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Am J Psychiatry 1993; 150:1792-1798
Copyright © 1993 by American Psychiatric Association
Patterns of psychiatric comorbidity, cognition, and psychosocial functioning in adults with attention deficit hyperactivity disorder
J Biederman, SV Faraone, T Spencer, T Wilens, D Norman, KA Lapey, E Mick, BK Lehman and A Doyle
Pediatric Psychopharmacology Unit, Massachusetts General Hospital, Boston 02114.
OBJECTIVE: Although attention deficit hyperactivity disorder is a common
disorder of childhood, its status as a disorder in adults is not clear. The
authors reasoned that if the adult diagnosis of the disorder is a valid
clinical entity, it should be similar to the childhood disorder with regard
to patterns of psychiatric and cognitive findings. METHODS: Eighty-four
adults with a clinical diagnosis of childhood- onset attention deficit
hyperactivity disorder confirmed by structured interview who were referred
for treatment were studied. Findings were compared with those from a
preexisting study group of referred children with attention deficit
hyperactivity disorder, nonreferred adult relatives of those children who
also had attention deficit hyperactivity disorder, and adults without the
disorder who were relatives of normal children. Subjects were evaluated
with a comprehensive battery of psychiatric, cognitive, and psychosocial
assessments. RESULTS: The referred and nonreferred adults with attention
deficit hyperactivity disorder were similar to one another but more
disturbed and impaired than the comparison subjects without the disorder.
The pattern of psychopathology, cognition, and functioning among the adults
with attention deficit hyperactivity disorder approximated the findings for
children with the disorder. CONCLUSIONS: These results show that referred
and nonreferred adults with attention deficit hyperactivity disorder have a
pattern of demographic, psychosocial, psychiatric, and cognitive features
that mirrors well-documented findings among children with the disorder.
These findings further support the validity of the diagnosis for adults.
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T. E. Wilens, T. J. Spencer, and J. Biederman
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S. Milberger, S. V. Faraone, J. Biederman, M. P. Chu, and T. Wilens
Familial Risk Analysis of the Association Between Attention-Deficit/Hyperactivity Disorder and Psychoactive Substance Use Disorders
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J.J. Rucklidge and B.J. Kaplan
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T. Spencer, T. Wilens, J. Biederman, S. V. Faraone, J. S. Ablon, and K. Lapey
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J. Biederman, S. Milberger, S. V. Faraone, K. Kiely, J. Guite, E. Mick, S. Ablon, R. Warburton, and E. Reed
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June 1, 1995;
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D. C. Vinson
Therapy for Attention-Deficit Hyperactivity Disorder-Reply
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October 1, 1994;
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S. A. Lofton
Therapy for Attention-Deficit Hyperactivity Disorder
Arch Fam Med,
October 1, 1994;
3(10):
856 - 857.
[Abstract]
[PDF]
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