Does age of onset of impairment impact on neuropsychological and personality features of adult ADHD?
Abstract The consideration of age of onset of impairment as part of the ADHD diagnosis is controversial and has been a revisited issue with the emergence of the new classifications in Psychiatry. The aim of this study is to compare patients with early and late onset of ADHD impairment in terms of ne...
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| Veröffentlicht in: | Journal of psychiatric research 2012-10, Vol.46 (10), p.1307-1311 |
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| creator | Guimarães-da-Silva, Paula O Silva, Katiane L Grevet, Eugenio H Salgado, Carlos A.I Karam, Rafael G Victor, Marcelo M Vitola, Eduardo S Mota, Nina R Fischer, Aline G Picon, Felipe A Bertuzzi, Guilherme P Polina, Evelise R Rohde, Luis A Belmonte-de-Abreu, Paulo Bau, Claiton H.D |
| description | Abstract The consideration of age of onset of impairment as part of the ADHD diagnosis is controversial and has been a revisited issue with the emergence of the new classifications in Psychiatry. The aim of this study is to compare patients with early and late onset of ADHD impairment in terms of neuropsychological and personality characteristics. Adult patients with ADHD ( n = 415) were evaluated in the ADHD outpatient program at Hospital de Clínicas de Porto Alegre, Brazil. The diagnostic process for ADHD and comorbidities was based on DSM-IV criteria. The comparison between the two ages of onset groups (before 7; n = 209 or from 7 to 12 years; n = 206) was performed with ANOVA, followed by Stepwise forward regression analyses to restrict the number of comparisons and access the possible effect of multiple confounders. Patients with early onset ADHD present higher scores in novelty seeking in both analyses (respectively P = 0.016 and P = 0.002), but similar cognitive and attention features as compared with the late onset group. These data add to previous evidence that despite a more externalizing profile of early onset ADHD, the overall performance is similar reinforcing the need for awareness and inclusion of the late onset group in DSM-V diagnostic criteria. |
| doi_str_mv | 10.1016/j.jpsychires.2012.06.010 |
| format | Article |
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The aim of this study is to compare patients with early and late onset of ADHD impairment in terms of neuropsychological and personality characteristics. Adult patients with ADHD ( n = 415) were evaluated in the ADHD outpatient program at Hospital de Clínicas de Porto Alegre, Brazil. The diagnostic process for ADHD and comorbidities was based on DSM-IV criteria. The comparison between the two ages of onset groups (before 7; n = 209 or from 7 to 12 years; n = 206) was performed with ANOVA, followed by Stepwise forward regression analyses to restrict the number of comparisons and access the possible effect of multiple confounders. Patients with early onset ADHD present higher scores in novelty seeking in both analyses (respectively P = 0.016 and P = 0.002), but similar cognitive and attention features as compared with the late onset group. These data add to previous evidence that despite a more externalizing profile of early onset ADHD, the overall performance is similar reinforcing the need for awareness and inclusion of the late onset group in DSM-V diagnostic criteria.</description><identifier>ISSN: 0022-3956</identifier><identifier>EISSN: 1879-1379</identifier><identifier>DOI: 10.1016/j.jpsychires.2012.06.010</identifier><identifier>PMID: 22817999</identifier><identifier>CODEN: JPYRA3</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>ADHD ; Adolescent ; Adult ; Adult and adolescent clinical studies ; Adults ; Age of Onset ; Analysis of Variance ; Attention Deficit Disorder with Hyperactivity - complications ; Attention Deficit Disorder with Hyperactivity - epidemiology ; Attention Deficit Disorder with Hyperactivity - psychology ; Attention deficit hyperactivity disorder ; Biological and medical sciences ; Cognition ; Cognition Disorders - diagnosis ; Cognition Disorders - epidemiology ; Cognition Disorders - etiology ; Diagnostic and Statistical Manual of Mental Disorders ; Diagnostic criteria ; Early onset ; Female ; Hospitals ; Humans ; Indexing in process ; Late onset ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Nosology. Terminology. Diagnostic criteria ; Personality ; Personality Disorders - diagnosis ; Personality Disorders - epidemiology ; Personality Disorders - etiology ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Techniques and methods ; Young Adult</subject><ispartof>Journal of psychiatric research, 2012-10, Vol.46 (10), p.1307-1311</ispartof><rights>Elsevier Ltd</rights><rights>2012 Elsevier Ltd</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c558t-238b241089938c7e1ce2b7b2fda30e0d8578a694a725afa23b74c61408b2df633</citedby><cites>FETCH-LOGICAL-c558t-238b241089938c7e1ce2b7b2fda30e0d8578a694a725afa23b74c61408b2df633</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022395612001926$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,30977,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26354725$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22817999$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guimarães-da-Silva, Paula O</creatorcontrib><creatorcontrib>Silva, Katiane L</creatorcontrib><creatorcontrib>Grevet, Eugenio H</creatorcontrib><creatorcontrib>Salgado, Carlos A.I</creatorcontrib><creatorcontrib>Karam, Rafael G</creatorcontrib><creatorcontrib>Victor, Marcelo M</creatorcontrib><creatorcontrib>Vitola, Eduardo S</creatorcontrib><creatorcontrib>Mota, Nina R</creatorcontrib><creatorcontrib>Fischer, Aline G</creatorcontrib><creatorcontrib>Picon, Felipe A</creatorcontrib><creatorcontrib>Bertuzzi, Guilherme P</creatorcontrib><creatorcontrib>Polina, Evelise R</creatorcontrib><creatorcontrib>Rohde, Luis A</creatorcontrib><creatorcontrib>Belmonte-de-Abreu, Paulo</creatorcontrib><creatorcontrib>Bau, Claiton H.D</creatorcontrib><title>Does age of onset of impairment impact on neuropsychological and personality features of adult ADHD?