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A Review of ADHD and Childhood Trauma: Treatment Challenges and Clinical Guidance

  • ADHD (A Aggarwal, Section Editor)
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Abstract

Purpose of Review

There has been increasing interest about the link between attention-deficit/hyperactivity disorder (ADHD) and childhood trauma. This scoping review highlights the relationship between ADHD and trauma-related disorders across the areas of epidemiology, neurobiology, clinical features, assessment, and treatment.

Recent Findings

A bi-directional relationship exists between trauma-related disorders and ADHD, with each predisposing to development of the other, and worsening the severity of the other. There are evidence-based psychosocial interventions for both ADHD and trauma-related disorders. There is evidence to support the use of alpha-2 agonists in both trauma-related disorders and ADHD.

Summary

There are significant similarities between these two constructs. The treatment of this co-morbid presentation is complex as it depends on the age of the child, clinical presentation, social support, and available treatment. Distinct evidence-based psychotherapies are effective for each condition. Pharmacological treatments for these conditions should be considered based on symptom profile and associated impairment.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Centers for Disease Control and Prevention: data and statistics on children’s mental health. https://www.cdc.gov/childrensmentalhealth/data.html (2022). Accessed August 15, 2022.

  2. Davidovitch M, Koren G, Fund N, Shrem M, Porath A. Challenges in defining the rates of ADHD diagnosis and treatment: trends over the last decade. BMC Pediatr. 2017;17(1):218. https://doi.org/10.1186/s12887-017-0971-0.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Kazda L, Bell K, Thomas R, McGeechan K, Sims R, Barratt A. Overdiagnosis of attention-deficit/hyperactivity disorder in children and adolescents: a systematic scoping review. JAMA Netw Open. 2021;4(4): e215335. https://doi.org/10.1001/jamanetworkopen.2021.5335. This study provides evidence of overdiagnosis of ADHD.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Brown NM, Brown SN, Briggs RD, Germán M, Belamarich PF, Oyeku SO. Associations between adverse childhood experiences and ADHD diagnosis and severity. Acad Pediatr. 2017;17(4):349–55. https://doi.org/10.1016/j.acap.2016.08.013.

    Article  PubMed  Google Scholar 

  5. Schilpzand EJ, Sciberras E, Alisic E, Efron D, Hazell P, Jongeling B, et al. Trauma exposure in children with and without ADHD: prevalence and functional impairment in a community-based study of 6–8-year-old Australian children. Eur Child Adolesc Psychiatry. 2018;27(6):811–9. https://doi.org/10.1007/s00787-017-1067-y.

    Article  PubMed  Google Scholar 

  6. Neurodevelopmental Disorders. In: DSM Library. 2022. doi: https://doi.org/10.1176/appi.books.9780890425787.x01_Neurodevelopmental_Disorders#BCFHAEIJ. https://dsm.psychiatryonline.org/doi/full/10.1176/appi.books.9780890425787.x01_Neurodevelopmental_Disorders#BCFHAEIJ. Accessed March 18, 2022.

  7. Kalmakis KA, Chandler GE. Adverse childhood experiences: towards a clear conceptual meaning. J Adv Nurs. 2014;70(7):1489–501. https://doi.org/10.1111/jan.12329.

    Article  PubMed  Google Scholar 

  8. Alisic E, Zalta AK, van Wesel F, Larsen SE, Hafstad GS, Hassanpour K, et al. Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: meta-analysis. Br J Psychiatry. 2014;204:335–40. https://doi.org/10.1192/bjp.bp.113.131227.

    Article  PubMed  Google Scholar 

  9. McLaughlin KA, Koenen KC, Hill ED, Petukhova M, Sampson NA, Zaslavsky AM, et al. Trauma exposure and posttraumatic stress disorder in a national sample of adolescents. J Am Acad Child Adolesc Psychiatry. 2013;52(8):815-30.e14. https://doi.org/10.1016/j.jaac.2013.05.011.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Bremner JD, Wittbrodt MT. Stress, the brain, and trauma spectrum disorders. Int Rev Neurobiol. 2020;152:1–22. https://doi.org/10.1016/bs.irn.2020.01.004.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Trauma and stressor-related Disorders. In: DSM Library. 2022. doi: https://doi.org/10.1176/appi.books.9780890425787.x07_Trauma_and_Stressor_Related_Disorders#BABJAEHE. https://dsm.psychiatryonline.org/doi/full/10.1176/appi.books.9780890425787.x07_Trauma_and_Stressor_Related_Disorders#BABJAEHE.

