Journal of Attention Disorders最新文献

{"title":"Establishing the Research Priorities of ADHD Professionals: An International Delphi Study.","authors":"Kate Stephens, Emma Sciberras, Matthew Bisset, Ainsley Summerton, David Coghill, Christel M Middeldorp, Leanne Payne, Mark A Bellgrove, Stephen V Faraone, Tobias Banaschewski, Jeffery H Newcorn, Stacey D Espinet, Iris Manor, Mohammed M J Alqahtani, Jeremy Varnham, Timothy J Silk","doi":"10.1177/10870547241307739","DOIUrl":"10.1177/10870547241307739","url":null,"abstract":"<p><strong>Objectives: </strong>To determine ADHD research priorities from the perspective of ADHD professionals internationally.</p><p><strong>Method: </strong>A two-stage modified Delphi design was used. In Stage 1 (qualitative), participants listed research questions relating to ADHD that they perceived to be most important (<i>N</i> = 132). In Stage 2 (quantitative), participants were then asked to rate each research question that was deemed appropriate (able to be researched and not already addressed by research) in terms of perceived importance (<i>N</i> = 180).</p><p><strong>Results: </strong>Stage 1 generated 382 research questions with 10 broad areas identified for example, co-occurring conditions and treatment, etc. The top 20 most important questions related to ADHD in women/girls, long-term medication use, non-pharmacological interventions, ADHD measurement/rating scales, and efficacy of emotional regulation interventions.</p><p><strong>Conclusion: </strong>These results can inform an ADHD research agenda which represents the views of the individuals from major ADHD professional groups internationally. Parallel work is needed focusing on research priorities from the perspective of ADHD consumers.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"303-311"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11800688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Do Personality Dysfunction and Maladaptive Personality Traits Predict Time to Premature Discontinuation of Pharmacological Treatment of ADHD?","authors":"Peter Jacobsson, Tove Granqvist, Christopher J Hopwood, Robert F Krueger, Bo Söderpalm, Thomas Nilsson","doi":"10.1177/10870547241309524","DOIUrl":"10.1177/10870547241309524","url":null,"abstract":"<p><strong>Objectives: </strong>Non-adherence to medication is common in the adult ADHD clinical group. The goal of this pre-registered study was to examine whether the DSM-5 Alternative Model of Personality Disorder (AMPD), generality personality dysfunction (LPFS-BF 2.0) or maladaptive personality traits (PID-5), can predict time to premature discontinuation of pharmacological treatment beyond other known factors.</p><p><strong>Methods: </strong>A sample of 284 adult patients with ADHD (60.6% female; <i>M</i>_age = 32.31 years) were investigated for medication adherence from 2018 to 2023, using time-to-event analytic methods.</p><p><strong>Results: </strong>Of the sample, 54 were found to have discontinued treatment prematurely without consulting their physician. Interestingly this group was prescribed considerably lower doses before discontinuation than adhering patients. General personality dysfunction and maladaptive antagonistic personality traits are implicated in varying degrees, with the specific maladaptive personality facets <i>Intimacy Avoidance</i> and <i>Deceitfulness</i> (PID-5) significantly predicting time to premature discontinuation of ADHD medication beyond other known reasons for non-adherence.</p><p><strong>Conclusions: </strong>The broader implication is that the emerging personality pathology models hold promise to predict non-adherence in the adult ADHD population.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"351-362"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11800730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Echocardiographic Evaluation of the Effect of Long-Term Methylphenidate Use on Cardiovascular Functions.","authors":"Çağatay Tunca, İbrahim Hakan Güllü, Saadet Demirtaş İnci, Kamuran Kalkan, Ruken Demirkol Tunca, Ayşegül Efe, Ayşe Nur Özkaya Ibiş, Alperen Taş, Mehmet Taha Özkan, Veysel Ozan Tanik, Orçun Ortaköylü, Nail Burak Özbeyaz","doi":"10.1177/10870547241307680","DOIUrl":"10.1177/10870547241307680","url":null,"abstract":"<p><strong>Objective: </strong>ADHD is one of the most common neurodevelopmental disorders, seen in children and adolescents, and is often treated with various pharmacological agents, especially methylphenidate. There are differing opinions in the literature regarding the cardiovascular safety of long-term methylphenidate use. Studies suggest that the drug may increase the risk of hypertension, myocardial infarction, ventricular arrhythmia, sudden cardiac death, cardiomyopathy, heart failure (HF), pulmonary hypertension, and stroke. This study aimed to compare the clinical and echocardiographic characteristics of patients diagnosed with ADHD who have been using long-acting methylphenidate for an extended period with age-gender matched healthy volunteers.