Adult ADHD and comorbid disorders: clinical implications of a dimensional approach

BMC Psychiatry

Review

Pratap R. Chokka¹  Angelo Fallu²  Larry J Klassen³  Timothy S. Bilkey⁴  Martin A. Katzman⁵ 

[1] Chokka Center for Integrative Health, 2603 Hewes Way NW #201, T6L 6W6, Edmonton, Alberta, Canada;University of Alberta, 1E1 Walter Mackenzie Centre, T6G 2R7, Edmonton, AB, Canada;Clinique Woodward, 717 rue Woodward, DIEX Research Inc., Sherbrooke, J1G 1W4, Quebec, Canada;Eden Mental Health Centre, 1500 Pembina Ave, R6W 1T4, Winkler, MB, Canada;Ontario Bilkey ADHD Clinics, 400 Bayfield Street, Suite 245, L4M 5A1, Barrie, ON, Canada;START Clinic for Mood and Anxiety Disorders, 32 Park Road, M4W 2N4, Toronto, ON, Canada;Adler Graduate Professional School, Toronto, ON, Canada;Northern Ontario School of Medicine, Laurentian and Lakehead University, Thunder Bay, ON, Canada;Department of Psychology, Lakehead University, 955 Oliver Road, P7B 5E1, Thunder Bay, ON, Canada;

关键词: Adult ADHD;    Neurobiology;    Psychiatric comorbidity;   

DOI  :  10.1186/s12888-017-1463-3

 received in 2016-11-23, accepted in 2017-08-11,  发布年份 2017

来源: Springer

【 摘 要 】

Attention-deficit/hyperactivity disorder (ADHD) in the adult population is frequently associated with comorbid psychiatric diseases that complicate its recognition, diagnosis and management.The prevalence of ADHD in the general adult population is 2.5% and it is associated with substantial personal and individual burden. The most frequent comorbid psychopathologies include mood and anxiety disorders, substance use disorders, and personality disorders. There are strong familial links and neurobiological similarities between ADHD and the various associated psychiatric comorbidities. The overlapping symptoms between ADHD and comorbid psychopathologies represent challenges for diagnosis and treatment. Guidelines recommend that when ADHD coexists with other psychopathologies in adults, the most impairing condition should generally be treated first.Early recognition and treatment of ADHD and its comorbidities has the potential to change the trajectory of psychiatric morbidity later in life. The use of validated assessment scales and high-yield clinical questions can help identify adults with ADHD who could potentially benefit from evidence-based management strategies.

【 授权许可】

CC BY   
© The Author(s). 2017