  12. Cloitre M. ICD-11 complex post-traumatic stress disorder: simplifying diagnosis in trauma populations. Br J Psychiatry. 2020;216(3):129–31. https://doi.org/10.1192/bjp.2020.43.

    Article  PubMed  Google Scholar 

  13. Baweja R, Mayes SD, Hameed U, Waxmonsky JG. Disruptive mood dysregulation disorder: current insights. Neuropsychiatr Dis Treat. 2016;12:2115–24. https://doi.org/10.2147/NDT.S100312.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Klein DN, Dougherty LR, Kessel EM, Silver J, Carlson GA. A transdiagnostic perspective on youth irritability. Curr Dir Psychol Sci. 2021;30(5):437–43. https://doi.org/10.1177/09637214211035101.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Shaw P, Stringaris A, Nigg J, Leibenluft E. Emotion dysregulation in attention deficit hyperactivity disorder. Am J Psychiatry. 2014;171(3):276–93. https://doi.org/10.1176/appi.ajp.2013.13070966.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Thomas R, Sanders S, Doust J, Beller E, Glasziou P. Prevalence of attention-deficit/hyperactivity disorder: a systematic review and meta-analysis. Pediatrics. 2015;135(4):e994-1001. https://doi.org/10.1542/peds.2014-3482.

    Article  PubMed  Google Scholar 

  17. Visser SN, Danielson ML, Bitsko RH, Holbrook JR, Kogan MD, Ghandour RM, et al. Trends in the parent-report of health care provider-diagnosed and medicated attention-deficit/hyperactivity disorder: United States, 2003–2011. J Am Acad Child Adolesc Psychiatry. 2014;53(1):34-46.e2. https://doi.org/10.1016/j.jaac.2013.09.001.

    Article  PubMed  Google Scholar 

  18. Xu G, Strathearn L, Liu B, Yang B, Bao W. Twenty-year trends in diagnosed attention-deficit/hyperactivity disorder among US children and adolescents, 1997–2016. JAMA Netw Open. 2018;1(4): e181471. https://doi.org/10.1001/jamanetworkopen.2018.1471.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Baweja R, Waxmonsky JG. Updates in pharmacologic strategies for emotional dysregulation in attention deficit hyperactivity disorder. Child Adolesc Psychiatr Clin N Am. 2022;31(3):479–98. https://doi.org/10.1016/j.chc.2022.02.003.

    Article  PubMed  Google Scholar 

  20. Giano Z, Wheeler DL, Hubach RD. The frequencies and disparities of adverse childhood experiences in the U.S. BMC Public Health. 2020;20(1):1327. https://doi.org/10.1186/s12889-020-09411-z. This study illustrates the high frequency of ACEs.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Finkelhor D, Ormrod R, Turner H, Hamby SL. The victimization of children and youth: a comprehensive, national survey. Child Maltreat. 2005;10(1):5–25. https://doi.org/10.1177/1077559504271287.

    Article  PubMed  Google Scholar 

  22. Department of Health Care Policy: National Comorbidity Survey. https://www.hcp.med.harvard.edu/ncs/index.php (2005). Accessed.

  23. Merikangas KR, He JP, Burstein M, Swanson SA, Avenevoli S, Cui L, et al. Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010;49(10):980–9. https://doi.org/10.1016/j.jaac.2010.05.017.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Lewis SJ, Arseneault L, Caspi A, Fisher HL, Matthews T, Moffitt TE, et al. The epidemiology of trauma and post-traumatic stress disorder in a representative cohort of young people in England and Wales. Lancet Psychiatry. 2019;6(3):247–56. https://doi.org/10.1016/S2215-0366(19)30031-8.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Copeland WE, Keeler G, Angold A, Costello EJ. Traumatic events and posttraumatic stress in childhood. Arch Gen Psychiatry. 2007;64(5):577–84. https://doi.org/10.1001/archpsyc.64.5.577.

    Article  PubMed  Google Scholar 

  26. Dickerson Mayes S, Calhoun SL, Baweja R, Mahr F. Suicide ideation and attempts in children with psychiatric disorders and typical development. Crisis. 2015;36(1):55–60. https://doi.org/10.1027/0227-5910/a000284.

    Article  PubMed  Google Scholar 

  27. Miranda-Mendizabal A, Castellví P, Parés-Badell O, Alayo I, Almenara J, Alonso I, et al. Gender differences in suicidal behavior in adolescents and young adults: systematic review and meta-analysis of longitudinal studies. Int J Public Health. 2019;64(2):265–83. https://doi.org/10.1007/s00038-018-1196-1.