</p><p><strong>Materials and methods: </strong>A total of 70 patients diagnosed with ADHD, who had been using long-acting methylphenidate for 2 years or more, and 51 healthy volunteers, who were referred to our clinic, were included in our study. Patients were evaluated with basic and advanced techniques such as Motion Mode (M-mode), two-dimensional (2D), Doppler, and 2D-Speckle Tracking (STE) using transthoracic echocardiography. All other data were evaluated instantly after the processing with the strain images analysis program.</p><p><strong>Results: </strong>Statistically significant differences were observed between the case and control groups in terms of body mass index (BMI) and systolic blood pressure (SBP), with BMI negatively correlated and SBP positively correlated with methylphenidate use duration. There was no significant difference between the groups in apical four-chamber, three-chamber, two-chamber, and global longitudinal strain (GLS) values obtained by 2D-STE technique indicating early deterioration. The Left Ventricular (LV) lateral E' value, which indicates diastolic dysfunction, was lower in the drug group, but still within normal limits. The lateral LV E', Right Ventricular (RV) E', and RV A' values showed a significant negative correlation with the duration of drug use and remained within normal limits. Other parameters evaluating systolic/diastolic function such as E/E', left ventricular ejection fraction (LVEF), myocardial performance index (MPI), and tricuspid/mitral annular plane systolic excursion (TAPSE/MAPSE) did not differ significantly between the groups and were within normal limits. Valve structures and regurgitations were also not significantly different between the two groups.</p><p><strong>Conclusion: </strong>Considering all parameters, we conclude that long-term use of long-acting methylphenidate does not cause cardiovascular dysfunction in late adolescent and early adult individuals. The observed differences in the E' lateral value between the case and control groups, as well as the slight correlation of lateral LV E', RV E', and RV A' values with the duration of use, do not directly indicate cardiac dysfunction.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"326-335"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Upside of ADHD-related Risk-taking: Adolescents With ADHD Report a Higher Likelihood of Engaging in Prosocial Risk-taking Behavior Than Typically Developing Adolescents.","authors":"Barbara R Braams, Rebecca van Rijn, Tessa Leijser, Tycho J Dekkers","doi":"10.1177/10870547251321882","DOIUrl":"https://doi.org/10.1177/10870547251321882","url":null,"abstract":"<p><strong>Background: </strong>ADHD is highly prevalent in adolescents. ADHD is characterized by heightened impulsive behavior and is often associated with increased risk-taking behavior in adolescence. Previous research has mostly focused on negative aspects of risk-taking behavior. However, recently two other types of risk-taking behavior have been identified: positive and prosocial risk-taking.</p><p><strong>Objective: </strong>Here, we tested whether youth with ADHD are more inclined toward positive and prosocial risk-taking.</p><p><strong>Methods: </strong>We assessed the self-reported likelihood of engaging in negative, positive, and prosocial risk-taking in a sample of 50 adolescents with ADHD (<i>M</i>_age = 16.3, <i>SD</i> = 1.18) and 54 typically developing adolescents (<i>M</i>_age = 16.9, <i>SD</i> = 0.73). Regardless of group, we found that positive, prosocial, and negative risk-taking behavior were positively correlated, higher risk-taking in one domain was associated with higher levels of risk-taking in another.</p><p><strong>Results: </strong>Crucially, we found that adolescents with ADHD were more likely to engage in prosocial risk-taking behavior compared to typically developing adolescents. We did not find group differences for negative and positive risk-taking behavior.