ADHD: inattention and hyperactivity have been the focus of research – but emotional problems may be the missing link
ADHD is diagnosed using criteria from a document called DSM-5, which include symptoms of inattention, hyperactivity and impulsivity.
- ADHD is diagnosed using criteria from a document called DSM-5, which include symptoms of inattention, hyperactivity and impulsivity.
- But it is becoming increasingly clear to researchers that the condition also comes with self-control problems, affecting the ability to regulate emotions.
- For example, 2.1% of children with a diagnosis of ADHD also have a mood disorder, such as depression, while 27.4% have an anxiety disorder.
- Children with anxiety and depression symptoms only exhibited those deficits if they also had problems with attention.
- So it seems that one possible route to helping children with ADHD or mood disorders with cognitive development is to focus on improving their attention.
Treatments
- Methylphenidate roughly works by increasing three chemicals in the brain: dopamine, serotonin and noradrenaline.
- Dopamine can improve attention, learning, working memory and motivation, while noradrenaline reduces impulsivity and boosts attention.
- This research suggests that cognitive control, which is associated with frontal areas, can be improved by methylphenidate.
- This should be offered to children with ADHD, in conjunction with pharmacological treatments.
ADHD on the rise
- The number of ADHD diagnoses are rising across the world, and so are prescriptions of methylphenidate.
- In the UK, a study estimated that the use of ADHD medications has increased by almost 800% from 2000 to 2015.
- It may be that the prevalence of ADHD will increase even more in the future as coping strategies become less effective and people seek help and ultimately receive a diagnosis.
- The more we learn about brain basis of ADHD, the easier it will get to treat.