Adult-Onset ADHD: A Critical Analysis and Alternative Explanations.

Autor: Taylor LE; Department of Psychology, Syracuse University, Syracuse, NY, 13244, USA. letay100@syr.edu., Kaplan-Kahn EA; Department of Psychology, Syracuse University, Syracuse, NY, 13244, USA., Lighthall RA; Department of Psychology, Syracuse University, Syracuse, NY, 13244, USA., Antshel KM; Department of Psychology, Syracuse University, Syracuse, NY, 13244, USA.
Jazyk: angličtina
Zdroj: Child psychiatry and human development [Child Psychiatry Hum Dev] 2022 Aug; Vol. 53 (4), pp. 635-653. Date of Electronic Publication: 2021 Mar 18.
DOI: 10.1007/s10578-021-01159-w
Abstrakt: Attention deficit/hyperactivity disorder (ADHD) is characterized as a neurodevelopmental disorder. However, data from several recent studies suggest that there may be adults who meet current criteria for ADHD, yet did not experience symptoms until adulthood (i.e., "adult-onset ADHD"). This systematic review evaluated and synthesized the empirical evidence on adult-onset ADHD to answer the question: Is the extant literature strong enough to evaluate adult-onset ADHD? Nine studies met strict inclusion/exclusion criteria. Results suggest that the methodologies of the extant studies were not strong enough to evaluate adult-onset ADHD. Insufficient methodologies provide presently unclear information about the nature of late-onset symptoms. These symptoms seem to exist but their source could be (1) adult-emergent symptoms that were previously surpassed due to lower environmental demands/supportive facilitators, (2) mimics that were not properly assessed, or (3) childhood-onset symptoms that were not detected earlier due to failure to come to clinical attention. Future directions, clinical recommendations, and limitations of the literature and the current review are discussed.
(© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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