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Attention deficit hyperactivity disorder-residual type.

M B Denckla1

  • 1Developmental Neurobehavior Clinic, Kennedy Institute, Baltimore, MD 21205.

Journal of Child Neurology
|January 1, 1991
PubMed
Summary
This summary is machine-generated.

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Attention deficit hyperactivity disorder (ADHD) often persists into adulthood, recognized as ADHD-residual type (ADHD-RT). Executive function assessment offers direct examination for ADHD-RT diagnosis and understanding its cognitive aspects.

Area of Science:

  • Neuroscience
  • Psychiatry
  • Psychology

Background:

  • Accumulating evidence over two decades supports the persistence of Attention Deficit Hyperactivity Disorder (ADHD) into adulthood.
  • A residual type of ADHD (ADHD-RT) is suggested by retrospective and longitudinal data.
  • Existing diagnostic criteria, such as the Utah set, rely on historical interviews, posing challenges in reliability and validity.

Purpose of the Study:

  • To review evidence for ADHD persistence into adulthood.
  • To propose direct assessment methods for ADHD-RT.
  • To explore the utility of executive function assessment for ADHD-RT.

Main Methods:

  • Review of retrospective and longitudinal studies on adult ADHD.
  • Discussion of diagnostic criteria, including historical interview and checklist methods.

Related Experiment Videos

  • Proposal for assessing executive functions as a direct examination tool for ADHD-RT.
  • Main Results:

    • Evidence supports the recognition of a residual type of ADHD (ADHD-RT) in adults.
    • Challenges exist in obtaining reliable historical diagnostic information for ADHD-RT.
    • Executive function assessment is proposed as a valuable method for ADHD-RT evaluation.

    Conclusions:

    • ADHD-RT can be recognized in adults, but direct assessment is desirable.
    • Executive function assessment offers a promising avenue for documenting cognitive correlates of ADHD-RT.
    • Neuropsychological assessment of executive functions may provide insights into the neurobiological underpinnings of ADHD-RT and its treatment response.