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Overview of Attention Deficit/Hyperactivity Disorder


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ADHD in Pediatric Populations

ADHD Overview

  • ADHD is characterized by a pattern of inattention and hyperactive, impulsive behavior that interferes with functioning and development

Epidemiology

  • Affects approximately 10.5% of US children aged 3 to 17 years
  • Prevalence increases with age and is highest in adolescents 12 to 17 years (15.5%)
  • Gender disparity: 13.3% of boys vs 7.5% of girls

Clinical Presentation

  • Inattention symptoms: frequent distraction, forgetfulness, disorganization, inability to follow instructions or complete tasks
  • Hyperactivity/impulsivity symptoms: constantly “on the go,” impatience, disruptive behavior, excessive talking, potentially dangerous activities (example given of 4-year-old child climbing onto roof)

Etiology

  • Strong genetic component (described as “heritable as height”)
  • Associated risk factors:
    • Idiopathic epilepsy
    • Visual and hearing impairment
    • Prematurity
    • Prenatal exposure to smoking
    • Very low birth weight
    • Traumatic brain injury
    • Reduced behavioral inhibition

Upcoming Content

  • Treatment options for pediatric ADHD
  • Best practices for transitioning ADHD management from pediatric to adult care
  • Emerging therapies for ADHD



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