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Sökning: L773:1557 1246 > Umeå universitet

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1.
  • Carelli, Maria Grazia, 1959-, et al. (författare)
  • Time out of mind : temporal perspective in adults with ADHD
  • 2012
  • Ingår i: Journal of Attention Disorders. - : SAGE. - 1087-0547 .- 1557-1246. ; 16:6, s. 460-466
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective: ADHD is often associated with difficulties in planning and time management. In this study, the authors examined the hypothesis that these functional problems in ADHD reflect systematic biases in temporal orientation.Method: To test this hypothesis, adults with ADHD (n = 30) and healthy controls (n = 60) completed the Swedish version of the Zimbardo Time Perspective Inventory (S-ZTPI).Results: Although a majority of the ADHD participants were tested under stimulant medication, they showed significant differences in all the six subscales of the S-ZTPI. Logistic regression analysis, with age, education, depression, and response inhibition as covariates, showed that the Future Positive Scale was the primary predictor of ADHD status.Conclusion: These findings suggest that ADHD is associated with systematic biases in habitual time orientation and that these differences may contribute to functional problems in ADHD.
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2.
  • Giacobini, MaiBritt, et al. (författare)
  • Epidemiology, treatment patterns, comorbidities, and concomitant medication in patients with ADHD in Sweden : a registry-based study (2018–2021)
  • 2023
  • Ingår i: Journal of Attention Disorders. - : Sage Publications. - 1087-0547 .- 1557-1246. ; 27:12, s. 1309-1321
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective: To evaluate treatment patterns for ADHD in Sweden.Method: Observational retrospective study of patients with ADHD from the Swedish National Patient Register and Prescribed Drug Register, 2018 to 2021. Cross-sectional analyses included incidence, prevalence, and psychiatric comorbidities. Longitudinal analyses (newly diagnosed patients) included medication, treatment lines, duration, time-to-treatment initiation, and switching.Results: Of 243,790 patients, 84.5% received an ADHD medication. Psychiatric comorbidities were common, particularly autism among children, and depression in adults. Most frequent first-/second-line treatments were methylphenidate (MPH; 81.6%) and lisdexamfetamine dimesylate (LDX; 46.0%), respectively. In the second-line, LDX was most frequently prescribed (46.0%), followed by MPH (34.9%), then atomoxetine (7.7%). Median treatment duration was longest for LDX (10.4 months), followed by amphetamine (9.1 months).Conclusion: This nationwide registry study provides real-life insights into the current epidemiology of ADHD and the changing treatment landscape for patients in Sweden.
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3.
  • Johansson, Viktoria, et al. (författare)
  • The quantified behavioral test failed to differentiate ADHD in adolescents with neurodevelopmental problems.
  • 2021
  • Ingår i: Journal of Attention Disorders. - : Sage Publications. - 1087-0547 .- 1557-1246. ; 25:3, s. 312-321
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective: The Quantified Behavioral Test (QbTest) is a computerized diagnostic test for ADHD, used in clinical psychiatric care, but its validity may be questioned. We analyzed the QbTest's diagnostic validity and its relation to cognitive ability and psychosocial factors in an adolescent population with a high occurrence of neurodevelopmental disorders.Method: In total, 340 participants aged 15 years, completed the QbTest, along with questionnaires, clinical and intelligence quotient (IQ) assessments.Results: The clinical assessment resulted in 89 (26%) participants with ADHD. Area under curve (AUC) scores indicated a random to poor validity of the QbTest (AUC range = 0.48-0.64). QbTest scores of inattention and impulsivity correlated with IQ.Conclusion: The QbTest was insufficient as a diagnostic test for ADHD, and was not able to differentiate ADHD from other neurodevelopmental conditions. Clinicians should be aware of the dubious discriminating power of the QbTest.
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4.
  • Mäntylä, Timo, et al. (författare)
  • Decision Making in Adults With ADHD
  • 2012
  • Ingår i: Journal of Attention Disorders. - Thousand oaks, USA : Sage Publications. - 1087-0547 .- 1557-1246. ; 16:2, s. 164-173
  • Tidskriftsartikel (refereegranskat)abstract
    • Objectives: This study examined decision-making competence in ADHD by using multiple decision tasks with varying demands on analytic versus affective processes. Methods: Adults with ADHD and healthy controls completed two tasks of analytic decision making, as measured by the Adult Decision-Making Competence (A-DMC) battery, and two affective decision tasks (the Balloon Analog Risk Task and the lowa Gambling Task). Results: Although a majority of the ADHD participants were tested under medication, they showed impairments in both types of task. However, logistic regression analysis showed that the applying-decision-rules task of the A-DMC battery was the only significant predictor of ADHD status. Conclusions: These findings suggested that ADHD is associated with impaired decision making in tasks involving a significant degree of cognitive control. Although both deliberative and affective neurocognitive systems probably contributed to ADHD-related problems in decision making, the findings underlined the involvement of prefrontally mediated executive functions. (J. of Att. Dis. 2012; 16(2) 164-173)
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