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Attention Deficit/Hyperactivity Disorder in Individuals with Non-Syndromic Craniosynostosis: A Systematic Review and
Amanda J Osborn1, Olivia Lange1, Rachel M Roberts1
1School of Psychology, University of Adelaide, Adelaide, South Australia, Australia.
Insights
Craniosynostosis, a skull condition, shows limited association with Attention Deficit/Hyperactivity Disorder (ADHD) symptoms. Further research is needed to fully understand this complex relationship in children.
Area of Science:
- Neurodevelopmental disorders
- Pediatric neurosurgery
- Child and adolescent psychiatry
Background:
- Craniosynostosis, the premature fusion of skull sutures, is a condition with potential neurodevelopmental implications.
- The relationship between single-suture, non-syndromic craniosynostosis and Attention Deficit/Hyperactivity Disorder (ADHD) remains unclear.
- Understanding this association is crucial for comprehensive patient care and intervention strategies.
Conclusions:
- The current evidence suggests a limited direct association between single-suture, non-syndromic craniosynostosis and ADHD.
- High symptom levels reported in some studies warrant further investigation.
- Larger sample sizes and standardized, comprehensive ADHD assessments are necessary for future research to clarify this relationship.
Abstract:
It is not yet understood whether, and to what extent, craniosynostosis impacts the development of Attention Deficit/Hyperactivity Disorder (ADHD). This PRISMA compliant and PROSPERO pre-registered (ID: CRD42023458640) systematic review and meta-analysis examines the association of single-suture, non-syndromic craniosynostosis with ADHD and inattention/hyperactivity symptoms. Data from 17 independent studies (Nparticipants = 2,389; Mage = 7.3 years) were analyzed, taking into consideration suture location, surgical status, age, and measures administered, where feasible. Few differences were found between cases and controls, but some studies reported high symptom levels. Additional research is required utilizing larger sample sizes and more comprehensive assessment of ADHD.
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