Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-18T07:58:21.608Z Has data issue: false hasContentIssue false

ADHD symptoms across the lifespan in a population-based Swedish sample aged 65 to 80

Published online by Cambridge University Press:  14 December 2012

Taina Guldberg-Kjär*
Affiliation:
Department of Psychology, University of Gothenburg, Gothenburg, Sweden Department of Adult Psychiatry Kristianstad, Psychiatry Region Skåne, Sweden
Sally Sehlin
Affiliation:
Retired, Neuropsychiatric Investigative Unit for Adults, Department of Psychiatry, Kungälv Hospital, Kungälv, Sweden
Boo Johansson
Affiliation:
Department of Psychology, University of Gothenburg, Gothenburg, Sweden
*
Correspondence should be addressed to: Taina Guldberg-Kjär, Department of Psychology, University of Gothenburg, Box 500, SE-405 30 Göteborg, Sweden. Phone: +46 44 3092075. Email: [email protected].
Get access

Abstract

Background: The purpose of the study was to examine the attention deficit hyperactivity disorder (ADHD) symptomatology across the lifespan by comparing older individuals’ self-reports about current ADHD symptoms and symptoms in childhood.

Methods: The 25-item Wender Utah Rating Scale (WURS) was initially administered in a population-based sample of 1,599 persons aged 65–80 years. We also asked about current health, memory, and problems in childhood. Based on their WURS scores (below and above 36), we randomly drew two subsamples, each with 30 individuals. They were followed up by the Wender Riktad ADHD Symtom Skala (WRASS)-scale, a Swedish version of the Targeted Attention Deficit Disorder Rating Scale (TADDS).

Results: Our main finding was that higher WURS scores were significantly related to higher scores on the WRASS scale, indicating persistence of self-reported ADHD symptoms over the whole lifespan. Among those with a WURS score of 36 or more, 16 (53.3%) individuals scored 70 or more; the clinical cut-off used in Sweden. None of the individuals with a WURS score below 36 scored higher than 70 on the WRASS scale.

