The DOI matches its Crossref record; 44 of the 45 references it cites were found in a registry or an index.
ADHD in adults: A study of clinical characteristics, impairment and comorbidity
Abstract
In this study, we explored the clinical characteristics, impairment and comorbidity in a sample of 45 adult patients with attention-deficit/hyperactivity disorder (ADHD). The collection of data is based on a naturalistic, retrospective approach using medical records documenting a comprehensive assessment of the patients. The sample was severely impaired in terms of academic achievement, employment and criminality, and had very high levels of comorbidity, especially alcohol and drug abuse, antisocial personality disorder and depression. Despite a high degree of contact with child psychiatric services in childhood, very few were diagnosed with ADHD, and many had a long period of psychiatric treatment as adults before the ADHD diagnosis was made. ADHD is in this sample of adults associated with severe impairment and comorbidity, and the connection between impairment and lack of proper diagnosis and treatment is discussed.
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In the citing paper
“it is associated with substantial individual impacts such as difficulties in interpersonal functioning, educational and occupational performance, and community activities [6-9].”
In the citing paper
“as many as 80% of patients with ADHD have at least 1 coexisting psychiatric disorder [6,17,18].”
In the citing paper
“As many as 80% of adults with ADHD have at least one coexisting psychiatric disorder [4,5]”
From Adult ADHD and comorbid disorders: clinical implications of a dimensional approach (2017) · cites this paper as [4]
In the citing paper
“ADHD has been associated with increased criminality [39], with one study reporting that 47% of patients with ADHD had at least one criminal sentence [4].”
From Adult ADHD and comorbid disorders: clinical implications of a dimensional approach (2017) · cites this paper as [4]
In the citing paper
“Treatment of adult ADHD can influence psychosocial impairment that results as a consequence of 'core' ADHD symptoms, and may lead to improvements in associated features and comorbid disorders [245-247].”
From European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD (2010) · cites this paper as [245]
Citations
Cites
SCL-90: an outpatient psychiatric rating scale--preliminary report.
Derogatis, L. R., Lipman, R. S., & Covi, L. (1973) · PubMed · Cited by 3,800
(1999) · Archives of General Psychiatry · doi:10.1001/archpsyc.56.12.1073 · Cited by 3,372
(1993) · American Journal of Psychiatry · doi:10.1176/ajp.150.6.885 · Cited by 1,421
Mannuzza, S. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820190067007 · Cited by 1,368
Gender Differences in ADHD: A Meta-Analysis and Critical Review
GAUB, M., & CARLSON, C. L. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199708000-00011 · Cited by 1,117
Cerebral Glucose Metabolism in Adults with Hyperactivity of Childhood Onset
Zametkin, A. J., NORDAHL, T. E., Gross, M., King, A. C., Semple, W. E., Rumsey, J. M., Hamburger, S., & Cohen, R. M. (1990) · New England Journal of Medicine · doi:10.1056/nejm199011153232001 · Cited by 975
(1993) · American Journal of Psychiatry · doi:10.1176/ajp.150.12.1792 · Cited by 950 · cited 3×
“Many previous studies have shown significant impairment in samples of adult ADHD (18, 28, 30), and even worse in the presence of comorbid psychiatric disorders (31).”
BackgroundResultWilens, T. E., Faraone, S. V., Biederman, J., & Gunawardene, S. (2003) · Pediatrics · doi:10.1542/peds.111.1.179 · Cited by 872
Gender Differences in ADHD: A Meta-Analysis and Critical Review
Gaub, M., & Carlson, C. L. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199708000-00023 · Cited by 871
Comorbidity in ADHD: implications for research, practice, and DSM-V.
Jensen, P., Martin, D., & Cantwell, D. (1997) · Journal of the American Academy of Child and Adolescent Psychiatry · doi:10.1097/00004583-199708000-00014 · Cited by 839
Kandel, D. B., & Logan, J. A. (1984) · American Journal of Public Health · doi:10.2105/ajph.74.7.660 · Cited by 798
Adult psychiatric status of hyperactive boys grown up
Mannuzza, S., Klein, R. G., Bessler, A., Malloy, P., & LaPadula, M. (1998) · American Journal of Psychiatry · doi:10.1176/ajp.155.4.493 · Cited by 769
WEISS, G., HECHTMAN, L., MILROY, T., & PERLMAN, T. (1985) · Journal of the American Academy of Child Psychiatry · doi:10.1016/s0002-7138(09)60450-7 · Cited by 753
ATTENTION-DEFICIT HYPERACTIVITY DISORDER IN ADULTS
Wender, P. H. (1998) · Psychiatric Clinics of North America · doi:10.1016/s0193-953x(05)70039-3 · Cited by 728
RASMUSSEN, P., & GILLBERG, C. (2000) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200011000-00017 · Cited by 728
Attention deficit hyperactivity disorder adults: Comorbidities and adaptive impairments
Murphy, K., & Barkley, R. A. (1996) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(96)90022-x · Cited by 700
Hyperactive Boys Almost Grown Up: V. Replication of Psychiatric Status
Mannuzza, S. (1991) · Archives of General Psychiatry · doi:10.1001/archpsyc.1991.01810250079012 · Cited by 549 · cited 2×
“adulthood in as much as 30 /60% of the cases (2, 3).”
