Paper
ADHD in adults: a review of the literature.
Published May 1, 2008 · M. Davidson
Journal of attention disorders
195
Citations
16
Influential Citations
Abstract
OBJECTIVE ADHD presents significant challenges to adults. The current review's goals are (a) to critically examine the current state of knowledge regarding ADHD in adults and (b) to provide clinicians with practice-friendly information regarding assessment, diagnosis, and treatment. METHOD Searches of PsycINFO and Medline were conducted, and reference lists from articles and books were searched for additional relevant references. RESULTS/CONCLUSION A valid and reliable assessment should be comprehensive and include the use of symptom rating scales, a clinical interview, neuropsychological testing, and the corroboration of patient reports. Specific diagnostic criteria that are more sensitive and specific to adult functioning are needed. In treatment, pharmacological interventions have the most empirical support, with the stimulants methylphenidate and amphetamine and the antidepressants desipramine and atomoxetine having the highest efficacy rates. Scientific research on psychosocial treatments is lacking, with preliminary evidence supporting the combination of cognitive behavioral therapy and medication.
Systematic Review
Highly CitedAdult ADHD assessment should include comprehensive symptom rating scales, neuropsychological testing, and patient reports, with pharmacological interventions showing the highest efficacy rates.
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