    Article  PubMed  Google Scholar 

  28. Ünver H, Karakaya I. The assessment of the relationship between ADHD and posttraumatic stress disorder in child and adolescent patients. J Atten Disord. 2019;23(8):900–3. https://doi.org/10.1177/1087054716677818.

    Article  PubMed  Google Scholar 

  29. Ford JD, Connor DF. ADHD and posttraumatic stress disorder (PTSD). Curr Atten Disord Rep. 2009;1(2):60–6. https://doi.org/10.1007/s12618-009-0009-0.

    Article  Google Scholar 

  30. Biederman J, Petty C, Spencer TJ, Woodworth KY, Bhide P, Zhu J, et al. Is ADHD a risk for posttraumatic stress disorder (PTSD)? Results from a large longitudinal study of referred children with and without ADHD. World J Biol Psychiatry. 2014;15(1):49–55. https://doi.org/10.3109/15622975.2012.756585.

    Article  PubMed  Google Scholar 

  31. Spencer AE, Faraone SV, Bogucki OE, Pope AL, Uchida M, Milad MR, et al. Examining the association between posttraumatic stress disorder and attention-deficit/hyperactivity disorder: a systematic review and meta-analysis. J Clin Psychiatry. 2016;77(1):72–83. https://doi.org/10.4088/JCP.14r09479. This study shows the bi-directional relationship between PTSD and ADHD.

  32. Ferrer M, Andión Ó, Calvo N, Ramos-Quiroga JA, Prat M, Corrales M, et al. Differences in the association between childhood trauma history and borderline personality disorder or attention deficit/hyperactivity disorder diagnoses in adulthood. Eur Arch Psychiatry Clin Neurosci. 2017;267(6):541–9. https://doi.org/10.1007/s00406-016-0733-2.

    Article  PubMed  Google Scholar 

  33. Oliva F, Malandrone F, Mirabella S, Ferreri P, di Girolamo G, Maina G. Diagnostic delay in ADHD: Duration of untreated illness and its socio-demographic and clinical predictors in a sample of adult outpatients. Early Interv Psychiatry. 2021;15(4):957–65. https://doi.org/10.1111/eip.13041.

    Article  PubMed  Google Scholar 

  34. Albajara Sáenz A, Villemonteix T, Massat I. Structural and functional neuroimaging in attention-deficit/hyperactivity disorder. Dev Med Child Neurol. 2019;61(4):399–405. https://doi.org/10.1111/dmcn.14050.

    Article  PubMed  Google Scholar 

  35. Hart H, Radua J, Nakao T, Mataix-Cols D, Rubia K. Meta-analysis of functional magnetic resonance imaging studies of inhibition and attention in attention-deficit/hyperactivity disorder: exploring task-specific, stimulant medication, and age effects. JAMA Psychiat. 2013;70(2):185–98. https://doi.org/10.1001/jamapsychiatry.2013.277.

    Article  Google Scholar 

  36. Rubia K. Cognitive neuroscience of attention deficit hyperactivity disorder (ADHD) and its clinical translation. Front Hum Neurosci. 2018;12:100. https://doi.org/10.3389/fnhum.2018.00100.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Arnsten AF, Pliszka SR. Catecholamine influences on prefrontal cortical function: relevance to treatment of attention deficit/hyperactivity disorder and related disorders. Pharmacol Biochem Behav. 2011;99(2):211–6. https://doi.org/10.1016/j.pbb.2011.01.020.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Rauch SL, Shin LM, Phelps EA. Neurocircuitry models of posttraumatic stress disorder and extinction: human neuroimaging research–past, present, and future. Biol Psychiatry. 2006;60(4):376–82. https://doi.org/10.1016/j.biopsych.2006.06.004.

    Article  PubMed  Google Scholar 

  39. Wolf RC, Herringa RJ. Prefrontal-amygdala dysregulation to threat in pediatric posttraumatic stress disorder. Neuropsychopharmacology. 2016;41(3):822–31. https://doi.org/10.1038/npp.2015.209.

    Article  PubMed  Google Scholar 

  40. Sherin JE, Nemeroff CB. Post-traumatic stress disorder: the neurobiological impact of psychological trauma. Dialogues Clin Neurosci. 2011;13(3):263–78.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Panagiota Pervanidou, Chrousos GP. Neuroendocrinology of ost-traumatic stress disorder. Prog Brain Res. 2010;182:149–60. https://doi.org/10.1016/S0079-6123(10)82005-9.

