Talk:Adult attention deficit hyperactivity disorder/Archive 2

Misleading Statements about DSM-IV-TR
The article currently states "Current convention refers to this condition as adult ADHD, according to the Diagnostic & Statistical Manual for Mental Disorders (DSM-IV-TR), 2000 revision." That statement is incorrect. In fact, there is NO provision of adult ADHD in the DSM-IV-TR. Jkhamlin (talk) 20:02, 23 July 2011 (UTC)
 * There is provision of adult ADHD/ADHD in adults in the DSM-IV-TR at the relevant entry: "A. (2) (c) often runs about or climbs excessively in situations in which it is inappropriate (in adolescents or adults, may be limited to subjective feelings of restlessness)". The overview document "Summary of Text Changes from DSM-IV to DSM-IV-TR"  also includes: "(especially Attention-Deficit/Hyperactivity Disorder in adults)". --92.6.211.228 (talk) 20:30, 23 April 2012 (UTC)
 * There is no reference to "adult ADHD" as a condition separate from ADHD in people who are adult aged. The objection to the incorrect statement is seemingly based on an attempt to correct the frequent misconception that ADHD is otherwise specific to children. 220.237.42.221 (talk) 05:11, 2 July 2012 (UTC)

It's impaired Executive Functions ??
The lead section flat out states that it's impaired executive functions, period. While Russell Barkley and others lay out a strong case that it's impaired executive functions while denying it's an attention deficit, (calling ADHD; misnamed,) I don't think that's the mainstream consensus view, nor is that in the Diagnostic Manual.

While The Structure of Scientific Revolutions says that's the way scientific change happens, good Science still requires that the non-consensus view bears the burden of proof. Please either put up some bullet proof references, or remove that un-referenced hypothesis.

Meanwhile I'll repair this sloppy statement with something closer to plausibility: "Symptoms include distractibility, impulsivity and restlessness, which impair executive functions – management of memory and approach to tasks, causing persistent and significant impairment among different areas of life." --68.127.80.58 (talk) 00:33, 1 September 2013 (UTC)Doug Bashford

Your clarification is that distractibility, impulsivity, and restlessness cause impaired executive functions? This strikes me as confusing the result for the cause. htom (talk) 16:27, 1 September 2013 (UTC)

Hypersensitivity
"Hypersensitivity" Links to autoimmune disorders. I highly doubt that was intentional. Test35965 (talk) 02:32, 14 October 2011 (UTC)
 * Support. Link would be more appropriate to hyper reactivity subtype found in Sensory Processing Disorder Chibs007 (talk) 17:56, 1 September 2014 (UTC)

Claim that "psychosocial therapy is not effective"
I noticed the claim that psychosocial therapy is not effective with adults in "Psychosocial_therapy" section, it needs to be substantiated by citation as it contradicts some published research, e.g. http://www.ncbi.nlm.nih.gov/pubmed/23816771. I am not comfortable with the way this paragraph is written, the therapy is not effective and "for this reason, medications are the first line of therapies". This seems to be a biased, non-supported statement. Chenby.wp (talk) 13:36, 16 June 2015 (UTC)

Problems adding reference using the tag "article" - needs to be corrected
Yes, I added references supporting the theory that adults with ADHD have impaired working memory, however I can't figure out what I did wrong when I inserted the first reference. Why doesn't it accept "article=43" as a relevant tag? Anyways, it needs to be corrected, so if anyone has the skills, then please do so. 83.249.14.54 (talk) 11:23, 14 May 2016 (UTC)Hyperfocus
 * Use the  parameter for online-only articles where the journal assigns an article number instead of page(s). —Shelley V. Adams ‹blame credit › 22:31, 15 May 2016 (UTC)

4 paragraph maximum in lead
The lead of this article is breaching our 4 paragraph rule. Will need to work on this.Charlotte135 (talk) 04:19, 9 September 2016 (UTC)

proposed change
Propose to insert the following in the article where it describes efficacy of different treatments: A review of studies of amphetamines for ADHD in adults found that while amphetamines reduced severity of symptoms in the short term, due to higher risk of drop out due to adverse events, further studies are needed to assess the effects over the longer term.

Also, would it be relevant to also add this: "[Castells et al 2018] found no differences in effectiveness between amphetamines and guanfacine, modafinil, or paroxetine." ?

