A clinical and demographic profile of a sample of adults with attention deficit hyperactivity disorder, residual state
Abstract
It is becoming increasingly recognized that one third to one half of children diagnosed as having attention deficit/hyperactivity disorder (ADHD) continue to exhibit symptoms of the disorder into adulthood. The nature of the clinical picture is not well understood by a substantial number of clinicians. The purpose of this study is to report on the demographic and clinical profile of 56 adults, age 19 to 65 years (48 men, eight women) who present with adult ADHD and meet DSM-III-R criteria for the disorder. Patients underwent a diagnostic work-up consisting of medical and psychiatric evaluation, a structured interview Schedule for Affective Disorders and Schizophrenia-Lifetime Version [SADS-L]), the Symptoms Checklist Revised (SCL-9OR), Conners Attention Deficit Disorder With Hyperactivity (ADDH) scale, structured interview of ADDH, the Global Assessment of Functioning Scale (GAF), and, when available, information from parents was obtained. Ninety-one percent of our sample met the Utah Criteria for adult ADHD. The majority of the sample had additional DSM-III-R diagnoses and only seven had ADHD diagnosis alone. Fifty-three percent of the sample met the criteria for generalized anxiety disorder, 34% alcohol abuse or dependence, 30% drug abuse, 25% dysthymic disorder, and 25% cyclothymic disorder. These findings were similar to those reported in the literature.
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Adult ADHD is associated with diagnoses of comorbid mood, anxiety and substance-use disorder.
“Likewise, adult ADHD is also associated with diagnoses of comorbid mood, anxiety and substance-use disorder [11-17].”
From Advances in understanding and treating ADHD (2011) · cites this paper as [16]
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- Authors
- Shekim, W. O., Asarnow, R. F., Hess, E., Zaucha, K., & Wheeler, N.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Shekim, Walid O.
- ORCID
- Asarnow, Robert F.
- Venue
- Comprehensive Psychiatry
- Publisher
- Elsevier BV
- Published
- 1990-09
- Volume
- 31
- Issue
- 5
- Pages
- 416-425
- ISSN
- 0010-440X (ISSN-L)
- OpenAlex
- W2037281804
- Cited by
- 304
- References
- 24
- Citations by year
- 2025: 2 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 1 · 2019: 6 · 2018: 2 · 2017: 5 · 2016: 5 · 2015: 4 · 2014: 10 · 2013: 9 · 2012: 9
- FWCI
- 0.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Comprehensive Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Keywords
- adult ADHD, psychiatric comorbidity, generalized anxiety disorder, alcohol abuse, drug abuse, dysthymia, cyclothymia, demographic profile, clinical profile, DSM-III-R
- MeSH terms
- Adult, Aged, Anxiety Disorders, Attention Deficit Disorder with Hyperactivity, Depressive Disorder, Female, Follow-Up Studies, Humans, Male, Methylphenidate, Middle Aged, Psychiatric Status Rating Scales
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