Attention-Deficit/Hyperactivity Disorder in Adults: Evidence-Based Recommendations for Management

@article{Rostain2008AttentionDeficitHyperactivityDI,
  title={Attention-Deficit/Hyperactivity Disorder in Adults: Evidence-Based Recommendations for Management},
  author={Anthony Leon Rostain},
  journal={Postgraduate Medicine},
  year={2008},
  volume={120},
  pages={27 - 38}
}
  • A. Rostain
  • Published 1 January 2008
  • Psychology, Medicine
  • Postgraduate Medicine
Abstract Attention-deficit/hyperactivity disorder (ADHD) is associated with impairments in educational, occupational, neuropsychological, and social functioning in adults. Successful diagnosis and treatment of the disorder in adults can be a challenge because recent and integrative clinical guidelines are lacking and diagnostic criteria are based on making a retrospective diagnosis of childhood-onset ADHD. To develop evidence-based recommendations for the treatment of ADHD in adults, the… 
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41 Citations
Highly Influential Citations
4
Background Citations
17
Methods Citations
3
Results Citations
2

41 Citations

Diagnosis and Management of Attention-Deficit/Hyperactivity Disorder in Adults
TLDR
Clinical guidelines recommend stimulants and the nonstimulant atomoxetine as first-line treatments, followed by antidepressants, and the combination of an antidepressant and stimulants has been shown to be safe and effective.
Aiming for remission in adults with attention-deficit/hyperactivity disorder: The primary care goal
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This review provides primary care clinicians with a practical definition of remission in adults with ADHD, to emphasize that symptom reduction does not necessarily mean intact functionality, and to suggest a multidisciplinary approach aimed at achieving the greatest possible reduction of symptoms and normalization of functionality.
Attention-Deficit/Hyperactivity Disorder in a Chronic Care Paradigm
TLDR
A clinical approach whereby adult ADHD is treated within a chronic care paradigm that prominently features the involvement of the PCP is described.
Bupropion for attention deficit hyperactivity disorder (ADHD) in adults.
TLDR
Low-quality evidence that bupropion decreased the severity of ADHD symptoms and increased the proportion of participants achieving clinical improvement is found, suggesting a possible benefit in clinical improvement in adults with ADHD.
Comorbidities in Adult Attention-Deficit/Hyperactivity Disorder: A Practical Guide to Diagnosis in Primary Care
TLDR
A review discusses disorders that may be comorbid with ADHD in adults, including anxiety, mood, substance use disorder, antisocial personality disorder, and borderline personality disorder.
The negative impact of attention-deficit/hyperactivity disorder on occupational health in adults and adolescents
TLDR
Overall, ADHD in adults has a substantial economic impact as a result of absenteeism and lost productivity and Psychoeducation, combined with stimulant medications if necessary, is recommended as first-line treatment for adults with ADHD.
Recognizing and Treating Attention-Deficit/Hyperactivity Disorder in College Students
Traditionally diagnosed in children, attention-deficit/hyperactivity disorder (ADHD) is now regarded as a life span condition. The academic difficulties experienced by children and adolescents with…
The Safety and Efficacy of Methylphenidate and Dexmethylphenidate in Adults with Attention Deficit/Hyperactivity Disorder
TLDR
Based on the literature, increased doses are associated with better treatment response with moderate safety concerns, and methylphenidate and dexmethylphenidate are safe and effective medications to treat the symptoms of ADHD in adults.
Long-Term Safety of OROS Methylphenidate in Adults With Attention-Deficit/Hyperactivity Disorder: An Open-Label, Dose-Titration, 1-Year Study
TLDR
OROS methylphenidate, in the flexible dosage range from 36 to 108 mg/d, was well tolerated for up to 1 year in adults with ADHD.
Neurofeedback for Adult Attention-Deficit/Hyperactivity Disorder: Investigation of Slow Cortical Potential Neurofeedback—Preliminary Results
TLDR
This study investigated if any behavioral and electrophysiological changes reflected in the CNV can be observed after 15 sessions of SCP neurofeedback training, and a comparison of CNV amplitude in adults with ADHD and a healthy control group was conducted.
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