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Updated: Aug 29, 2026

Using Brain Activation (nir-HEG/Q-EEG) and Execution Measures (CPTs) in a ADHD Assessment Protocol
Published on: April 1, 2018
Attention-deficit hyperactivity disorder
1Department of General Practice, University of Wales College of Medicine, Heath Park, Cardiff CF14 4XN.
Insights
Attention-deficit hyperactivity disorder (ADHD) affects many children, and primary care plays a key role in its management. Accurate diagnosis is crucial for effective intervention, despite ongoing controversies surrounding ADHD.
Area of Science:
- Pediatrics
- Child Psychology
- Neurodevelopmental Disorders
Background:
- Attention-deficit hyperactivity disorder (ADHD) impacts 1.4%–6% of children globally.
- Primary care settings are increasingly vital for ADHD recognition and management.
- Significant controversy surrounds ADHD diagnosis and treatment approaches.
Purpose of the Study:
- To examine the empirical evidence behind controversial aspects of ADHD.
- To address issues of under- and overdiagnosis.
- To clarify the roles of etiology and psychosocial factors in ADHD.
Main Methods:
- Discussion paper format.
- Review of empirical data on ADHD diagnosis, etiology, outcomes, and psychosocial factors.
- Analysis of controversial elements within the ADHD literature.
Main Results:
- Evidence supports the validity of ADHD as a diagnosis when systematically applied.
- Controversies regarding under- and overdiagnosis require careful consideration of diagnostic criteria.
- Psychosocial factors play a role, but do not negate the neurodevelopmental basis of ADHD.
Conclusions:
- Accurate and systematic ADHD diagnosis is scientifically supported.
- There is no valid scientific reason to dismiss the concept of ADHD.
- Intervention for diagnosed ADHD is warranted based on empirical evidence.
Abstract:
Attention-deficit hyperactivity disorder (ADHD) affects between 1.4% and 6% of children. The importance of the role of primary care in the recognition and joint management of this disorder is being increasingly highlighted. Despite a wealth of research, the diagnosis and management of ADHD have attracted a good deal of controversy. In this discussion paper, we focus on the empirical basis for some of the more controversial aspects of ADHD, such as diagnosis (discussing both under- and overdiagnosis), aetiology, outcomes, and the role of psychosocial factors in this disorder. We conclude that, provided the diagnosis of ADHD is made accurately and systematically, there are no good scientific grounds for dismissing the concept of ADHD or for failing to intervene.
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