The ADHD Weekly Blog from ADHD Experts
The State of the Art on Identifying and Treating Persons with Comorbid ADHD and Substance Use DisordersAn international group of twelve experts recently published a consensus report examining the state of the evidence and offering recommendations to guide screening, diagnosis, and treatment of individuals with ADHD-SUD comorbidity. In a clear sign that we are still in the early stages of understanding this relationship, five of the thirteen recommendations received the lowest recommendation grade (D), eight received the next-lowest (C), and none received the highest (A and B). The Read moreA team of U.S. endocrinologists recently published the results of a meta-analysis examining a possible association between bisphenol A (BPA) and childhood ADHD. BPA is used in a variety of consumer products, including plastic bottles for food and drink, epoxy resins used to line cans of food, dental sealants, and the thermal receipts issued by stores. A review of the literature found 29 rodent studies but only three with humans. The human studies were too different from each other to be Read more
by Lenard A. Adler, MD -Silverstein et al. (2017) recently published a study which reported a validation of two expanded adult ADHD scales, self-report (Adult ADHD Self Report Rating Scale (ASRS) v1.1 Symptom Checklist) and clinician/investigator (Adult ADHD Investigator Symptom Rating Scale - AISRS); both scale were expanded beyond the classic 18 DSM symptoms of inattention (IA) and hyperactivity-impulsivity (HI) to include 13 additional commonly co-traveling items of executive function deficits (EFDs) (eg. Read more
by Lenard A. Adler, MD -Ustun et al. (2017) recently published an updated version of the adult ADHD screener which is validated for DSM-5: the ASRS v1.1 Screener: DSM-5. The prior DSM-IV version of the screener was established using two populations: a community-based sample from the National Co-Morbidity Survey (NCS-R) and a sample of individuals from a health care plan. The first step was to recalibrate the new screener using these same two samples, but applying updated DSM-5 criteria; symptoms included not only Read moreADHD Affects the Efficacy of Treatment for Eating Disorders in Adult Women Swedish researchers examined outcomes for adult women who sought treatment at the Stockholm Centre for Eating Disorders over a period of two years and nine months. Out of 1,517 women who came to the clinic 1,143 remained eligible for the study, after excluding women whose symptoms did not fulfill the DSM-IV criteria for eating disorders or had incomplete records. Of these, seven hundred patients could not be Read moreAn international group of twelve experts recently published a consensus report examining the state of the evidence and offering recommendations to guide screening, diagnosis, and treatment of individuals with ADHD-SUD comorbidity.1 In a clear sign that we are still in the early stages of understanding this relationship, five of the thirteen recommendations received the lowest recommendation grade (D), eight received the next-lowest (C), and none received the highest (A and B). The Read moreA Dutch study compared the efficacy of mindfulness-based cognitive therapy (MBCT) combined with treatment as usual (TAU), with TAU-only as the control group. MBCT consisted of an eight-week group therapy consisting of mindfulness exercises (bodyscan, sitting meditation, mindful movement), psychoeducation about ADHD, and group exercises. TAU consisted of usual treatment in the Netherlands, including medications and other psychological treatment. Sixty individuals were randomly assigned to Read moreThough there have been numerous studies of the efficacy of cognitive behavioral therapy (CBT) for ADHD symptoms in children, adolescents, and adults, few have examined efficacy among adults over 50. A new study begins to fill that void. Psychiatric researchers from the New York University School of Medicine, Massachusetts General Hospital, and Pfizer randomly assigned 88 adults diagnosed with elevated levels of ADHD to one of two groups. The first group received 12 weeks of CBT targeting Read moreA recent CNN report, http://tinyurl.com/yannlfd6, highlighted a paper published in Pediatrics, which reported that pregnant women who use acetaminophen during pregnancy put their unborn child at two-fold increased risk for attention deficit hyperactivity disorder (ADHD). In that study, acetaminophen use during pregnancy was common; nearly half of women surveyed used the painkiller during a pregnancy. Other studies have reported similar associations of acetaminophen, Read more
The Familial Relationship Between Attention Deficit Hyperactivity Disorder and Substance Use Disorders
by Amy Yule, MD -While it has been well documented that attention deficit hyperactivity disorder (ADHD) and substance use disorders (SUD) commonly co-occur, little is known about the reasons for this association. Since both disorders are highly heritable one hypothesis is the high co-occurrence may be due to common genes. One way to assess for a genetic relationship between ADHD and SUD is through a familial risk analysis. Familial risk analysis compares the prevalence of an Read more
Regular ADHD Bloggers
- Association Found Between ADHD Risk Genes Involved in Dopamine Signaling and Reduced Estimated Life Expectancy
- How to Identify ADHD in Adults with Alcohol Use Disorder (AUD)
- How Effective Are Mindfulness-Based Interventions in Treating Attention Deficit Symptoms?
- What are the Barriers to Understanding ADHD in Primary Care?
- The Relationship Between Executive Function Deficits and DSM-5-Defined ADHD Symptoms
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