Skip to main content

ADHS bei Frauen

Der „unaufmerksame“ Typus erschwert die Diagnose

Die Diagnose der ADHS wird bei Mädchen deutlich seltener gestellt als bei Jungen. Bei ihnen dominiert der „unaufmerksame“ Typus. Auffällige Symptome zeigen sich meist erst später, vor allem mit Beginn der Pubertät und den damit verbundenen hormonellen Veränderungen. Häufig begleiten Komorbiditäten wie Depressionen und Angststörungen das Störungsbild. Oft sind erst diese der initiale Grund, warum sich die Betroffenen fachärztlich vorstellen.

This is a preview of subscription content, access via your institution.

Abb. 1

Literatur

  1. Arnold, L. E. (1996). Sex differences in ADHD: conference summary. Journal of Abnormal Psychology, 24(5), 555–569.

    CAS  Google Scholar 

  2. Anderson, S. L. & Teicher, M. H. (2000). Sex differences in dopamine receptors and their relevance to ADHD. Neuroscience & Biobehavioral Reviews, 24, 137–141.

    Article  Google Scholar 

  3. Young, S. et al. (2005). The adolescent outcome of hyperactive girls: Self-reported interpersonal relationships and coping mechanisms. European Child and Adolescent Psychiatry, 14, 245–253.

    Article  PubMed  Google Scholar 

  4. Biederman, J. et al. (2002). Influence of gender on attention deficit hyperactivity disorder in children referred to a psychiatric clinic. Am J Psychiatry, 159(1), 36–42. (Tabelle 2)

    Article  PubMed  Google Scholar 

  5. Gaub, M. & Carlson, C. L. (1997). Sex differences in ADHD: a meta-analysis and critical review. Journal of the American Academy of Child & Adolescent Psychiatry, 36(8), 1036–1045.

    CAS  Article  Google Scholar 

  6. Biederman J. et al. (2010). Adult psychiatric outcomes of girls with attention deficit hyperactivity disorder: 11-year follow-up in a longitudinal case-control study. Am J Psychiatry,167(4):409–17. (Figure 1)

    Article  PubMed  Google Scholar 

  7. Elkins I.J. et al. (2011). The impact of attention-deficit/hyperactivity disorder on preadolescent adjustment may be greater for girls than for boys. Journal of Clinical Child & Adolescent Psychology. 40: 532–545.

    Article  Google Scholar 

  8. Kok, FM. et al. (2016). Problematic Peer Functioning in Girls with ADHD: A Systematic Literature Review. PLoS ONE 11.11.

  9. Tung I. et al. (2016). Patterns of comorbidity among girls with ADHD: a metaanalysis. Pediatrics, 138(4).

  10. Canu, W.H. & Carlson, C.L. (2003). Differences in heterosocial behavior and outcomes of ADHD-symptomatic subtypes in a college sample. J Atten Disord, 6, 123–133.

    CAS  Article  PubMed  Google Scholar 

  11. Nussbaum N.L. (2012). ADHD and female specific concerns: a review of the literature and clinical implications, J Atten Disord,16(2): 87–100.

    Article  PubMed  Google Scholar 

  12. Solberg B.S. et al. (2018). Gender differences in psychiatric comorbidity: a population-based study of 40 000 adults with attention deficit hyperactivity disorder. Acta Psychiatr Scand, 137: 176–186. (Figure 1)

    CAS  Article  PubMed  Google Scholar 

  13. Levy, F. et al. (2004). Gender differences in ADHD subtype comorbidity. Journal of the American Academy of Child & Adolescent Psychiatry, 44, 368–376.

    Article  Google Scholar 

  14. Salem, H. et al.(2018). Eur Child Adolesc Psychiatry 27: 267.

    Article  PubMed  Google Scholar 

  15. Rensburg, R. et al. (2017). Screening for Adult ADHD in Patients with Fibromyalgia Syndrome, Pain Medicine, pnx275.

  16. Reyero, F. et al. (2011). High frequency of childhood ADHD history in women with fibromyalgia European Psychiatry, Volume 26, Issue 8, 482–483.

    CAS  Article  PubMed  Google Scholar 

  17. Schmitt, D. P. et al. (2008). Why can't a man be more like a woman? Sex differences in big five personality traits across 55 cultures. Journal of Personality and Social Psychology, 94(1), 168–182.

