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18-03-2021 | Article

Adult-Onset ADHD: A Critical Analysis and Alternative Explanations

Auteurs: Lea E. Taylor, Elizabeth A. Kaplan-Kahn, Rachel A. Lighthall, Kevin M. Antshel

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 4/2022

Abstract

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.

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Titel: Adult-Onset ADHD: A Critical Analysis and Alternative Explanations
Auteurs: Lea E. Taylor
Elizabeth A. Kaplan-Kahn
Rachel A. Lighthall
Kevin M. Antshel
Publicatiedatum: 18-03-2021
Uitgeverij: Springer US
Gepubliceerd in: Child Psychiatry & Human Development / Uitgave 4/2022
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI: https://doi.org/10.1007/s10578-021-01159-w

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