ADHD in Adults: Does Age at Diagnosis Matter?

被引：6
作者：
Hutt Vater, Chloe [1 ]
Disalvo, Maura [1 ]
Ehrlich, Alyssa [2 ,3 ]
Parker, Haley [1 ]
O'Connor, Hannah [1 ]
Faraone, Stephen V. [4 ,5 ]
Biederman, Joseph [1 ,3 ]
机构：
[1] Massachusetts Gen Hosp, Boston, MA USA
[2] Brigham & Womens Hosp, Boston, MA USA
[3] Harvard Med Sch, Boston, MA USA
[4] SUNY Upstate Med Univ, Norton Coll Med, Syracuse, NY USA
[5] SUNY Upstate Med Univ, 750 East Adams St, Syracuse, NY 13210 USA
来源：
JOURNAL OF ATTENTION DISORDERS | 2024年 / 28卷 / 05期
关键词：
ADHD; adults; diagnosis; onset; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; DEFICIT HYPERACTIVITY DISORDER; EXECUTIVE FUNCTION DEFICITS; REPORT SCALE ASRS; FOLLOW-UP; QUESTIONNAIRE; VALIDITY;
D O I：
10.1177/10870547231218450
中图分类号：
B844 [发展心理学（人类心理学）];
学科分类号：
040202 ;
摘要：
Objective: To provide additional information about clinical features associated with adult ADHD in patients diagnosed in childhood compared to those first diagnosed in adulthood. Method: We stratified a sample of adults with ADHD into patients diagnosed in childhood versus adulthood and compared demographic and clinical characteristics. Results: We found similar clinical features in adults diagnosed in childhood and adults diagnosed in adulthood. Among those diagnosed in adulthood, 95% reported symptom onset in youth. Our results do not support the hypothesis that ADHD diagnosed in adulthood is due to misinterpreting symptoms of other disorders as ADHD. They also suggest incorporating behavioral signs of executive dysfunction into diagnostic criteria for ADHD in adults may increase diagnostic sensitivity. Conclusion: These results support the validity of ADHD diagnoses in adulthood, as these adults show similar clinical profiles to those diagnosed in youth. Our results also suggest that if adult-onset ADHD exists, it is rare.
引用
收藏
页码：614 / 624
页数：11
相关论文
共 37 条
[1]  
Achenbach T.M., 2003, Manual for ASEBA Adult Forms Profiles
[2]  
[Anonymous], 2007, STAT STAT SOFTW REL
[3]   Executive functioning in high-IQ adults with ADHD [J].
Antshel, K. M. ;
Faraone, S. V. ;
Maglione, K. ;
Doyle, A. E. ;
Fried, R. ;
Seidman, L. J. ;
Biederman, J. .
PSYCHOLOGICAL MEDICINE, 2010, 40 (11) :1909-1918
[4]   Is adult attention deficit hyperactivity disorder a valid diagnosis in the presence of high IQ? [J].
Antshel, K. M. ;
Faraone, S. V. ;
Maglione, K. ;
Doyle, A. ;
Fried, R. ;
Seidman, L. ;
Biederman, J. .
PSYCHOLOGICAL MEDICINE, 2009, 39 (08) :1325-1335
[5]   Annual Research Review: Does late-onset attention-deficit/hyperactivity disorder exist? [J].
Asherson, Philip ;
Agnew-Blais, Jessica .
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY, 2019, 60 (04) :333-352
[6]  
Barkley R.A., 1997, ADHD and the nature of self-control
[7]   Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD [J].
Barkley, RA .
PSYCHOLOGICAL BULLETIN, 1997, 121 (01) :65-94
[8]   Stability of executive function deficits into young adult years: a prospective longitudinal follow-up study of grown up males with ADHD [J].
Biederman, J. ;
Petty, C. R. ;
Fried, R. ;
Doyle, A. E. ;
Spencer, T. ;
Seidman, L. J. ;
Gross, L. ;
Poetzl, K. ;
Faraone, S. V. .
ACTA PSYCHIATRICA SCANDINAVICA, 2007, 116 (02) :129-136
[9]   Can self-reported Behavioral scales assess executive function deficits? A controlled study of adults with ADHD [J].
Biederman, Joseph ;
Petty, Carter R. ;
Fried, Ronna ;
Fontanella, Jessie ;
Doyle, Alysa E. ;
Seidman, Larry J. ;
Faraone, Stephen V. .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 2007, 195 (03) :240-246
[10]   Toward operationalizing deficient emotional self-regulation in newly referred adults with ADHD: A receiver operator characteristic curve analysis [J].
Biederman, Joseph ;
DiSalvo, Maura ;
Woodworth, K. Yvonne ;
Fried, Ronna ;
Uchida, Mai ;
Biederman, Itai ;
Spencer, Thomas J. ;
Surman, Craig ;
Faraone, Stephen V. .
EUROPEAN PSYCHIATRY, 2020, 63 (01) :e21
1234