Conclusions: Our findings support the idea of a significant persistence of ADHD symptoms from childhood to old age. The results encourage studies of ADHD using a lifespan perspective, particularly in examining ADHD symptoms in old age.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Asherson, P., Chen, W., Craddock, B. and Taylor, E. (2007). Adult attention-deficit hyperactivity disorder: recognition and treatment in general adult psychiatry. The British Journal of Psychiatry, 190, 45.CrossRefGoogle ScholarPubMed
Baena, E., Allen, P. A., Kaut, K. P. and Hall, R. J. (2010). On age differences in prefrontal function: the importance of emotional/cognitive integration. Neuropsychologia, 48, 319333.CrossRefGoogle ScholarPubMed
Barkley, R. A. (2002). Major life activity and health outcomes associated with attention-deficit/hyperactivity disorder. The Journal of Clinical Psychiatry, 63 (Suppl. 12), 1015.Google ScholarPubMed
Barkley, R. A. (2010). Deficient emotional self-regulation: a core component of attention-deficit/hyperactivity disorder. Journal of ADHD & Related Disorders, 1, 537.Google Scholar
Bernardi, S.et al. (2012). The lifetime impact of attention deficit hyperactivity disorder: results from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Psychological Medicine, 42, 875887.CrossRefGoogle ScholarPubMed
Biederman, J., Faraone, S. V., Spencer, T. J., Mick, E., Monuteaux, M. C. and Aleardi, M. (2006). Functional impairments in adults with self-reports of diagnosed ADHD: a controlled study of 1001 adults in the community. The Journal of Clinical Psychiatry, 67, 524540.CrossRefGoogle ScholarPubMed
Brod, M., Schmitt, E., Goodwin, M., Hodgkins, P. and Niebler, G. (2012). ADHD burden of illness in older adults: a life course perspective. Quality of Life Research, 21, 795799.CrossRefGoogle ScholarPubMed
Centers for Disease Control and Prevention (2010). Increasing prevalence of parent-reported attention-deficit/hyperactivity disorder among children – United States, 2003 and 2007. Morbidity and Mortality Weekly Report, 59, 14391443.Google Scholar
da Silva, M. A. and Louza, M. (2008). Case of a 67-year-old woman diagnosed with ADHD successfully treated with methylphenidate. Journal of Attention Disorders, 11, 623.CrossRefGoogle ScholarPubMed
Faraone, S. V., Biederman, J. and Mick, E. (2006). The age-dependent decline of attention deficit hyperactivity disorder: a meta-analysis of follow-up studies. Psychological Medicine, 36, 159165.CrossRefGoogle ScholarPubMed
Golimstok, A., Rojas, J. I., Zurni, M. C., Doctorovich, D. and Cristiano, E. (2010). Previous adult attention-deficit and hyperactivity disorder symptoms and risk of dementia with Lewy bodies: a case-control study. European Journal of Neurology, 18, 7884.CrossRefGoogle Scholar
Guldberg-Kjär, T. and Johansson, B. (2009). Old people reporting childhood AD/HD symptoms: retrospectively self-rated AD/HD symptoms in a population-based Swedish sample aged 65–80. Nordic Journal of Psychiatry, 63, 375382.CrossRefGoogle Scholar
Kessler, R. C.et al. (2006). The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication. The American Journal of Psychiatry, 163, 716723.CrossRefGoogle ScholarPubMed
Kooij, J. J., Buitelaar, J. K., van den Oord, E. J., Furer, J. W., Rijnders, C. A. and Hodiamont, P. P. (2005). Internal and external validity of attention-deficit hyperactivity disorder in a population-based sample of adults. Psychological Medicine, 35, 817827.CrossRefGoogle Scholar
Manor, I., Rozen, S., Zemishlani, Z., Weizman, A. and Zalsman, G. (2011). When does it end? Attention-deficit/hyperactivity disorder in the middle aged and older populations. Clinical Neuropharmacology, 34, 148154.CrossRefGoogle ScholarPubMed
McCann, B. S., Scheele, L., Ward, N. and Roy-Byrne, P. (2000). Discriminant validity of the Wender Utah Rating Scale for attention-deficit/hyperactivity disorder in adults. The Journal of Neuropsychiatry & Clinical Neurosciences, 12, 240245.CrossRefGoogle ScholarPubMed
Merikangas, K. R., He, J.-P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., Benjet, C., Georgiades, K. and Swendsen, J. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 49, 980989.CrossRefGoogle ScholarPubMed
Michielsen, M., Semeijn, E., Comijs, H. C., van de Ven, P., Beekman, A. T., Deeg, D. J. and Kooij, J. J. (2012). Prevalence of attention-deficit hyperactivity disorder in older adults in the Netherlands. The British Journal of Psychiatry, 201, 298305.CrossRefGoogle ScholarPubMed
Mordre, M., Groholt, B., Kjelsberg, E., Sandstad, B. and Myhre, A. M. (2011). The impact of ADHD and conduct disorder in childhood on adult delinquency: a 30 years follow-up study using official crime records. BMC Psychiatry, 11, 57.CrossRefGoogle ScholarPubMed
Nadeau, K. G. and Quinn, P. O. (2002). Understanding Women with AD/HD. Washington, DC: Advantages Books.Google Scholar
Okie, S. (2006). ADHD in adults. The New England Journal of Medicine, 354, 26372641.CrossRefGoogle ScholarPubMed
Reimherr, F. W., Hedges, D. W., Strong, R. E., Marchant, B. K. and Williams, E. D. (2005). Bupropion SR in adults with ADHD: a short-term, placebo-controlled trial. Journal of Neuropsychiatric Disease and Treatment, 1, 245251.Google ScholarPubMed
Rossini, E. D. and O'Connor, M. A. (1995). Retrospective self-reported symptoms of attention-deficit hyperactivity disorder: reliability of the Wender Utah Rating Scale. Psychological Reports, 77, 751754.CrossRefGoogle ScholarPubMed
Walitza, S.et al. (2007). Association of Parkinson's disease with symptoms of attention deficit hyperactivity disorder in childhood. Journal of Neural Transmission. Supplementum, 311–315.Google Scholar
Ward, M. F., Wender, P. H. and Reimherr, F. W. (1993). The Wender Utah Rating Scale: an aid in the retrospective diagnosis of childhood attention deficit hyperactivity disorder. The American Journal of Psychiatry, 150, 885890.Google ScholarPubMed
Wender, P. H. (1995). Attention-Deficit Hyperactivity Disorder in Adults. New York: Oxford University Press.Google Scholar
Wender, P. H. (2000). Attention-Deficit Hyperactivity Disorder in Children and Adults. New York: Oxford University Press.Google Scholar
Wender, P. H., Wolf, L. E. and Wasserstein, J. (2001). Adults with ADHD: an overview. Annals of the New York Academy of Sciences, 931, 116.CrossRefGoogle ScholarPubMed
Wetzel, M. W. and Burke, W. J. (2008). Addressing attention deficit/hyperactivity disorder in later adulthood. Clinical Geriatrics, 16, 3339.Google Scholar