    Article  PubMed  Google Scholar 

  18. Martel, M. M. (2009). A new perspective on attention-deficit/hyperactivity disorder: emotion dysregulation and trait models. Journal of Child Psychology & Psychiatry, 50(9), 1042–1051.

    Article  Google Scholar 

  19. Wynchank, D. et al. (2017). Adult Attention-Deficit/Hyperactivity Disorder (ADHD) and Insomnia: an Update of the Literature Curr Psychiatry Rep 19: 98.

    Article  PubMed  Google Scholar 

  20. Ward M.F. (1993) The Wender Utah Rating Scale: an aid in the Retrospective. Am J Psychiatry 1:885.

    Google Scholar 

  21. Retz-Junginger P., Retz W., Blocher D. et al (2003). Reliabilität und Validität der Wender-Utah-Rating-Scale-Kurzform. Nervenarzt 74:987–993.

    CAS  Article  PubMed  Google Scholar 

  22. Retz-Junginger, P., Retz, W., Blocher, D., Weijers, H.G., Trott, G.E., Wender, P.H., & Rossler, M. (2002). Wender utah rating scale. The short version for the asessment of the attention-deficit-hyperactivity-disorder in adults. Der Nervenarzt, 73(9), 830–839.

    CAS  Article  PubMed  Google Scholar 

  23. Wolf, F., Heinzel-Gutenbrunner, M. & Becker, K. (2018). Retrospektive Erfassung von ADHS-Symptomen in der Kindheit. Nervenarzt 89: 327.

    CAS  Article  PubMed  Google Scholar 

  24. Pineda D.A. et al. (2010). Utility of the Wender-Utah rating scale and the checklists for the diagnosis of familial attention deficit hyperactivity disorder in adults. Convergent and concurrent validities]. Rev Neurol. Feb 16-28;50(4):207–16. Spanish.

    PubMed  Google Scholar 

  25. Dias G. et al. (2008). Agreement rates between parent and self-report on past ADHD symptoms in an adult clinical sample. J Atten Disord. Jul;12(1):70–5.

    Article  PubMed  Google Scholar 

  26. Kooij S.J.J. et al. (2008). Reliability, validity, and utility of instruments for self-report and informant report concerning symptoms of ADHD in adult patients. J Atten Disord. Jan;11(4):445–58.

    Article  Google Scholar 

  27. Biederman, J. et al. (2012). Predictors of Persistence in Girls with Attention-Deficit/Hyperactivity Disorder Results from an 11-Year Controlled Follow-up Study. Acta Psychiatrica Scandinavica 125.2: 147–156. (Figure 2)

    Article  Google Scholar 

  28. Fink, G. et al. (1996). Estrogen control of central neurotransmission: Effect on mood, mental state, and memory. Cell Molecular Biology, 16, 325–344.

    CAS  Google Scholar 

  29. Ostojic, D. & Miller, C. Association Between Pubertal Onset and Symptoms of ADHD in Female University Students (2016). Journal of Attention Disorders, 20, 9, (782).

  30. Meinzer, M.C. et. al. (2017). Childhood ADHD and Involvement in Early Pregnancy: Mechanisms of Risk. Journal of Attention Disorders. First Published September 22.

  31. Hosain M.G. et al. (2012). Attention-deficit/hyperactivity symptoms and risky sexual behavior in young adult women. J Womens Health (Larchmt);21(4):463–468.

    Article  Google Scholar 

  32. Justice, A. & and De Wit, H. (1999). Acute effects of d-amphetamine during the follicular and luteal phases of the menstrual cycle in women. Psychopharmacology (Berl) Jul; 145(1): 67–75.

    CAS  Article  Google Scholar 

  33. Evans, S. M. (2007). The role of estradiol and progesterone in modulating the subjective effects of stimulants in humans. Experimental and Clinical Psychopharmacology, 15(5), 418–426.

    CAS  Article  PubMed  Google Scholar 

  34. Huybrechts, K.F. et al. (2018). Association Between Methylphenidate and Amphetamine Use in Pregnancy and Risk of Congenital Malformations: A Cohort Study From the International Pregnancy Safety Study Consortium. JAMA Psychiatry. Feb; 75(2): 167–175.

    Article  PubMed  Google Scholar 

  35. www.embryotox.de

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jana Engel.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Engel, J. Der „unaufmerksame“ Typus erschwert die Diagnose. DNP 19, 20–24 (2018). https://doi.org/10.1007/s15202-018-2091-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s15202-018-2091-6