The DOI matches its Crossref record; 216 of the 216 references it cites were found in a registry or an index.
Females with ADHD: An expert consensus statement taking a lifespan approach providing guidance for the identification and treatment of attention-deficit/ hyperactivity disorder in girls and women
Open accessAbstract
Background: There is evidence to suggest that the broad discrepancy in the ratio of males to females with diagnosed ADHD is due, at least in part, to lack of recognition and/or referral bias in females. Studies suggest that females with ADHD present with differences in their profile of symptoms, comorbidity and associated functioning compared with males. This consensus aims to provide a better understanding of females with ADHD in order to improve recognition and referral. Comprehensive assessment and appropriate treatment is hoped to enhance longer-term clinical outcomes and patient wellbeing for females with ADHD. Methods: The United Kingdom ADHD Partnership hosted a meeting of experts to discuss symptom presentation, triggers for referral, assessment, treatment and multi-agency liaison for females with ADHD across the lifespan. Results: A consensus was reached offering practical guidance to support medical and mental health practitioners working with females with ADHD. The potential challenges of working with this patient group were identified, as well as specific barriers that may hinder recognition. These included symptomatic differences, gender biases, comorbidities and the compensatory strategies that may mask or overshadow underlying symptoms of ADHD. Furthermore, we determined the broader needs of these patients and considered how multi-agency liaison may provide the support to meet them. Conclusions: This practical approach based upon expert consensus will inform effective identification, treatment and support of girls and women with ADHD. It is important to move away from the prevalent perspective that ADHD is a behavioural disorder and attend to the more subtle and/or internalised presentation that is common in females. It is essential to adopt a lifespan model of care to support the complex transitions experienced by females that occur in parallel to change in clinical presentation and social circumstances. Treatment with pharmacological and psychological interventions is expected to have a positive impact leading to increased productivity, decreased resource utilization and most importantly, improved long-term outcomes for girls and women.
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“Hormonal fluctuations seem to impact ADHD symptomatology. Available evidence has confirmed this [23,88].”
From A Female-Specific Treatment Group for ADHD—Description of the Programme and Qualitative Analysis of First Experiences (2024) · cites this paper as [23]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“We developed this female-specific treatment option in response to the dire need expressed by many [1,17,19,23,24,25,26,28,41,55,85], including patients.”
From A Female-Specific Treatment Group for ADHD—Description of the Programme and Qualitative Analysis of First Experiences (2024) · cites this paper as [23]
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“However, women are more often misdiagnosed [23] and diagnosed later [85] than men with ADHD.”
From A Female-Specific Treatment Group for ADHD—Description of the Programme and Qualitative Analysis of First Experiences (2024) · cites this paper as [23]
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“Like others in the field [23], we recognise the importance of a lifespan approach for women with ADHD.”
From A Female-Specific Treatment Group for ADHD—Description of the Programme and Qualitative Analysis of First Experiences (2024) · cites this paper as [23]
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“addressing ADHD symptoms can itself mitigate secondary depression [141]”
From ADHD in Adulthood: Clinical Presentation, Comorbidities, and Treatment Perspectives (2025) · cites this paper as [141]
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Items 201–216 of 216
Mayes, S. D., Calhoun, S. L., Waxmonsky, J. G., Kokotovich, C., Baweja, R. K., Lockridge, R., & Bixler, E. O. (2016) · Journal of Attention Disorders · doi:10.1177/1087054716664409 · Cited by 32
