Pharmacotherapy With Attention-Deficit Disorder
Insights
Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder. This review covers ADHD
Area of Science:
- Neuroscience
- Psychiatry
- Developmental Psychology
Background:
- Attention-deficit/hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder in children, often persisting into adulthood.
- Core symptoms include inattentiveness and hyperactivity, linked to delayed cortical maturation.
- Neurophysiological studies reveal altered functional connectivity in key brain regions like the prefrontal cortex.
Purpose of the Study:
- To provide a comprehensive overview of ADHD, encompassing its definition, manifestations, and comorbidities.
- To discuss the epidemiology, neurophysiological underpinnings, and current pharmacological treatment strategies for ADHD.
- To synthesize current knowledge on ADHD for clinicians and researchers.
Main Methods:
- Literature review of ADHD definition, manifestations, comorbidities, epidemiology, neurophysiology, and treatment.
- Synthesis of findings from neurophysiological studies on brain connectivity.
- Analysis of pharmacological interventions, particularly dopamine agonist sympathomimetics.
Main Results:
- ADHD is characterized by inattentiveness and restlessness, associated with a 2-3 year delay in cortical maturation.
- Functional connectivity alterations are observed in the dorsolateral prefrontal cortex, insula, and anterior cingulate cortex.
- Sympathomimetics acting as dopamine agonists are primary pharmacological treatments.
Conclusions:
- ADHD is a complex neurodevelopmental disorder with significant implications for children and adults.
- Understanding neurophysiological changes is crucial for effective management.
- Pharmacological interventions, primarily sympathomimetics, play a key role in managing ADHD symptoms.
Abstract:
Attention-deficit/hyperactivity disorder (ADHD) is the most commonly diagnosed mental disorder in children and a small proportion retain the disorder into adulthood. The primary feature of ADHD is inattentiveness that contributes to restlessness, and it is considered a neurodevelopmental disorder characterized by a 2- to 3-year delay in cortical maturation in children. Neurophysiological studies identify functional connectivity changes in the dorsolateral prefrontal cortex, insula, and anterior cingulate cortex. The sympathomimetics that act as dopamine agonists are the mainstay in pharmacological treatment. The current article addresses the definition and manifestations of attention-deficit disorder, comorbidities in children and adults, epidemiology, neurophysiology, and pharmacological treatment strategies. [Journal of Psychosocial Nursing and Mental Health Services, 58(5), 7-14.].
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