BackgroundBIEDERMAN, J., WILENS, T., MICK, E., FARAONE, S. V., WEBER, W., CURTIS, S., THORNELL, A., PFISTER, K., JETTON, J. G., & SORIANO, J. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199701000-00013 · Cited by 476
Murphy, K. R., Barkley, R. A., & Bush, T. (2002) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-200203000-00003 · Cited by 429
Faraone, S. V., Spencer, T., Aleardi, M., Pagano, C., & Biederman, J. (2004) · Journal of Clinical Psychopharmacology · doi:10.1097/01.jcp.0000108984.11879.95 · Cited by 404
Spencer, T. (1995) · Archives of General Psychiatry · doi:10.1001/archpsyc.1995.03950180020004 · Cited by 402
Gender effects on Attention-Deficit/Hyperactivity disorder in adults, revisited
Biederman, J., Faraone, S. V., Monuteaux, M. C., Bober, M., & Cadogen, E. (2004) · Biological Psychiatry · doi:10.1016/j.biopsych.2003.12.003 · Cited by 385
Klein, R. G. (1997) · Archives of General Psychiatry · doi:10.1001/archpsyc.1997.01830240023003 · Cited by 349
Attention-Deficit/Hyperactivity Disorder in Adults
Wilens, T. E. (2004) · JAMA · doi:10.1001/jama.292.5.619 · Cited by 345
Educational and occupational outcome of hyperactive boys grown up.
Mannuzza, S., Klein, R., Bessler, A., Malloy, P., & Hynes, M. (1997) · Journal of the American Academy of Child and Adolescent Psychiatry · doi:10.1097/00004583-199709000-00014 · Cited by 342
Gender differences in a sample of adults with attention deficit hyperactivity disorder.
Biederman, J., Faraone, S., Spencer, T., Wilens, T., Mick, E., & Lapey, K. A. (1994) · Psychiatry Research · doi:10.1016/0165-1781(94)90092-2 · Cited by 327
Shekim, W. O., Asarnow, R. F., Hess, E., Zaucha, K., & Wheeler, N. (1990) · Comprehensive Psychiatry · doi:10.1016/0010-440x(90)90026-o · Cited by 304
Accuracy of Adult Recall of Childhood Attention Deficit Hyperactivity Disorder
Mannuzza, S., KLEIN, R. G., Klein, D. F., BESSLER, A., & Shrout, P. E. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.11.1882 · Cited by 238
Carlson, C. L., Tamm, L., & Gaub, M. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199712000-00019 · Cited by 237
Hyperactive Boys and Their Brothers: A 25-Year Follow-Up Study
Borland, B. L. (1976) · Archives of General Psychiatry · doi:10.1001/archpsyc.1976.01770060013002 · Cited by 208
Adults with attention-deficit/hyperactivity disorder: a controversial diagnosis.
Spencer, T. J., Biederman, J., Wilens, T. E., & Faraone, S. V. (1998) · PubMed · Cited by 179
Dalsgaard, S., Mortensen, P. B., Frydenberg, M., & Thomsen, P. H. (2002) · British Journal of Psychiatry · doi:10.1192/bjp.181.5.416 · Cited by 172
KOOIJ, J. J. S., BURGER, H., BOONSTRA, A. M., VAN DER LINDEN, P. D., KALMA, L. E., & BUITELAAR, J. K. (2004) · Psychological Medicine · doi:10.1017/s0033291703001776 · Cited by 163
Attention-deficit disorder and conduct disorder in girls: evidence for a familial subtype
Faraone, S. V., Biederman, J., & Monuteaux, M. C. (2000) · Biological Psychiatry · doi:10.1016/s0006-3223(00)00230-4 · Cited by 114
Long-Term Use of Stimulants in Children with Attention Deficit Hyperactivity Disorder
Hechtman, L. T., & Greenfield, B. J. (2003) · Pediatric Drugs · doi:10.2165/00148581-200305120-00002 · Cited by 110
Brook, J. S., Whiteman, M., Cohen, P. R., Shapiro, J., & Balka, E. B. (1995) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199509000-00022 · Cited by 108
Wilens, T. E., Biederman, J., Wozniak, J. R., Gunawardene, S. C., Wong, J., & Monuteaux, M. C. (2003) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01666-9 · Cited by 94
Bouffard, R., Hechtman, L., Minde, K., & Iaboni-Kassab, F. (2003) · The Canadian Journal of Psychiatry · doi:10.1177/070674370304800806 · Cited by 81
Gaub, M., & Carlson, C. L. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · Cited by 72
The risk of alcohol abuse and dependence in adulthood: the association with educational level
Crum, R. M., Bucholz, K. K., Helzer, J. E., & Anthony, J. C. (1992) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a116411 · Cited by 63
Childhood hyperactivity in an adult psychiatric population: social factors.