</p><p><strong>Conclusion: </strong>Together, these results show a first indication of the upside of risk-taking in ADHD.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"10870547251321882"},"PeriodicalIF":2.7,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Motor Skills With Functional Dexterity Test in Children With ADHD and Comparison With Healthy Controls.","authors":"Nuray Akkaya, Bürge Kabukçu Başay, Özkan Urak, Ömer Başay, Füsun Şahin","doi":"10.1177/10870547241306563","DOIUrl":"10.1177/10870547241306563","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to investigate whether the fine motor skills measured by the Functional Dexterity Test (FDT) in ADHD children differ from healthy controls. The second aim was to assess the applicability of the FDT assessment method among ADHD children.</p><p><strong>Method: </strong>The FDT results as an objective assessment of hand skills were compared between 7 and 17 years old ADHD cases (<i>n</i> = 146) and age and gender-matched healthy controls (<i>n</i> = 213).</p><p><strong>Results: </strong>We found lower dominant and non-dominant processing time (respectively for dominant hand and non-dominant hand <i>p</i> = .001, effect size Cliff's Delta = .22; <i>p</i> = .001, ES Cliff's Delta = .29), higher peg processing speed (<i>p</i> = .001, ES Cliff's Delta = .23; <i>p</i> = .001, ES Cliff's Delta = .29), higher total error (<i>p</i> = .001, ES Cliff's Delta = .40; <i>p</i> = .001, ES Cliff's Delta = .51), and total FDT time (<i>p</i> = .0017, ES Cliff's Delta = .14; <i>p</i> = .011, ES Cliff's Delta = .16) in ADHD patients compared to healthy controls.</p><p><strong>Conclusion: </strong>Manual dexterity evaluation would be helpful to detect the fine motor skill deficits of ADHD children. Although ADHD children were advantageous regarding speed, they were disadvantageous regarding processing errors and total process time. Therefore, the error time data should be considered in evaluating ADHD children, unlike healthy children.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"269-280"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142836605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Psychometric Evaluation of the Revised Version of the Adult ADHD Self-Report Scale in Chinese Adolescents.","authors":"Ling-Rong Xiao, Gang Zhao, Pei Zhang, Xian Tian, Xiao-Xue Wu, Jun-Ru Li, Si-Yan Liu, Hong-Mei Wu","doi":"10.1177/10870547241285971","DOIUrl":"10.1177/10870547241285971","url":null,"abstract":"<p><strong>Background: </strong>Adolescent-specific ADHD self-report screening measures can greatly increase the likelihood of correct diagnosis and timely treatment of ADHD in adolescents. This study provides preliminary evidence for evaluating the reliability and validity of the Adult ADHD Self-Report Scale-Revised (ASRS-R) in a school-based sample of Chinese adolescents.</p><p><strong>Methods: </strong>The ASRS-R and the Strengths and Difficulties Questionnaire (SDQ) were administered to 867 adolescents aged 12 to 16 years (<i>M</i>_age = 13.08 years). Construct validity was assessed using correlation analysis of the ASRS-R with the SDQ. Moreover, confirmatory factor analysis (CFA), internal consistency, retest reliability, and measurement invariance of the scales were examined by gender.</p><p><strong>Results: </strong>CFA showed a two-dimensional factor structure of the ASRS-R, and the model fitted the data well (χ²/<i>df</i> = 4.370, RMSEA = 0.062, TLI = 0.932, CFI = 0.940, GFI = 0.927, AGFI = 0.907, and SRMR = 0.038). The ASRS-R scale was invariant across gender and had satisfactory internal consistency (Cronbach's alpha = .934) and test-retest reliability (intraclass correlation coefficient = .874). The construct validity, as calculated using the SDQ, was also acceptable.</p><p><strong>Conclusion: </strong>The ASRS-R can be a psychometrically reliable self-report instrument and provide preliminary support as a simple tool for identifying ADHD symptoms in Chinese adolescents. The findings provide evidence for extending the application of the ASRS, previously limited to adults, to the adolescent populations.