Are Motivation Deficits Underestimated in Patients With ADHD? A Review of the Literature

@article{ModestoLowe2013AreMD,
  title={Are Motivation Deficits Underestimated in Patients With ADHD? A Review of the Literature},
  author={Vania Modesto-Lowe and Margaret Chaplin and Victoria Soovajian and Andrea Meyer},
  journal={Postgraduate Medicine},
  year={2013},
  volume={125},
  pages={47 - 52}
}
Abstract Aims: Attention-deficit/hyperactivity disorder (ADHD) is characterized by impaired inhibition, inattention, and altered sensitivity to rewards. Behavioral studies support the presence of motivational disturbances as a distinct component of ADHD. Functional magnetic resonance imaging is a technology now used to research the brain circuitry underlying motivation. These studies indicate that individuals with ADHD exhibit hyporesponsitivity of the dopamine neurons in the ventral and dorsal… 

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References

SHOWING 1-10 OF 56 REFERENCES

Motivation Deficit in ADHD is Associated with Dysfunction of the Dopamine Reward Pathway

Evidence is provided that disruption of the dopamine reward pathway is associated with motivation deficits in ADHD adults, which may contribute to attention deficits and supports the use of therapeutic interventions to enhance motivation in ADHD.

Neurobiology of ADHD

Decision Making with Uncertain Reinforcement in Children with Attention Deficit/Hyperactivity Disorder (ADHD)

It is concluded that the tendency to select less likely but larger rewards possibly represents a separate facet of dysfunctional reward processing, independent of delay aversion or altered responsiveness to feedback, in children with ADHD.

Delay discounting of reward in ADHD: application in young children.

BACKGROUND A key underlying process that may contribute to attention-deficit/hyperactivity disorder (ADHD) involves alterations in reward evaluation, including assessing the relative value of

Evaluating dopamine reward pathway in ADHD: clinical implications.

A reduction in dopamine synaptic markers associated with symptoms of inattention was shown in the dopamine reward pathway of participants with ADHD.

Interventions to Address the Academic Impairment of Children and Adolescents with ADHD

The state of the treatment literature for addressing academic impairment in children and adolescents with ADHD will be reviewed, as well as limitations of current research, and directions for future research.
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