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Is attention-deficit hyperactivity disorder in adults a valid disorder?
T Spencer1, J Biederman, T Wilens
1Pediatric Psychopharmacology Unit, Massachusetts General Hospital, Boston 02114, USA.
Harvard Review of Psychiatry
|March 1, 1994
Summary
The diagnosis of adult attention-deficit hyperactivity disorder (ADHD) is valid, reliably diagnosed, and predicts treatment response. Emerging evidence supports its genetic and neurobiological basis.
Area of Science:
- Psychiatry
- Neurodevelopmental Disorders
- Adult Mental Health
Background:
- Concerns exist regarding the diagnostic validity of adult attention-deficit hyperactivity disorder (ADHD).
- Establishing diagnostic validity is crucial for accurate assessment and treatment.
- Adult ADHD requires rigorous scientific evaluation to confirm its clinical standing.
Purpose of the Study:
- To critically evaluate the diagnostic validity of adult attention-deficit hyperactivity disorder (ADHD).
- To assess whether the adult ADHD diagnosis meets acceptable standards for validity.
- To synthesize empirical evidence supporting the diagnosis in adults with childhood onset.
Main Methods:
- Systematic literature search of psychiatric and psychological databases.
- Inclusion of empirical studies on adult attention-deficit hyperactivity disorder (ADHD) with childhood onset.
- Examination of studies for evidence of descriptive, predictive, and concurrent validity.
Main Results:
- The diagnosis of adult attention-deficit hyperactivity disorder (ADHD) can be reliably made.
- The diagnosis demonstrates significant predictive power for complications and treatment response.
- Growing evidence supports genetic transmission, specific treatment effects, and neurobiological abnormalities.
Conclusions:
- The empirical evidence increasingly supports the validity of adult attention-deficit hyperactivity disorder (ADHD).
- Reliable diagnosis and predictive validity strengthen the clinical recognition of adult ADHD.
- Neurobiological and genetic findings further corroborate the legitimacy of adult ADHD.