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"155-164"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142347464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional Impairment Related to ADHD From Preschool to School Age.","authors":"Kristin Romvig Overgaard, Beate Oerbeck, Svein Friis, Are Hugo Pripp, Heidi Aase, Christine Baalsrud Ingeborgrud, Guido Biele","doi":"10.1177/10870547241301179","DOIUrl":"10.1177/10870547241301179","url":null,"abstract":"<p><strong>Objective: </strong>Children with ADHD often experience functional impairments across various aspects of daily life. This study addresses the dearth of longitudinal research on functional impairment trajectories from preschool to school age in children with symptoms of ADHD and comorbid disorders.</p><p><strong>Methods: </strong>We investigated the extent to which functional impairments were associated with ADHD symptoms, along with behavioral and anxiety symptoms, from age 3.5 to 8 years. Utilizing parent- and teacher-reported data, we analyzed associations between global impairment, and dimension scores (e.g., family; child quality of life (QoL); learning; play/leisure activities; and friends) and symptoms at ages 3.5 and 8 years (<i>n</i> = 783).</p><p><strong>Results: </strong>The mean parent global impairment score increased from 0.31 (standard deviation (<i>SD</i>) = 0.40) to 0.83 (<i>SD</i> = 0.63) from 3.5 to 8 years, while the teacher impairment scores slightly decreased. Specific parent impairment dimension scores, particularly QoL, learning, and friends, significantly increased. Preschool ADHD and comorbid behavioral symptoms reported by parents weakly predicted impairment at 8 years. By age 8 years, impairment and symptoms exhibited moderate to strong correlations for all impairment dimensions. Parents reported greater child impairment during school age across settings compared to preschool, while teachers' impairment profiles remained consistent across ages.</p><p><strong>Conclusions: </strong>These findings suggest that parents perceive impairment as more pronounced at age 8 years and more strongly associated with symptoms of both ADHD and comorbid disorders than at age 3.5 years. Notably, for teachers, a robust correlation between inattention symptoms and learning impairment was observed, with substantially higher impairment scores reported for boys compared to girls.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"220-230"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11694549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ADHD and Academic Performance in College Students: A Systematic Review.","authors":"Èlia Pagespetit, Mireia Pagerols, Natalia Barrés, Raquel Prat, Laura Martínez, María Andreu, Gemma Prat, Miquel Casas, Rosa Bosch","doi":"10.1177/10870547241306554","DOIUrl":"10.1177/10870547241306554","url":null,"abstract":"<p><strong>Objectives: </strong>The present study performed a systematic review of the scientific literature that deals with the academic performance of university students with ADHD, collecting the research conducted between 2018 and 2024. Likewise, we aimed to know the factors that influence on academic performance and evaluate the tools used in the collection of ADHD symptoms and educational data.</p><p><strong>Methods: </strong>The electronic databases PubMed, PsycInfo, and Scopus were used to search studies using PRISMA guidelines. Quantitative studies selected had to discuss about academic performance in college students with ADHD. For each study, quality of evidence was examined using the Quality Assessment Tool of the National Heart Lung and Blood Institute.</p><p><strong>Results: </strong>Fifteen studies with good-fair quality were included in the review. These studies demonstrated that an ADHD diagnosis or significant ADHD symptoms are associated with lower academic performance in college students, particularly those with inattention symptoms. Additionally, factors such as executive functions, medication use, and study strategies also influence the academic performance of these students. The most commonly used instruments for the assessment of ADHD were the screening measures ADHD Self-Report Scale and the ADHD Rating Scale-Self Report Version. To assess academic performance half of the studies collected the Grade Point Average directly from university records, while in other studies, students were asked directly for their grades.</p><p><strong>Conclusion: </strong>Overall, ADHD has a relevant impact on the academic performance of university students, but the evaluation methodology used has some differences with respect to child's evaluations procedures. Therefore, studies in this population must include not only self-reported symptomatology, but also assessments from clinicians specialized in adult ADHD.