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The diagnostic issues of Adult attention deficit hyperactivity disorder (ADHD): A systematic literature review

Published online by Cambridge University Press:  19 July 2023

F. Askri ,
A. Aissa ,
S. Jedda ,
Y. Zgueb  and
U. Ouali
F. Askri*
Affiliation:
Avicenna, razi psychiatric hospital, Manouba, Tunisia
A. Aissa
Affiliation:
Avicenna, razi psychiatric hospital, Manouba, Tunisia
S. Jedda
Affiliation:
Avicenna, razi psychiatric hospital, Manouba, Tunisia
Y. Zgueb
Affiliation:
Avicenna, razi psychiatric hospital, Manouba, Tunisia
U. Ouali
Affiliation:
Avicenna, razi psychiatric hospital, Manouba, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Attention deficit hyperactivity disorder (ADHD) is a condition that is usually diagnosed in childhood . However studies have shown that there is a propotion of adults with ADHD that did not have the disorder in their early ages and have been diagnosed in adulthood . Symptoms of adult ADHD are often confused with other psychiatric conditions due to the similarities in clinical criteria . Diagnosing Adult ADHD is still challenging due to lack of gold standard instruments , which can interfere with the therapy .

Objectives

Identify the assessement measures that improve the early diagnosis of Adult ADHD

Methods

A systematic literature search was executed using the PUBMED and GOOGLEscholar databases from 2009 to 2022 exploring the different assessement tools of adult ADHD using the keywords : Adult ADHD – Diagnosis issues – Assessement .

Results

Results show diagnosing Adult ADHD can be by using three different assessement methods : clinical interview – ADHD behaviour rating and neuropsychological tests .

Clinical interview has a high sensitivity but low speceficity in diagnosing ADHD in adults .

Harrison and Al showed the CAARS scale appears to have adequate specificity in a young adult population giving it has validity to identify invalid symptom presentation.

The TOVA and the Conners CPT are the two CPTs widely used in ADHD assessment.

It is not clear whether the TOVA or Conners CPT has better diagnostic accuracy .

Cognitive test batteries dont show specific results in identifying ADHD

Conclusions

To sum up , diagnosing adult ADHD is a challenging situation due to the lack of specifity in the assessemnt tools . This work highlights the necessity of further studies to improve the diagnostic process and the ability to create a universal guidelines . That way , early interventions and treatments can take place and avoid the confusion with other conditions .

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 66 , Special Issue S1: Abstracts of the 31st European Congress of Psychiatry , March 2023 , pp. S952
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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