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Using Brain Activation nir-HEG/Q-EEG and Execution Measures CPTs in a ADHD Assessment Protocol
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Attention-deficit/hyperactivity disorder during adulthood.

E Magnin1, C Maurs2

  • 1Memory and Resource Centre (CMRR), Neurology Department, Besançon University Hospital, 25000 Besançon, France; Clinical and integrative neuroscience, Research Laboratory 481, Bourgogne Franche-Comté University, 25000 Besançon, France; GREDEV commission (Reflection Group on the Evaluation of Neurodevelopmental Disorders) of the Reflection Group on Cognitive Evaluation (GRECO), France.

Revue Neurologique
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Summary
This summary is machine-generated.

Adults with Attention-Deficit/Hyperactivity Disorder (ADHD) often go undiagnosed due to complex symptoms and comorbidities. Early screening for ADHD in adults presenting with cognitive issues is crucial for accurate diagnosis and effective treatment.

Keywords:
AdultAttention-deficit/hyperactivity disorderDiagnosisManagementNeuropsychology

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Area of Science:

  • Neurodevelopmental disorders
  • Adult psychiatry
  • Cognitive neuroscience

Background:

  • Attention-Deficit/Hyperactivity Disorder (ADHD) is primarily recognized as a childhood condition but frequently persists into adulthood.
  • Many adults with ADHD remain undiagnosed due to diagnostic complexity, particularly with co-occurring psychiatric or neurological conditions.
  • Adult ADHD presents with attentional and executive dysfunction, often leading patients to seek help at memory clinics.

Purpose of the Study:

  • To highlight the challenges in diagnosing adult ADHD, especially when comorbidities are present.
  • To emphasize the importance of systematically screening for ADHD in adults with cognitive or behavioral complaints.
  • To underscore the potential benefits of accurate diagnosis for treatment and improved quality of life.

Main Methods:

  • Review of diagnostic complexities in adult ADHD.
  • Analysis of neuropsychological profiles in undiagnosed adult ADHD patients.
  • Discussion of screening strategies for adult ADHD.

Main Results:

  • Undiagnosed adult ADHD patients may exhibit atypical cognitive profiles complicating diagnosis.
  • Comorbidities significantly increase the risk of delayed diagnosis or misdiagnosis of ADHD in adults.
  • Systematic screening can identify ADHD in adults presenting with attentional and executive disorders.

Conclusions:

  • Adult ADHD is a prevalent and disabling condition requiring greater diagnostic attention.
  • Neuropsychological assessments in adults should include screening for ADHD to avoid misdiagnosis.
  • Timely and accurate diagnosis of adult ADHD can facilitate appropriate non-pharmaceutical and pharmaceutical interventions.