</title><title>Journal of psychiatric research</title><addtitle>J Psychiatr Res</addtitle><description>Abstract The consideration of age of onset of impairment as part of the ADHD diagnosis is controversial and has been a revisited issue with the emergence of the new classifications in Psychiatry. The aim of this study is to compare patients with early and late onset of ADHD impairment in terms of neuropsychological and personality characteristics. Adult patients with ADHD ( n = 415) were evaluated in the ADHD outpatient program at Hospital de Clínicas de Porto Alegre, Brazil. The diagnostic process for ADHD and comorbidities was based on DSM-IV criteria. The comparison between the two ages of onset groups (before 7; n = 209 or from 7 to 12 years; n = 206) was performed with ANOVA, followed by Stepwise forward regression analyses to restrict the number of comparisons and access the possible effect of multiple confounders. Patients with early onset ADHD present higher scores in novelty seeking in both analyses (respectively P = 0.016 and P = 0.002), but similar cognitive and attention features as compared with the late onset group. These data add to previous evidence that despite a more externalizing profile of early onset ADHD, the overall performance is similar reinforcing the need for awareness and inclusion of the late onset group in DSM-V diagnostic criteria.</description><subject>ADHD</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Adults</subject><subject>Age of Onset</subject><subject>Analysis of Variance</subject><subject>Attention Deficit Disorder with Hyperactivity - complications</subject><subject>Attention Deficit Disorder with Hyperactivity - epidemiology</subject><subject>Attention Deficit Disorder with Hyperactivity - psychology</subject><subject>Attention deficit hyperactivity disorder</subject><subject>Biological and medical sciences</subject><subject>Cognition</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognition Disorders - epidemiology</subject><subject>Cognition Disorders - etiology</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>Diagnostic criteria</subject><subject>Early onset</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Indexing in process</subject><subject>Late onset</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Nosology. Terminology. Diagnostic criteria</subject><subject>Personality</subject><subject>Personality Disorders - diagnosis</subject><subject>Personality Disorders - epidemiology</subject><subject>Personality Disorders - etiology</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. 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The aim of this study is to compare patients with early and late onset of ADHD impairment in terms of neuropsychological and personality characteristics. Adult patients with ADHD ( n = 415) were evaluated in the ADHD outpatient program at Hospital de Clínicas de Porto Alegre, Brazil. The diagnostic process for ADHD and comorbidities was based on DSM-IV criteria. The comparison between the two ages of onset groups (before 7; n = 209 or from 7 to 12 years; n = 206) was performed with ANOVA, followed by Stepwise forward regression analyses to restrict the number of comparisons and access the possible effect of multiple confounders. Patients with early onset ADHD present higher scores in novelty seeking in both analyses (respectively P = 0.016 and P = 0.002), but similar cognitive and attention features as compared with the late onset group. These data add to previous evidence that despite a more externalizing profile of early onset ADHD, the overall performance is similar reinforcing the need for awareness and inclusion of the late onset group in DSM-V diagnostic criteria.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>22817999</pmid><doi>10.1016/j.jpsychires.2012.06.010</doi><tpages>5</tpages></addata></record> |
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| subjects | ADHD Adolescent Adult Adult and adolescent clinical studies Adults Age of Onset Analysis of Variance Attention Deficit Disorder with Hyperactivity - complications Attention Deficit Disorder with Hyperactivity - epidemiology Attention Deficit Disorder with Hyperactivity - psychology Attention deficit hyperactivity disorder Biological and medical sciences Cognition Cognition Disorders - diagnosis Cognition Disorders - epidemiology Cognition Disorders - etiology Diagnostic and Statistical Manual of Mental Disorders Diagnostic criteria Early onset Female Hospitals Humans Indexing in process Late onset Male Medical sciences Middle Aged Miscellaneous Nosology. Terminology. Diagnostic criteria Personality Personality Disorders - diagnosis Personality Disorders - epidemiology Personality Disorders - etiology Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Techniques and methods Young Adult |
| title | Does age of onset of impairment impact on neuropsychological and personality features of adult ADHD? |
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