ADHD in girls and women: a call to action – reflections on Hinshaw et al. (2021)

Chronis‐Tuscano, Andrea

doi:10.1111/jcpp.13574

Cited by 20 publications

(11 citation statements)

References 11 publications

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“…Also, we found a lower rate of childhood trauma in the LO ADHD group. Childhood trauma could be a reason for early specialized consultation, leading to an earlier assessment of children with trauma-related suffering and an earlier ADHD diagnosis (Chronis-Tuscano, 2022).…”

Section: Discussionmentioning

confidence: 99%

Compared Profile of Late-Onset Versus Childhood-Onset ADHD: A Case-Control Study Among Treatment-Seeking Adult Patients

et al. 2023

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Objective: To compare the characteristics of childhood-onset versus late-onset Attention Deficit Hyperactivity Disorder (ADHD) in a sample of treatment-seeking patients. Method: Among total of 101 adult patients who were recently diagnosed for ADHD, using the Diagnostic Interview for Adult ADHD (DIVA 2.0), 56 subjects exhibited childhood-onset ADHD, versus 45 displayed late-onset ADHD. Both groups were compared according to their sociodemographic, clinical, and neuropsychological features, providing crude ( OR) and adjusted odds ratios (aOR), and their 95% confidence intervals [95% CI]. Results: Compared to late-onset ADHD, patients with childhood-onset had a lower educational score, ( OR = 0.52; 95% CI [0.35, 0.76]), a greater score of impulsivity (aOR = 1.09; 95% CI [1.03, 1.16]), an increased number of hyperactive-impulsive ADHD symptoms (aOR = 1.9; 95% CI [1.46, 2.47]), and higher rates childhood trauma (aOR = 1.07; 95% CI [1.01, 1.13]), cannabis use disorder (aOR = 1.07; 95% CI [1.01, 1.13]), and working memory impairment. No difference was observed concerning age, sex, psychiatric symptoms, quality of life, and autonomy. Conclusion: Childhood-onset adult ADHD displayed a more severe profile, relative to late-onset ADHD.

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Section: Discussionmentioning

confidence: 99%

Compared Profile of Late-Onset Versus Childhood-Onset ADHD: A Case-Control Study Among Treatment-Seeking Adult Patients

et al. 2023

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“…This finding seems to be contrary to conventional understanding. Compared with boys with ADHD, girls with ADHD are less likely to be referred for clinical assessments due to a lower prevalence of externalizing symptoms (Chai et al, 2021;Hinshaw et al, 2021;Chronis-Tuscano, 2022). (2022) showed that ADHD features in girls were more severe than those in boys in clinically referred settings.…”

Section: Discussionmentioning

confidence: 99%

Screening of ADHD symptoms in primary school students and investigation of parental awareness of ADHD and its influencing factors: A cross-sectional study

Wang

Dong

et al. 2022

Front. Psychol.

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ObjectiveThe present study aimed to compare the differences in positive screening rates of attention deficit hyperactivity disorder (ADHD) symptoms between parents and teachers in the same sample of primary school students. Concurrently, parental awareness and information sources of ADHD were investigated, and possible relevant factors affecting parental awareness and their influence on positive screening rate of ADHD were analyzed.MethodsA cross-sectional study was conducted in Changchun, China, between September 2020 and January 2021. Parents of 1,118 primary school students and 24 head teachers were recruited in the survey. Data were collected through a structured self-administered questionnaire. It consisted of socio-demographic characteristics, ADHD symptom screening questionnaire, parental awareness, and information sources of ADHD.ResultsAmong the 1,118 primary school students, 30 (2.7%) and 60 (5.4%) students were positive for Swanson, Nolan, and Pelham Rating Scale (SNAP-IV) screening in the parent version and teacher version, respectively. Parents had lower positive screening rates for ADHD symptoms than teachers. Relationship with children (mother, OR = 1.552, 95% CI = 1.104–2.180), bachelor degree or above of parents (OR = 1.526, 95% CI = 1.054–2.210), children’s sex (girl, OR = 1.442, 95% CI = 1.093–1.904), and age (OR = 1.344, 95% CI = 1.030–1.754), children’s grade (grade 2, OR = 0.522, 95% CI = 0.310–0.878; grade 3, OR = 0.388, 95% CI = 0.185–0.782), information sources of ADHD (medical staff, OR = 1.494, 95% CI = 1.108–2.015; family/relative/friend, OR = 1.547, 95% CI = 1.148–2.083; TV/Internet, OR = 3.200, 95% CI = 2.270–4.510) were the factors related to the parental awareness of ADHD.ConclusionParents and teachers of primary school students recognize ADHD symptoms differently. The positive screening rate of ADHD among teachers was significantly higher than that of parents. Relationship with children, educational level of parents, children’s sex, age, and grade, and information sources of ADHD are the relevant factors affecting parental awareness of ADHD. More efforts should be made to disseminate ADHD knowledge through mass media, and medical staff. Fathers, parents with low educational level, and parents of grade 2 and 3 pupils should be encouraged to acquire more knowledge on ADHD to improve the early recognition rate of ADHD symptoms.Clinical trial registration[http://www.chictr.org.cn/showproj.aspx?proj=54 072], identifier [ChiCTR2000033388].

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“…In the younger age group, parents likely sought greater support from their family physicians for their female children related to ADHD and this could have stemmed from school closures, remote learning, and social isolation. Older females may have had greater responsibilities to cope with not only related to changes in education and learning during the pandemic but also with employment and parenting/family obligations which may have led to seeking more health care related to ADHD [38]. It may be that access to family physicians more frequently during the pandemic was easier due to the uptake of virtual care and marked decreases in other health care services like periodic health exams, well-baby visits and preventive care services [36].…”

Section: Plos Onementioning

confidence: 99%

Patient visits and prescriptions for attention-deficit/hyperactivity disorder from 2017–2021: Impacts of COVID-19 pandemic in primary care

et al. 2023

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Objective To determine whether more patients presented with Attention-deficit/hyperactivity disorder (ADHD)-related visits and/or sought care from family physicians more frequently during the COVID-19 pandemic. Methods Electronic medical records from the University of Toronto Practice-Based Research Network were used to characterize changes in family physician visits and prescriptions for ADHD medications. Annual patient prevalence and visit rates pre-pandemic (2017–2019) were used to calculate the expected rates in 2020 and 2021. The expected and observed rates were compared to identify any pandemic-related changes. Results The number of patients presenting for ADHD-related visits during the pandemic was consistent with pre-pandemic trends. However, observed ADHD-related visits in 2021 were 1.32 times higher than expected (95% CI: 1.05–1.75), suggesting that patients visited family physicians more frequently than before the pandemic. Conclusion Demand for primary care services related to ADHD has continued to increase during the pandemic, with increased health service use among those accessing care.

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ADHD in girls and women: a call to action – reflections on Hinshaw et al. (2021)

Cited by 20 publications

References 11 publications

Compared Profile of Late-Onset Versus Childhood-Onset ADHD: A Case-Control Study Among Treatment-Seeking Adult Patients

Compared Profile of Late-Onset Versus Childhood-Onset ADHD: A Case-Control Study Among Treatment-Seeking Adult Patients

Screening of ADHD symptoms in primary school students and investigation of parental awareness of ADHD and its influencing factors: A cross-sectional study

Patient visits and prescriptions for attention-deficit/hyperactivity disorder from 2017–2021: Impacts of COVID-19 pandemic in primary care

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