Excretion of Methylphenidate in Breast Milk
Spigset, O., Brede, W. R., & Zahlsen, K. (2007) · American Journal of Psychiatry · doi:10.1176/ajp.2007.164.2.348 · Cited by 29
Conners’ Continuous Performance Test Third Edition
Conners, C. K., Sitarenios, G., & Ayearst, L. E. (2017) · Springer eBooks · doi:10.1007/978-3-319-56782-2_1535-2 · Cited by 25
The economic consequences of attention-deficit hyperactivity disorder in the Scottish prison system
Young, S., González, R. A., Fridman, M., Hodgkins, P., Kim, K., & Gudjonsson, G. H. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1792-x · Cited by 24
Self-citationJiang, H., Zhang, X. Z., Jiang, C., & Fu, H. (2018) · Pharmacoepidemiology and Drug Safety · doi:10.1002/pds.4716 · Cited by 24
Asherson, P. J. (2016) · Medicine · doi:10.1016/j.mpmed.2016.08.012 · Cited by 17
Gershon, J. (2002) · The ADHD Report · doi:10.1521/adhd.10.4.8.22991 · Cited by 15
A Pilot Study Examining ADHD and Behavioural Disturbance in Female Mentally Disordered Offenders
Hollingdale, J., Woodhouse, E., Asherson, P. J., Gudjonsson, G. H., & Young, S. (2014) · AIMS Public Health · doi:10.3934/publichealth.2014.2.100 · Cited by 15
Self-citationChildhood methylphenidate adherence as a predictor of antidepressants use during adolescence
Madjar, N., Shlosberg, D., Leventer‐Roberts, M., Akriv, A., Ghilai, A., Hoshen, M., Krivoy, A., Zalsman, G., & Shoval, G. (2019) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-019-01301-z · Cited by 11
Lapalme, M., Déry, M., Dubé, M., & Lemieux, A. (2017) · Journal of Emotional and Behavioral Disorders · doi:10.1177/1063426617712500 · Cited by 10
ADHD in Adults: Characterization, Diagnosis and Treatment
Paloyelis, Y. (2011) · Cambridge University Press eBooks · Cited by 9
Psychotropic medication use among patients with celiac disease
Zylberberg, H. M., Ludvigsson, J. F., Green, P. H. R., & Lebwohl, B. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1668-0 · Cited by 9
Young, S., & Smith, J. (2017) · Wiley eBooks · doi:10.1002/9781118903155 · Cited by 7
Self-citationHelping Children with ADHD: A CBT Guide for Practitioners, Parents and Teachers
Young, S., & Smith, J. (2017) · Cited by 5
Self-citationBecoming a STAR detective! Your detective’s notebook for finding clues to how you feel
Rogers, R. A. (2017) · Educational Psychology in Practice · doi:10.1080/02667363.2017.1404722 · Cited by 2
Becoming a STAR Detective!: Your Detective's Notebook for Finding Clues to How You Feel
Young, S. M. (2017) · Cited by 2
Self-citation
Research works printed but not linked: 16
- Conners. Comprehensive Behavior Rating Scales (Conners CBRS). North Tonawanda: Multi-Health Systems Inc; 2008.
- Kaufman J, Birmaher B, Axelson D, Perepletchikova F, Brent D, Ryan N. K-SADS-PL Screener (2016). 2016. https://www.kennedykrieger.org/sites/default/files/library/documents/faculty/ksads-dsm-5-screener.pdf. Accessed 1 Oct 2019.
- Conners C, Erhardt D, Sparrow E. The Conners adult ADHD rating scale. Toronto, Ontario, Canada: Multi-Health Systems Inc.; 1998.
- Psychology Services Limited. ADHD Child Evaluation: A diagnostic interview of ADHD in children. 2015. http://www.divacenter.eu/Content/Downloads/ACE.pdf. Accessed 16 May 2019.
- DIVA Foundation. Young DIVA-5. 2017. http://www.divacenter.eu/DIVA.aspx?id=535&cc=GB. Accessed 16 May 2019.
- Young S. Psychology Services Limited. ACE+: A diagnostic interview of ADHD in adults; 2016. p. 1–43. https://www.psychology-services.uk.com/resource-registration.htm?type=resources&id=ACEPLUS_English.pdf. Accessed 10 Jan 2020.
- Epstein JN, Johnson DE, Conners CK. Conners’ Adult ADHD Diagnostic Interview for DSM-IV (CAADID). NorthTonawanda: Multi Health Systems; 2001. https://www.mhs.com/MHS-Assessment?prodname=caadhf.
- DIVA Foundation. DIVA-5. 2017. http://www.divacenter.eu/DIVA.aspx?id=529&cc=GB. Accessed 16 May 2019.
- Nadeau K, Littman E, Quinn P. AD/HD self-rating scale for girls. Advantage Books, LLC; 2015. https://www.researchgate.net/publication/242642028_ADHD_SELF-RATING_SCALE_FOR_GIRLS. Accessed 2 Oct 2019..
- Nadeau K, Quinn P. Women’s AD/HD Self-assessment symptom inventory (SASI). In: Nadeau KG, Quinn PO, editors. Understanding Women With AD/HD. MD, USA: Advantage books; 2002. p. 24–43. http://www.merkercounseling.com/ADHDSelfAssessmentWomen.pdf. Accessed 1 Oct 2019.
