The ADHD Weekly Blog from ADHD Experts
by Lenard A. Adler, MD -ADHD in college students is important because college is the first time an ADHD adult is out on his/her own, with the protective oversight of parents. The ASRS screener and 18 point symptom checklist are good ways for students and clinicians to keep track of symptoms and the effects of ADHD medications.
by Lenard A. Adler, MD -Gray et al. (2014), The Adult ADHD Self-Report Scale (ASRS): utility in college students with attention- deficit/hyperactivity disorder. PeerJ 2:e324; DOI 10.7717/peerj.324 There has been ongoing interest in the identification of ADHD in college students; many transitional adults will present with ADHD related symptoms and problems with the transition to post-secondary education and the related demands on attention and executive function. This investigation examined the utility of the Read more
by Lenard A. Adler, MD -Kabul,S; Alatorre,C; Montejano,LB; Farr,AM; Clemow, DB. CNS Neuroscience & Therapeutics 21 (2015) 936–942. This study describes a large prescription database survey of dosing patterns of atmoxetine, between January 2006 and December 2001, in adults with ADHD. 12,412 adults >= 18 y.o. met inclusion criteria of: 1) having at least one claim coded for ADHD, 2) having continuous medical and prescription benefits for the 6 months prior and 12 after the index (initial atomoxetine Read more
by Lenard A. Adler, MD -Ettinger AB1, Ottman R, Lipton RB, Cramer JA, Fanning KM, Reed ML. Attention-deficit/hyperactivity disorder symptoms in adults with self-reported epilepsy: Results from a national epidemiologic survey of epilepsy. Epilepsia. 2015 Jan 15. doi: 10.1111/epi.12897. [Epub ahead of print] The purpose of this study was to examine symptoms of ADHD and resulting functional consequences in a large community cohort of individuals with epilepsy. There is a somewhat higher rate of ADHD observed in Read moreThis article reviews existing evidence for the use of locomotor activity measures in diagnosing ADHD. The authors conducted a meta-analysis of published studies using motion measures to compare patients with ADHD with controls and then conducted a case control study using the McLean motion activity test (MMAT) on a sample of child, adolescent and adult ADHD patients (N=81) and matched controls (N=91). The meta-analysis procedure involved searching several electronic medical databases and Read more
by Mark Stein, PhD -It has been known for many years that ADHD runs in families. Twin, family, and adoption studies indicate that ADHD is common in first-degree relatives of children with ADHD, including many parents. In contrast to children with ADHD whose difficulties in school or at home lead to an ADHD evaluation, parental ADHD is much less likely to be detected if it has been missed previously. ADHD in adults can be easily misdiagnosed as another problem, sometimes the result of longstanding, untreated Read moreADHD itself is associated with sleep difficulties, independent of ADHD medications. Thus, it is very important that sleep quality is assessed prior to treatment so that the changes due to treatment can be correctly inferred. In clinical trials of stimulant medications for ADHD, insomnia is typically noted a side effect of the medications. But most of these studies have used subjective patient or parent reports of sleep quality. A new meta analysis, reviews 9 studies of a total of 246 Read more
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