  42. Norman RE, Byambaa M, De R, Butchart A, Scott J, Vos T. The long-term health consequences of child physical abuse, emotional abuse, and neglect: a systematic review and meta-analysis. PLoS Med. 2012;9(11): e1001349. https://doi.org/10.1371/journal.pmed.1001349.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Cross D, Fani N, Powers A, Bradley B. Neurobiological development in the context of childhood trauma. Clin Psychol (New York). 2017;24(2):111–24. https://doi.org/10.1111/cpsp.12198.

    Article  PubMed  Google Scholar 

  44. Rubia K, Overmeyer S, Taylor E, Brammer M, Williams SC, Simmons A, et al. Hypofrontality in attention deficit hyperactivity disorder during higher-order motor control: a study with functional MRI. Am J Psychiatry. 1999;156(6):891–6. https://doi.org/10.1176/ajp.156.6.891.

    Article  CAS  PubMed  Google Scholar 

  45. Bremner JD, Staib LH, Kaloupek D, Southwick SM, Soufer R, Charney DS. Neural correlates of exposure to traumatic pictures and sound in Vietnam combat veterans with and without posttraumatic stress disorder: a positron emission tomography study. Biol Psychiatry. 1999;45(7):806–16. https://doi.org/10.1016/s0006-3223(98)00297-2.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Brown TE. ADD/ADHD and impaired executive function in clinical practice. Curr Psychiatry Rep. 2008;10(5):407–11. https://doi.org/10.1007/s11920-008-0065-7.

    Article  PubMed  Google Scholar 

  47. Admon R, Milad MR, Hendler T. A causal model of post-traumatic stress disorder: disentangling predisposed from acquired neural abnormalities. Trends Cogn Sci. 2013;17(7):337–47. https://doi.org/10.1016/j.tics.2013.05.005.

    Article  PubMed  Google Scholar 

  48. Roeckner AR, Oliver KI, Lebois LAM, van Rooij SJH, Stevens JS. Neural contributors to trauma resilience: a review of longitudinal neuroimaging studies. Transl Psychiatry. 2021;11(1):508. https://doi.org/10.1038/s41398-021-01633-y.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Szymanski K, Sapanski L, Conway F. Trauma and ADHD — association or diagnostic confusion? A clinical perspective. J Infant Child Adolesc Psychother. 2011;10(1):51–5. https://doi.org/10.1080/15289168.2011.575704.

    Article  Google Scholar 

  50. Pliszka S, Issues AWGoQ. Practice parameter for the assessment and treatment of children and adolescents with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry. 2007;46(7):894–921. https://doi.org/10.1097/chi.0b013e318054e724.

  51. Wolraich ML, Hagan JF, Allan C, Chan E, Davison D, Earls M, et al. Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics. 2019;144(4). https://doi.org/10.1542/peds.2019-2528.

  52. Wolraich ML, Hagan JF, Allan C, et al; Subcommittee on children and adolescents with attention-deficit/hyperactive disorder. Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents. Pediatrics. 2020;145(3). https://doi.org/10.1542/peds.2019-3997.

  53. Stuhec M, Munda B, Svab V, Locatelli I. Comparative efficacy and acceptability of atomoxetine, lisdexamfetamine, bupropion and methylphenidate in treatment of attention deficit hyperactivity disorder in children and adolescents: a meta-analysis with focus on bupropion. J Affect Disord. 2015;178:149–59. https://doi.org/10.1016/j.jad.2015.03.006.

    Article  CAS  PubMed  Google Scholar 

  54. A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. The MTA Cooperative Group. Multimodal Treatment Study of Children with ADHD. Arch Gen Psychiatry. 1999;56(12):1073–86. https://doi.org/10.1001/archpsyc.56.12.1073.

  55. Fernández de la Cruz L, Simonoff E, McGough JJ, Halperin JM, Arnold LE, Stringaris A. Treatment of children with attention-deficit/hyperactivity disorder (ADHD) and irritability: results from the multimodal treatment study of children with ADHD (MTA). J Am Acad Child Adolesc Psychiatry. 2015;54(1):62-70.e3. https://doi.org/10.1016/j.jaac.2014.10.006.

    Article  PubMed  PubMed Central  Google Scholar 

  56. Akiki TJ, Abdallah CG. Are there effective psychopharmacologic treatments for PTSD? J Clin Psychiatry. 2018;80(3). https://doi.org/10.4088/JCP.18ac12473.

  57. Robb AS, Cueva JE, Sporn J, Yang R, Vanderburg DG. Sertraline treatment of children and adolescents with posttraumatic stress disorder: a double-blind, placebo-controlled trial. J Child Adolesc Psychopharmacol. 2010;20(6):463–71. https://doi.org/10.1089/cap.2009.0115.

