ADHD across the lifespan - an update on research and practice

作者：Schmidt Soeren^*; Schuessler Gerhard; Petermann Franz

来源：Zeitschrift für Psychosomatische Medizin und Psychotherapie, 2012, 58(3): 236-256.

DOI：10.13109/zptm.2012.58.3.236

• ADHD
• Lifespan
• Developmental Psychopathology
• DSM-V
• Socioeconomic
• Health Care

ADHD across the lifespan an update on research and practice %26lt;br%26gt;ADHD can be regarded as a lifespan disorder. From biopsychosocial vantage point, ADHD leads to age-specific impairments, high psychological distress and is associated with a high occurrence of comorbid disorders. For this review, we summarize actual findings from epidemiological, neuroscientific and clinical studies to present an overview of ADHD-research. We discuss the proposed revisions for DSM-V criteria by comparing them with the present DSM-IV-TR criteria, with a focus on the implications for research and practice. In the second part of this paper, we present new findings from socioeconomic, diagnostic and therapeutic perspectives. There is evidence for a high economic burden that is indirectly caused by ADHD (e.g., production loss, material costs, higher accident rates). Consequently, there is a high demand for comprehensive diagnostic and therapeutic approaches. We present a summary of the latest available diagnostic instruments and therapeutic manuals. The results of research and practice show a growing support for a lifespan perspective on ADHD psychopathology. The burdens resulting from ADHD are evident in all age groups, which has led to establishing age-specific diagnostic and therapeutic materials. Although there is a lack in ADHD-specific healthcare in adulthood, this should be realized by structural changes in healthcare services.

• 出版日期2012