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Attention Deficit Hyperactivity Disorder

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Abstract

Attention Deficit Hyperactivity Disorder (ADHD) is a common behavioral disorder in children. It is characterized by motor hyperactivity, impulsivity and inattention inappropriate for the age. Approximately 5–10 % of school age children are diagnosed to have ADHD. The affected children show significant impairment in social behavior and academic performance. The DSM-5 criteria are useful in diagnosing three subtypes of ADHD based on presence of symptoms described in 3 domains viz ., inattention, hyperactivity and impulsivity. Co-morbidities like specific learning disability, anxiety disorder, oppositional defiant disorder are commonly associated with ADHD.

Education of parents and teachers, behavioral therapy and medication are main components of management. Methylphenidate and Atomoxetine are effective in controlling symptoms of ADHD in most children. Research studies estimated that 30–60 % of children continue to show symptoms of ADHD in adulthood. The general practitioner can play an important role in early diagnosis, appropriate assessment and guiding parents for management of children with ADHD.

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References

  1. American Psychiatric Association. Attention-deficit/hyperactivity disorder. In: Diagnostic Statistical Manual of Mental Disorders. 2nd ed. Washington, DC: American Psychiatric Association; 1968.

  2. American Psychiatric Association. Attention-deficit/hyperactivity disorder. In: Diagnostic Statistical Manual of Mental Disorders. 3rd ed. Washington, DC: American Psychiatric Association; 1980

  3. American Psychiatric Association. Attention-deficit/hyperactivity disorder. In: Diagnostic Statistical Manual of Mental Disorders. 4th ed. Arlington, VA: American Psychiatric Association; 1994.

  4. Singhi P, Malhi P. Attention-deficit/hyperactivity disorder in school-aged children: approach and principles of management. Indian Pediatr. 1998;35:989–99.

    CAS  PubMed  Google Scholar 

  5. Ajinkya S, Kaur D, Gursale A, Jadhav P. Prevalence of parent-rated attention deficit hyperactivity disorder and associated parent-related factors in primary school children of Navi Mumbai – a school based study. Indian J Pediatr. 2013;80:207–10.

    Article  PubMed  Google Scholar 

  6. Brown RT, Freeman WS, Perrin JM, Stein MT, Amier RW, Feldman HM, et al. Prevalence and assessment of attention-deficit/hyperactivity disorder in primary care setting. Pediatrics. 2001;107:e43.

  7. Malhi P, Singhi P. Spectrum of attention deficit hyperactivity disorders in children among referrals to psychology services. Indian Pediatr. 2000;37:1256–60.

    CAS  PubMed  Google Scholar 

  8. Srinath S, Girimaji SC, Gururaj G, Seshadri S, Subbakrishna DK, Bhola P, et al. Epidemiological study of child and adolescent psychiatric disorders in urban and rural areas of Bangalore. India Indian J Med Res. 2005;122:67–79.

    Google Scholar 

  9. Cunningham RN, Jensen P. Attention-deficit/hyperactivity disorder. In: Kliegman, Stanton, Geme ST Sclor, Behrman, editors. Nelson textbook of pediatrics. 19th ed. Philadelphia: Elsevier; 2011. p. 108–12.

  10. Mandelbaum DE. Attention-deficit/hyperactivity disorder. In: Swaiman KF, Ashwal S, Ferriero D, editors. Practice & principles of pediatric neurology. 4th ed. Philadelphia: Mosby Elsevier; 2006. p. 871–86.

    Google Scholar 

  11. Mostofsky SH, Cooper KL, Kates WR, Denckla MB, Kaufmann WE. Smaller prefrontal and premotor volumes in boys with attention-deficit/hyperactivity disorder. Biol Psychiatry. 2002;52:785–94.

    Article  PubMed  Google Scholar 

  12. Giedd JN, Blumenthal J, Molley E, Castellanos FX. Brain imaging in attention-deficit/hyperactivity disorder. Ann N Y Acad Sci. 2001;931:33–49.

    Article  CAS  PubMed  Google Scholar 

  13. Pliszka SR. Patterns of psychiatric comorbidity with attention-deficit/hyperactivity disorder. Child Adolesc Psychiatr Clin N Am. 2000;9:525–40.

    CAS  PubMed  Google Scholar 

  14. American Psychiatric Association. Attention-deficit/hyperactivity disorder. In: Diagnostic Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013. p. 59–60.

  15. Ram JR, Choudhury J. Attention-deficit/hyperactivity disorder. In: Choudhury J, editor. Behavioral problems in children & adolescents. New Delhi, India: Jaypee Brothers Medical Publishers Ltd.; 2014. p. 84–100.

    Chapter  Google Scholar 

  16. Karande S. Attention deficit hyperactivity disorder – a review for family physicians. Indian J Med Sci. 2005;59:547–56.

  17. Biederman J, Faraone SV, Doyle A, Lehman BK, Kraus I, Perrin J, et al. Convergence of child behavior checklist with structured interview-based psychiatric diagnoses of ADHD children with and without comorbidity. J Child Psychol Psychiatry. 1993;34:1241–51.

    Article  CAS  PubMed  Google Scholar 

  18. Pliszka SR, McCracken JT, Maas JW. Catecholamines in attention-deficit hyperactivity disorder: current perspective. J Am Acad Child Adolsec Psychiatry. 1996;35:264–72.

  19. Karande S, Satam N, Kulkarni M, Sholapurwala R, Chitre A, Shah N. Clinical and psychoeducational profile of children with specific learning disability and co-occurring attention deficit hyperactivity disorder. Indian J Med Sci. 2007;61:639–47.

  20. Karande S, Bhosrekar K. Impact of attention-deficit/hyperactivity disorder on health related quality of life of specific learning disability in children. Indian J Pediatr. 2009;76:1119–24.

    Article  PubMed  Google Scholar 

  21. Gross MD. Origin of stimulant use for treatment of attention deficit disorder. Am J Psychiatry. 1995;152:298–9.

    CAS  PubMed  Google Scholar 

  22. Clements SD, Peters JE. Minimal brain dysfunction in the school aged child. Arch Gen Psychiatry. 1962;6:185–97.

    Article  CAS  PubMed  Google Scholar 

  23. Unni JC. Atomoxetine. Indian Pediatr. 2006;43:603–6.

    PubMed  Google Scholar 

  24. Mannuzza S, Klein RG. Long term prognosis in attention-deficit/hyperactivity disorder. Child Adolesc Psychiatr Clin N Am. 2009;9:711–26.

    Google Scholar 

  25. American Academy of Pediatrics. Subcommittee on Attention-Deficit/Hyperactivity Disorder and Committee on Quality Improvement. Clinical practice guidelines: treatment of school-aged child with attention-deficit/hyperactivity disorder. Pediatrics. 2001; 108: 1033–44.

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Correspondence to Madhuri Kulkarni.

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Kulkarni, M. Attention Deficit Hyperactivity Disorder. Indian J Pediatr 82, 267–271 (2015). https://doi.org/10.1007/s12098-014-1556-7

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