Is adult-onset attention deficit/hyperactivity disorder frequent in clinical practice?
Psychiatry Research. 2017-11-01; 257: 238-241
DOI: 10.1016/j.psychres.2017.07.080
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1. Psychiatry Res. 2017 Nov;257:238-241. doi: 10.1016/j.psychres.2017.07.080. Epub
2017 Jul 31.
Is adult-onset attention deficit/hyperactivity disorder frequent in clinical
practice?
Lopez R(1), Micoulaud-Franchi JA(2), Galera C(3), Dauvilliers Y(4).
Author information:
(1)Centre de Référence Narcolepsie, Unité des Troubles du Sommeil Service de
Neurologie, Hôpital Gui-de-Chauliac, Montpellier, France; Inserm U1061,
Montpellier, France; Université de Montpellier, Montpellier F-34000 France.
Electronic address: .
(2)Clinique du Sommeil, Service d’Explorations Fonctionnelles du Système Nerveux,
CHU de Bordeaux, Bordeaux, France; Univ. Bordeaux, SANPSY, USR 3413, Bordeaux,
France; CNRS, SANPSY, USR 3413, Bordeaux, France.
(3)Univ. Bordeaux, Bordeaux School of Public Health (Institut de Santé Publique,
d’Epidémiologie et de Développement), Bordeaux, France; Centre INSERM U1219,
Healthy team, Bordeaux, France; Charles Perrens Hospital, Department of Child and
Adolescent Psychiatry, Bordeaux, France.
(4)Centre de Référence Narcolepsie, Unité des Troubles du Sommeil Service de
Neurologie, Hôpital Gui-de-Chauliac, Montpellier, France; Inserm U1061,
Montpellier, France; Université de Montpellier, Montpellier F-34000 France.
Recent population-based longitudinal studies concluded that most adults with
attention deficit/hyperactivity disorder (ADHD) symptoms would not have a
childhood history of ADHD, leading to the concept of adult-onset ADHD. In a
large, well-characterized clinical population of 446 adults with a primary
complaint of ADHD, we reported a low frequency of adult-onset ADHD (6.9%), being
a primary isolated condition in 2.8%. They had less severe symptoms and
tendencies for higher hypersomnolence disorder comorbidity than patients with
typical childhood-onset ADHD. Our findings reinforce the requirement to exclude
other disorders that might overlap with ADHD or mimic ADHD symptoms in adulthood
onset patients.
Copyright © 2017 Elsevier B.V. All rights reserved.
DOI: 10.1016/j.psychres.2017.07.080
PMID: 28780281 [Indexed for MEDLINE]