Adhd Attention Deficit Hyperactivity Disorder: Aetiology and Epidemiology

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Hyperactivit

ADHD
Attention Deficit Hyperactivity Disorder
Definition
A severe form of long-term
hyperactivity associated with
inattention and impulsivity arising
before the age of 6 years.
Also known as hyperkinetic disorder.

Risk factors
Conduct disorder
Learning difficulties
Antisocial behaviour
Depression

Impulsivity

Symptoms
Hyperactivity-impulsivity
symptoms
Fidgeting
Interrupts others
Jumping the queue
Talking excessively

Inattention symptoms
Easily distracted
Does not listen
Forgetful

Management
Information and support
for parents and teachers
Attend to educational
deficits and
environmental factors
Behavioural
modification; reward
good behavior and
discourage
reinforcement of
problem behaviour.
Medication:
Methylpenidate (CNS
stimulant) affects
chemicals in the brain
and nerves that
contribute to
hyperactivity and
impulse control.
Atomoxetine (Selective
noadrenaline reuptake
inhibitor ) help to
improve attention span
and behaviour (can

Inattention

Aetiology and
Epidemiology
50% risk in monozygotic
twins
There in increase in conduct
disorder and substance
misuse in the parents.
There is dopamine and
noradrenaline dysregulation
in the prefrontal cortex,
which controls the
executive functions.
Executive functions are
specific mental activities
that allow self-control.
Examination and
Investigation
Development
assessment and full
neurological
examination.
Diagnosed by specialist
assessment, including
psychometric testing
Collect information from
parents and teachers to
ensure the symptoms
are present in more than
one environment.
Connors assessment
scale may be useful.

Complications
Difficulties learning
Risk of accidents (due
to impulsivity)
Low self esteem and
peer rejection

Prognosis
Usually symptoms
reduce by puberty
Conduct disorder
and other comorbidities give a
poorer prognosis.

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