Morrison, J. R. (1980) · PubMed · Cited by 47
Heßlinger, B., van Elst, L. T., Mochan, F., & Ebert, D. (2003) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2003.00112.x · Cited by 44
Efficacy of Stimulants in Adult ADHD
Maidment, I. (2003) · The Annals of Pharmacotherapy · doi:10.1345/aph.1d028 · Cited by 13
Kemp, C. (1999) · AAP News · Cited by 12
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1 of the 45 references couldn’t be matched to a known paper.
Research works printed but not linked: 4
- 10.1207/s15374424jccp2104_5 · DOI
- Derogatis LR, Lipman RS, Covi L. The SCL-90: An outpatient psychiatric rating scale. Psychopharmacol Bull 1973; 9: 13–28
- Spencer T, Biederman J, Wilens T. Adults with ADHD, a controversial diagnosis. J Clin Psychiatry 1998; 59 Suppl 7: 59–68
- Pliszka SR. Comorbidity of attention-deficit/hyperactivity disorder with psychiatric disorder: An overview. J Clin Psychiatry 1998; 59 Suppl 7: 50–8
Cited by
Sorted by citations
Kooij, S. J., Bejerot, S., Blackwell, A., Caci, H., Casas-Brugué, M., Carpentier, P. J., Edvinsson, D., Fayyad, J., Foeken, K., Fitzgerald, M., et al. (2010) · BMC Psychiatry · doi:10.1186/1471-244x-10-67 · Cited by 928
“Treatment of adult ADHD can influence psychosocial impairment that results as a consequence of ‘core’ ADHD symptoms, and may lead to improvements in associated features and comorbid disorders [245-247].”
Adult ADHD and comorbid disorders: clinical implications of a dimensional approach
Katzman, M. A., Bilkey, T. S., Chokka, P. R., Fallu, A., & Klassen, L. J. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1463-3 · Cited by 732
Halmøy, A., Fasmer, O. B., Gillberg, C., & Haavik, J. (2009) · Journal of Attention Disorders · doi:10.1177/1087054708329777 · Cited by 317
Clashing diagnostic approaches: DSM-ICD versus RDoC
Lilienfeld, S. O., & Treadway, M. T. (2016) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-021815-093122 · Cited by 275
Nutt, D. J., Fone, K., Asherson, P., Bramble, D., Hill, P., Matthews, K., Morris, K. A., Santosh, P., Sonuga-Barke, E., Taylor, E., et al. (2007) · Journal of Psychopharmacology · doi:10.1177/0269881106073219 · Cited by 259
Metadata
- Authors
- Torgersen, T., Gjervan, B., & Rasmussen, K.
- Affiliations
- Levanger Hospital (NO)
- Norwegian University of Science and Technology (NO)
- Corresponding author
- Torgersen, Terje
- Venue
- Nordic Journal of Psychiatry
- Publisher
- Informa UK Limited
- Published
- 2006-01
- Volume
- 60
- Issue
- 1
- Pages
- 38-43
- ISSN
- 0029-1455 (ISSN-L)
- 0803-9488
- 1502-4725
- OpenAlex
- W2110811553
- Cited by
- 211
- References
- 45
- Citations by year
- 2026: 9 · 2025: 19 · 2024: 30 · 2023: 17 · 2022: 8 · 2021: 13 · 2020: 13 · 2019: 7 · 2018: 3 · 2017: 2 · 2016: 10 · 2015: 6 · 2014: 6 · 2013: 13 · 2012: 9
- FWCI
- 5.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nordic Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- adult ADHD, attention deficit hyperactivity disorder, comorbidities, functional disability, alcohol abuse, drug abuse, antisocial personality disorder, depression, delayed diagnosis, child mental health services, academic performance, employment, criminality
- MeSH terms
- Achievement, Adolescent, Adult, Attention Deficit Disorder with Hyperactivity, Mental Disorders, Cognition Disorders, Demography, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Severity of Illness Index, Comorbidity
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