    Article  PubMed  Google Scholar 

  58. Cohen JA, Mannarino AP, Perel JM, Staron V. A pilot randomized controlled trial of combined trauma-focused CBT and sertraline for childhood PTSD symptoms. J Am Acad Child Adolesc Psychiatry. 2007;46(7):811–9. https://doi.org/10.1097/chi.0b013e3180547105.

    Article  PubMed  Google Scholar 

  59. Robert R, Tcheung WJ, Rosenberg L, Rosenberg M, Mitchell C, Villarreal C, et al. Treating thermally injured children suffering symptoms of acute stress with imipramine and fluoxetine: a randomized, double-blind study. Burns. 2008;34(7):919–28. https://doi.org/10.1016/j.burns.2008.04.009.

    Article  PubMed  Google Scholar 

  60. Connor DF, Grasso DJ, Slivinsky MD, Pearson GS, Banga A. An open-label study of guanfacine extended release for traumatic stress related symptoms in children and adolescents. J Child Adolesc Psychopharmacol. 2013;23(4):244–51. https://doi.org/10.1089/cap.2012.0119.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  61. Keeshin BR, Ding Q, Presson AP, Berkowitz SJ, Strawn JR. Use of Prazosin for pediatric PTSD-associated nightmares and sleep disturbances: a retrospective chart review. Neurol Ther. 2017;6(2):247–57. https://doi.org/10.1007/s40120-017-0078-4.

    Article  PubMed  PubMed Central  Google Scholar 

  62. Baweja R, Soutullo CA, Waxmonsky JG. Review of barriers and interventions to promote treatment engagement for pediatric attention deficit hyperactivity disorder care. World J Psychiatry. 2021;11(12):1206–27. https://doi.org/10.5498/wjp.v11.i12.1206.

    Article  PubMed  PubMed Central  Google Scholar 

  63. Diehle J, Opmeer BC, Boer F, Mannarino AP, Lindauer RJ. Trauma-focused cognitive behavioral therapy or eye movement desensitization and reprocessing: what works in children with posttraumatic stress symptoms? A randomized controlled trial. Eur Child Adolesc Psychiatry. 2015;24(2):227–36. https://doi.org/10.1007/s00787-014-0572-5.

    Article  PubMed  Google Scholar 

  64. Rodenburg R, Benjamin A, de Roos C, Meijer AM, Stams GJ. Efficacy of EMDR in children: a meta-analysis. Clin Psychol Rev. 2009;29(7):599–606. https://doi.org/10.1016/j.cpr.2009.06.008.

    Article  PubMed  Google Scholar 

  65. Lieberman AF, Van Horn P, Ippen CG. Toward evidence-based treatment: child-parent psychotherapy with preschoolers exposed to marital violence. J Am Acad Child Adolesc Psychiatry. 2005;44(12):1241–8. https://doi.org/10.1097/01.chi.0000181047.59702.58.

    Article  PubMed  Google Scholar 

  66. Linehan MM, Korslund KE, Harned MS, Gallop RJ, Lungu A, Neacsiu AD, et al. Dialectical behavior therapy for high suicide risk in individuals with borderline personality disorder: a randomized clinical trial and component analysis. JAMA Psychiat. 2015;72(5):475–82. https://doi.org/10.1001/jamapsychiatry.2014.3039.

    Article  CAS  Google Scholar 

  67. Pelham WE, Burrows-MacLean L, Gnagy EM, Fabiano GA, Coles EK, Wymbs BT, et al. A dose-ranging study of behavioral and pharmacological treatment in social settings for children with ADHD. J Abnorm Child Psychol. 2014;42(6):1019–31. https://doi.org/10.1007/s10802-013-9843-8.

    Article  PubMed  PubMed Central  Google Scholar 

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  1. Department of Psychiatry and Behavioral Health, Pennsylvania State University College of Medicine, 500 University Drive, Hershey, PA, 17033-0850, USA

    Ramnarine Boodoo, Jasmin Gange Lagman & Raman Baweja

  2. Department of Pediatrics, Pennsylvania State University College of Medicine, Hershey, PA, USA

    Banku Jairath

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Boodoo, R., Lagman, J.G., Jairath, B. et al. A Review of ADHD and Childhood Trauma: Treatment Challenges and Clinical Guidance. Curr Dev Disord Rep 9, 137–145 (2022). https://doi.org/10.1007/s40474-022-00256-2

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