- Ulberstad F. QbTest Technical Manual. rev. ed. Stockholm: QbTech AB; 2012.
- Ramboll and the National Board of Social Services Denmark. Better help for young people and adults with ADHD and corresponding difficulties Final evaluation report. 2020. https://www.psychology-services.uk.com/danish-report-on-r-r2-adhd. Accessed 23 Apr 2020.
- Young S. The STAR Detective Facilitator Manual: A Cognitive Behavioral Group Intervention to Develop Skilled Thinking and Reasoning for Children with Cognitive, Behavioral, Emotional and Social Problems. London: Jessica Kingsley; 2017.
- Blakemore S-J. Inventing ourselves: the secret life of the teenage brain: Doubleday; 2018.
- Age UK. Breaking Point The Social Care Burden on Women. 2019. https://www.ageuk.org.uk/contentassets/c3dac0771e614672b363c5fe7e6f826e/breaking-point-age-uk.pdf. Accessed 15 May 2019.
- House of Lords Select Committee on the Equality Act. The Equality Act 2010: the impact on disabled people: London Station Off; 2016. p. 1–171.
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Neurodiversity at work: a biopsychosocial model and the impact on working adults
Doyle, N. (2020) · British Medical Bulletin · doi:10.1093/bmb/ldaa021 · Cited by 527
Hinshaw, S. P., Nguyen, P. T., O’Grady, S. M., & Rosenthal, E. A. (2022) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13480 · Cited by 424
Sex and gender in neurodevelopmental conditions
Bölte, S., Neufeld, J., Marschik, P. B., Williams, Z. J., Gallagher, L., & Lai, M.-C. (2023) · Nature Reviews Neurology · doi:10.1038/s41582-023-00774-6 · Cited by 249
Miss. Diagnosis: A Systematic Review of ADHD in Adult Women
Attoe, D. E., & Climie, E. A. (2023) · Journal of Attention Disorders · doi:10.1177/10870547231161533 · Cited by 173
“Women with ADHD are also at a higher risk of engaging in risky sexual behavior, unplanned pregnancy, and are more likely to be coerced into having sex than women without ADHD (Young et al., 2020).”
BackgroundInfluentialAlcohol use disorders and ADHD.
Luderer, M., Ramos Quiroga, J. A., Faraone, S. V., Zhang-James, Y., & Reif, A. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2021.07.010 · Cited by 102
Metadata
- Authors
- Young, S., Adamo, N., Ásgeirsdóttir, B. B., Branney, P., Beckett, M., Colley, W., Cubbin, S., Deeley, Q., Farrag, E., Gudjonsson, G., Hill, P., Hollingdale, J., Kilic, O., Lloyd, T., Mason, P., Paliokosta, E., Perecherla, S., Sedgwick, J., Skirrow, C., Tierney, K., van Rensburg, K., & Woodhouse, E.
- Affiliations
- Reykjavík University (IS)
- King's College London (GB)
- Manor Hospital (GB)
- South London and Maudsley NHS Foundation Trust (GB)
- The Tavistock and Portman NHS Foundation Trust (GB)
- St Thomas' Hospital (GB)
- University of Bristol (GB)
- Corresponding author
- Young, Susan
- ORCID
- Venue
- BMC Psychiatry
- Published
- 2020-08-12
- Volume
- 20
- Issue
- 1
- Pages
- 404-404
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC7422602
- OpenAlex
- W3048800205
- Cited by
- 610
- References
- 216
- Citations by year
- 2026: 207 · 2025: 130 · 2024: 96 · 2023: 96 · 2022: 48 · 2021: 29 · 2020: 2
- FWCI
- 31.73
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Digital Collections portal (Koç University) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Research Portal (King's College London) (submittedVersion, other-oa)
- Opin vísindi (Opin vísindi) (submittedVersion, cc-by)
- Bristol Research (University of Bristol) (submittedVersion, cc-by)
- Funders
- UK ADHD Partnership (N/A)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Keywords
- sex differences in ADHD, referral bias, presenting symptoms, comorbidities, compensatory strategies, gender bias, lifespan care, ADHD medication, psychological intervention, care transitions
- MeSH terms
- Attention, Attention Deficit Disorder with Hyperactivity, Female, United Kingdom, Humans, Longevity, Male, Consensus
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