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"Attention deficit hyperactivity disorder"
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Hyperactive : the controversial history of ADHD
Attention deficit hyperactivity disorder, or ADHD, is one of the most common developmental disorders, with an average of 9 per cent of U.S. children between the ages of five and seventeen diagnosed each year. It is also one of the most controversial. Since the 1950s, when hyperactivity in children was first diagnosed, psychiatrists, educators, parents and politicians have debated the causes, treatment and implications of the disorder.
Book
Attention-deficit hyperactivity disorder
Attention-deficit hyperactivity disorder (ADHD), like other psychiatric disorders, represents an evolving construct that has been refined and developed over the past several decades in response to research into its clinical nature and structure. The clinical presentation and course of the disorder have been extensively characterised. Efficacious medication-based treatments are available and widely used, often alongside complementary psychosocial approaches. However, their effectiveness has been questioned because they might not address the broader clinical needs of many individuals with ADHD, especially over the longer term. Non-pharmacological approaches to treatment have proven less effective than previously thought, whereas scientific and clinical studies are starting to fundamentally challenge current conceptions of the causes of ADHD in ways that might have the potential to alter clinical approaches in the future. In view of this, we first provide an account of the diagnosis, epidemiology, and treatment of ADHD from the perspective of both the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders and the eleventh edition of the International Classification of Diseases. Second, we review the progress in our understanding of the causes and pathophysiology of ADHD on the basis of science over the past decade or so. Finally, using these discoveries, we explore some of the key challenges to both the current models and the treatment of ADHD, and the ways in which these findings can promote new perspectives.
Journal Article
Attention deficit hyperactivity disorder
Attention deficit hyperactivity disorder (ADHD) is a childhood-onset neurodevelopmental disorder with a prevalence of 1·4–3·0%. It is more common in boys than girls. Comorbidity with childhood-onset neurodevelopmental disorders and psychiatric disorders is substantial. ADHD is highly heritable and multifactorial; multiple genes and non-inherited factors contribute to the disorder. Prenatal and perinatal factors have been implicated as risks, but definite causes remain unknown. Most guidelines recommend a stepwise approach to treatment, beginning with non-drug interventions and then moving to pharmacological treatment in those most severely affected. Randomised controlled trials show short-term benefits of stimulant medication and atomoxetine. Meta-analyses of blinded trials of non-drug treatments have not yet proven the efficacy of such interventions. Longitudinal studies of ADHD show heightened risk of multiple mental health and social difficulties as well as premature mortality in adult life.
Journal Article
The science of ADHD : a guide for parents and professionals
\"Attention-Deficit Hyperactivity Disorder is a long-term disorder affecting many children and adults. It is also a highly controversial psychiatric disorder; in its cause, its diagnosis, and the effect of diagnosis on the patient. This controversy is exacerbated by the commonly recommended treatment for the condition - Ritalin. The Science of ADHD addresses the scientific status of ADHD in an informed and accessible way, without recourse to emotional or biased viewpoints. The very latest studies are used to present a reasoned account of ADHD and its treatment. The Science of ADHD is highly multidisciplinary, covering the areas of genetics, neuroscience, psychology and treatment. The ever increasing scientific evidence is described and discussed, informing the reader of the limitations of the science, but also the benefits that scientific enquiry can bring to understanding what goes on in the ADHD brain\"--Provided by publisher.
Book
Treatment strategies for ADHD: an evidence-based guide to select optimal treatment
Attention-deficit/hyperactivity disorder (ADHD) is a common and impairing disorder affecting children, adolescents, and adults. Several treatment strategies are available that can successfully ameliorate symptoms, ranging from pharmacological to dietary interventions. Due to the increasing range of available options, an informed selection or prioritization of treatments is becoming harder for clinicians. This review aims to provide an evidence-based appraisal of the literature on ADHD treatment, supplemented by expert opinion on plausibility. We outline proposed mechanisms of action of established pharmacologic and non-pharmacologic treatments, and we review targets of novel treatments. The most relevant evidence supporting efficacy and safety of each treatment strategy is discussed. We review the individualized features of the patient that should guide the selection of treatments in a shared decision-making continuum. We provide guidance for optimizing initiation of treatment and follow-up of patients in clinical settings.
Journal Article
ADHD
Clear, careful explanations offer insight into what ADHD is, what causes it, how people live with it, and the latest information about treatment and prevention. Features include: primary and secondary source quotations, annotated bibliographies, and lists of organizations to contact for additional information.
Book
Adult ADHD and comorbid disorders: clinical implications of a dimensional approach
Attention-deficit/hyperactivity disorder (ADHD) in the adult population is frequently associated with comorbid psychiatric diseases that complicate its recognition, diagnosis and management.
The prevalence of ADHD in the general adult population is 2.5% and it is associated with substantial personal and individual burden. The most frequent comorbid psychopathologies include mood and anxiety disorders, substance use disorders, and personality disorders. There are strong familial links and neurobiological similarities between ADHD and the various associated psychiatric comorbidities. The overlapping symptoms between ADHD and comorbid psychopathologies represent challenges for diagnosis and treatment. Guidelines recommend that when ADHD coexists with other psychopathologies in adults, the most impairing condition should generally be treated first.
Early recognition and treatment of ADHD and its comorbidities has the potential to change the trajectory of psychiatric morbidity later in life. The use of validated assessment scales and high-yield clinical questions can help identify adults with ADHD who could potentially benefit from evidence-based management strategies.
Journal Article
Putting on the brakes : understanding and taking control of your ADD or ADHD
\"Self-help guide and resource for preteens with attention deficit disorder (ADD) or attention deficit-hyperactivity disorder (ADHD). Includes strategies to manage disorder and practical ways to improve organization, focus, studying, and homework skills. Also tips for making friends, controlling emotions, and being healthy\"-- Provided by publisher.
Book
The global prevalence of ADHD in children and adolescents: a systematic review and meta-analysis
Background
Attention-Deficit / Hyperactivity Disorder is a developmental neurological disorder that has three basic characteristics: Attention Deficit, Hyperactivity, and impulsivity. This study aimed to investigate the prevalence of ADHD in children and adolescents.
Methods
This investigation was carried out using the meta-analysis method under PRISMA guidelines. Until October 2020, the articles were gathered by scanning PubMed, Scopus, WOS, and Science Direct databases. The second version of Comprehensive Meta-Analysis software was used to run analyses after extracting data from chosen papers. At a significance level of 0.05, the I
2
test was used to analyze study heterogeneity, and the Egger test was used to assess publication bias.
Results
This analysis includes 61 cross-sectional research, with 53 research used to determine the prevalence of ADHD in children, 7.6% of 96,907 children aged 3 to 12 years had ADHD (95% confidence interval: 6.1–9.4%), and 5.6% of teenagers aged 12 to 18 years have ADHD (95% confidence interval: 4.8-7%). The prevalence of ADHD in children and adolescents according to the DSM-V criterion is also higher than previous diagnostic criteria, according to studies.
Conclusion
The findings of this study based on meta-analysis show the high prevalence of attention deficit hyperactivity disorder (ADHD). The findings of this study demonstrate the importance of management and policy in the treatment and control of ADHD in children and adolescents.
Journal Article