"These studies compared amphetamines to placebo (something that looks like an amphetamine but with no active ingredient), and three studies also compared amphetamines with other drugs such as guanfacine, modafinil, and paroxetine'... 'All amphetamines reduced the severity of ADHD symptoms as rated by patients. Lisdexamfetamine and MAS also reduced the severity of ADHD symptoms as rated by clinicians, but dexamphetamine did not. Overall, amphetamines did not make people more likely to stay in treatment and were associated with higher risk of treatment ending early as the result of adverse events. We found no evidence suggesting that higher doses worked better than lower ones. We did not find any difference in effectiveness between amphetamines that act for longer periods of time versus those that act for shorter periods of time. Therefore, it appears that short‐term treatment with amphetamines reduces the severity of ADHD symptoms, but studies assessing the effects of amphetamines for longer periods of time are needed. We found no differences in effectiveness between amphetamines and guanfacine, modafinil, or paroxetine.'...'Studies with longer follow‐up periods are also needed to demonstrate the long‐term efficacy of amphetamines.'"
 * Reference: Castells, Xavier; Blanco-Silvente, Lídia; Cunill, Ruth (2018-08-09). "Amphetamines for attention deficit hyperactivity disorder (ADHD) in adults". Cochrane Database of Systematic Reviews. doi:10.1002/14651858.cd007813.pub3. ISSN1465-1858. PMC6513464. PMID30091808.

Notgain (talk) 13:16, 13 July 2019 (UTC)

Reorganization of the Lead Paragraphs
I noticed that the first paragraph does not contain a clear definition of Adult attention deficit hyperactivity disorder. I think it would be beneficial to include a clear definition before touching on the three types of ADHD that are identfied in the DSM-5. After providing this clear definition, the article can go into more detail of the different types and classifications. Maxwello1998 (talk) 20:25, 20 January 2021 (UTC)

Society and Culture
Why are references in this paragraph, referring to a study from a Harvard researcher and including an AMA news release, referred to as an "Unreliable Medical Source"? "The study estimates a total loss in productivity in the United States of over $77 billion USD.[65][unreliable medical source] By contrast, loss estimations are $58 billion for drug abuse, $85 billion for alcohol abuse and $43 billion for depression.[66][unreliable medical source]"

It sounds very much like editorializing. Bronx59 (talk) 01:40, 9 March 2021 (UTC)

Recognized as a legitimate adult diagnostic category, attention deficit hyperactivity disorder has received little investigation on the real challenges and impairments that come along with it. One hundred and seventy-two adults with ADHD were compared with thirty adults who were not diagnosed with ADHD, in a recent study, which brought along some intriguing findings. The group who had been previously diagnosed showed greater rates of challenging behavior, conduct issues, substance abuse disorders, and use of illegal substance. In addition, they also demonstrated psychological maladjustment, increased change in profession, and dangerous driving. A much larger amount of subjects with ADHD received a suspended license, unsatisfactory reports from work, and weak educational reports. Moreover, these adults had a higher number of failed marriages. However, conflicting with older studies, these adults with ADHD did not show any mood disorders or anxiety. This concludes that adults with ADHD display higher risks of disruptive behavior and lack of performance in school, work, and driving. Abbyybakerr (talk) 19:43, 4 March 2019 (UTC) Murphy, Kevin. Barkley A, Russell. (1996). Attention Deficit Hyperactivity Disorder Adults, Comorbidities and Adaptive Impairments. Comprehensive Psychiatry. Elvseir.

Substance Use vs. Abuse
Wouldn't it make more sense to say that substance abuse is an indicator, rather than use—which implies that proscribed medications would also count? I propose changing it back to abuse. Tyrone Madera (talk) 16:43, 5 April 2021 (UTC)
 * I agree and went ahead and fixed the problem. I, however, left ‘substance use disorder’ alone since it implies both abuse and misuse.-- Literaturegeek |  T@1k?  17:07, 5 April 2021 (UTC)

Suggestions for Improvement
A lot of the research cited in this article is over ten years old. I believe that this article could be greatly improved replacing some of the information that is no longer relevant, or that is redundant. I also think that this article could use some stream lining and replacing some of the more surface level research articles that were cited, with more extensive research articles, given that it isn't too extensive for the general public.Rach and Williams (talk) 07:33, 15 May 2021 (UTC)

Wiki Education Foundation-supported course assignment
This article was the subject of a Wiki Education Foundation-supported course assignment, between 23 January 2019 and 1 May 2019. Further details are available on the course page. Student editor(s): Abbyybakerr.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 13:27, 16 January 2022 (UTC)

Wiki Education Foundation-supported course assignment
This article was the subject of a Wiki Education Foundation-supported course assignment, between 20 April 2021 and 23 July 2021. Further details are available on the course page. Student editor(s): Rach and Williams.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 16:53, 17 January 2022 (UTC)

Wiki Education Foundation-supported course assignment
This article was the subject of a Wiki Education Foundation-supported course assignment, between 10 September 2021 and 23 October 2021. Further details are available on the course page. Student editor(s): Banneralexandra.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 16:53, 17 January 2022 (UTC)