder (ADHD), which may be missed in patients who present with depressive symptoms, or major depressive disorder (MDD). Other co-occurring conditions such as anxiety, substance use, and bipolar disorder are briefl y discussed. Methods: A panel of psychiatrist-clinicians with expertise in the area of child and adolescent ADHD and mood disorders, adult mood disorders, and adult ADHD was convened. A literature search for recommendations on the diagnosis and treatment of co-occurring conditions (MDD, anxiety symptoms, and substance use) with adult ADHD was performed. Based on this, and the panel's clinical expertise, the authors developed a diagnostic algorithm and recommendations for the treatment of adult ADHD with co-occurring MDD. Results: Little information exists to assist clinicians in diagnosing ADHD co-occurring with other disorders such as MDD. A three-step process was developed by the panel to aid in the screening and diagnosis of adult ADHD. In addition, comorbid MDD, bipolar disorder, anxiety symptoms, substance use and cardiovascular concerns regarding stimulant use are discussed. Conclusion:This article provides clinicians with a clinically relevant overview of the literature on comorbid ADHD and depression and offers a clinically useful diagnostic algorithm and treatment suggestions.

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“…Other investigators have reported similar results. [5][6][7]24 The converse is also true. ADHD is found frequently in adult probands with depressive disorders.…”

Section: Key Learning Issue #1: Adhd Persists Into Adulthoodmentioning

confidence: 85%

Section: Key Learning Issue #1: Adhd Persists Into Adulthoodmentioning

confidence: 99%

Section: Key Learning Issue #1: Adhd Persists Into Adulthoodmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Adult ADHD and comorbid depression: A consensus-derived diagnostic algorithm for ADHD

McIntosh¹,

Kutcher²,

Binder³

et al. 2009

NDT

View full text Add to dashboard Cite

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References

2010

The Use and Misuse of Psychiatric Drugs

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Adult attention-deficit/hyperactivity disorder in major depressed and bipolar subjects: role of personality traits and clinical implications

Nicola¹,

Sala²,

Romo³

et al. 2013

Eur Arch Psychiatry Clin Neurosci

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A significant comorbidity between attention-deficit/hyperactivity disorder (ADHD) and affective disorders has been consistently reported in adults. Less data regarding the role of personality traits and the influence of ADHD co-occurrence on clinical characteristics and outcome of mood disorders are currently available. One hundred and six remitted major depressed, 102 euthymic bipolar subjects, and 120 healthy controls, homogeneous with respect to demographic characteristics, were included in the study. ADHD diagnosis was based on DSM-IV-TR criteria. Childhood and adult ADHD features were measured with the Wender Utah Rating Scale, the Adult ADHD Self-rating Scale, and the Brown Attention-Deficit Disorder Scale. The Revised NEO Personality Inventory was also administered to the clinical groups, in order to investigate personality dimensions. The occurrence of adult ADHD in subjects with bipolar disorders (BD) or major depressive disorder (MDD) was 15.7 and 7.5 %, respectively, compared to 3.3 % in healthy controls (HC). Significant associations (p < .001) between personality traits (neuroticism, conscientiousness, and extraversion) and ADHD features were observed. Logistic regression analysis of all clinical subjects (n = 208) showed that those with lower levels of neuroticism (OR = 1.031; p = .025) had a lower frequency of ADHD comorbidity. The present study emphasizes the close relationship between affective disorders, especially BD, and ADHD in adults. Our findings support the need to assess subjects with mood disorders in the clinical setting for possible coexisting ADHD and to further investigate personality traits to better understand the etiology of affective disorders and ADHD co-occurrence.

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Current issues and trends in the diagnosis and treatment of adults with ADHD

Cited by 12 publications

References 91 publications

Adult ADHD and comorbid depression: A consensus-derived diagnostic algorithm for ADHD

Adult ADHD and comorbid depression: A consensus-derived diagnostic algorithm for ADHD

References

Adult attention-deficit/hyperactivity disorder in major depressed and bipolar subjects: role of personality traits and clinical implications

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