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"281-297"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142818154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Orienting and Alerting Attention in Very Low and Normal Birth Weight Children at 42 Months: A Follow-up Study.","authors":"Atsuko Nakagawa, Masune Sukigara, Kayo Nomura, Yukiyo Nagai, Taishi Miyachi","doi":"10.1177/10870547241306557","DOIUrl":"10.1177/10870547241306557","url":null,"abstract":"<p><strong>Objective: </strong>In preterm and very low birth weight (VLBW) infants, attention-related problems have been found to be more pronounced and emerge later as academic difficulties that may persist into school age. In response, based on three attention networks: alerting, orienting, and executive attention, we examined the development of attention functions at 42 months (not corrected for prematurity) as a follow-up study of VLBW (<i>n</i> = 23) and normal birth weight (NBW: <i>n</i> = 48) infants.</p><p><strong>Method: </strong>The alerting and orienting attention networks were examined through an overlap task with or without warning signal. The orienting network was also examined through the distribution of gaze points when exposed to videos of human faces talking and silently looking straight ahead. Executive attention was examined using a parental report measure for temperamental self-regulation, effortful control.</p><p><strong>Results: </strong>In the overlap task, the difference between VLBWs and NBWs was not the latency of attentional disengagement but the fact that VLBWs were less focused on the fixation stimulus (<i>F</i>(1,60) = 10.80, <i>p</i> < .01, η_<i>p</i>² = .071) and seemed to profit more from auditory warning signals than NBWs (<i>F</i>(1,60) = 7.13, <i>p</i> = .01, η_<i>p</i>² = .106). Moreover, there was no intergroup difference regarding lateral (right or left) or feature (eye or mouth) attention bias toward the face videos. Further, longer latencies in overlap condition were significantly positively associated with high effortful control scores only in the NBW group (<i>r</i> = .36, <i>p</i> = .018).</p><p><strong>Conclusion: </strong>Results indicate that poor underlying alertness and orienting relating to atypical lateralization may affect cognitive and behavioral abnormalities in VLBWs.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"244-255"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adult Diagnosis of ADHD in Women: A Mixed Methods Investigation.","authors":"Dara E Babinski, Erin J Libsack","doi":"10.1177/10870547241297897","DOIUrl":"10.1177/10870547241297897","url":null,"abstract":"<p><strong>Objective: </strong>The goal of this study was to examine the experiences of women diagnosed with ADHD in adulthood.</p><p><strong>Methods: </strong>Benefits and costs associated with obtaining the diagnosis were examined in two focus groups conducted virtually. Factors hindering and facilitating the identification, assessment, and subsequent treatment of ADHD were also explored. Focus groups were conducted virtually and together included 14 women (<i>M</i>_age = 39.43, <i>SD</i> = 6.37) who were diagnosed with ADHD in adulthood.</p><p><strong>Results: </strong>The majority of women described numerous benefits of receiving a diagnosis of ADHD, including validation/self-compassion, adaptive coping, and social support. Negative aspects of the diagnosis, including difficulties accessing care, the burden of care, limitations to existing evidence-based treatments, and stigma were also identified by some women. Furthermore, women described variable diagnostic experiences, with many indicating that they had not recognized their own symptoms of ADHD, as well as diagnostic complexity and other factors that masked identification of ADHD. Women described a range of diagnostic assessment procedures, as well as considerable self-advocacy to convince their providers to consider the diagnosis of ADHD.</p><p><strong>Conclusion: </strong>These lived experiences of women diagnosed with ADHD provide critical insight into improving clinical care for ADHD in women. Recommendations to increase accurate and timely identification of ADHD in women and advance efforts toward effective and equitable care are discussed.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"207-219"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11694561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}