When Attention-Deficit/Hyperactivity Disorder reaches adulthood. (1st June 2022)

• Record Type: Journal Article
• Authors: Morais, A.S.; Gomes, R.; Descalço, N.
• Is Part Of: European psychiatry. Volume 65:Supplement 1(2022)
• Page Start: S876
• Page End: S876
• Publication Date: 2022-06-01
• Subjects: adult psychiatry -- adhd; Psychiatry -- Periodicals; Mental illness -- Periodicals; Electronic journals; 616.89
• DOI: 10.1192/j.eurpsy.2022.2273
• Languages: English
• ISSNs: 0924-9338

Abstract

Abstract : Introduction: Attention-Deficit/Hyperactivity Disorder (ADHD) was classically considered a childhood-onset neurodevelopmental condition. Over the past 40 years, it became evident that it can persist during adulthood. Objectives: The purpose of the authors is to describe the characteristics of ADHD in adults and the specific comorbidities, proposing an approach to these patients. Methods: A brief non-systematized review is presented, using the literature available on PubMed and Google Scholar. Results: Only 40-50% of children and adolescents with ADHD will have symptoms that persist into adulthood (estimated adult prevalence of 2.8% across 20 countries; 25% in prisons). A more subtle presentation in adults and the difficulty to access past medical history, lead to diagnosis and treatment rates of lower than 20% (versus 50% in children). Well-characterized core symptoms in children evolve into a predominance of inattention symptoms. They became adults with marked disorganization, difficulties in completing tasks and managing time. Emotional dysregulation is a very prevalent symptom in this population. The comorbidities rate increase over time (reaching 75% of patients). Conclusions: Adults (or even older subjects) with cognitive and/or behavioural complaints should be submitted to systematic screening for ADHD. Non-treated ADHD symptoms in adulthood are associated with severe impairment, therefore adjustments in the health care system to support the transition from child to adult services are needed. Disclosure: No significant relationships.