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ADHD Hinders Weight Loss in Adults

MDNG Primary Care, January 2011, Volume 13, Issue 1

From the Literature

ADHD Hinders Weight Loss in Adults

Among obese patients who are seeking weight-related treatment, attention-related problems are common and represent a significant barrier to weight control.


ADHD Linked to Obesity and Hypertension in Early Adulthood

Adult body mass index (BMI) and change in BMI from adolescence to adulthood are both associated with self-reported ADHD symptoms.


Best Practices in Diagnosing and Treating Adult ADHD

Based on population-prevalence data, nurse practitioners diagnose and treat adult ADHD at levels that are far below expected. Further, although those who suspected ADHD used appropriate diagnostic and treatment methods, more education is warranted for increasing confidence in nonpsychiatric nurse practitioners for improving targeted diagnosis and treatment.


Cognitive Development in Adults with ADHD

It appears that across the life cycle the association between ADHD and cognition neither deteriorates nor improves.


Gray Matter Abnormalities in Adults with ADHD

In the brains of adults with ADHD, volumetric abnormalities might be less pronounced than abnormalities in the brains of adolescents and children.


Structure and Diagnosis of Adult ADHD

Among those with childhood ADHD symptoms who continue to meet DSM-IV criteria for ADHD into adulthood, inattention has a much greater persistence than hyperactivity/impulsivity. However, inattention is not specific to ADHD, as it is strongly associated with other adult mental disorders. What’s more, executive functioning issues are specific and consistently important predictors of adult ADHD despite inclusion in the DSM-IV.


Young Adults with ADHD and Intimate Partner Violence

Even after controlling for conduct disorder—consistently associated with violence in intimate relationships—an association exists between ADHD and intimate partner violence, suggesting that service and treatment strategies are needed that address risk for violence and healthy intimate relationships among those with conduct disorder and ADHD.


Clinical Trials

BehavioralTreatment Program for ADHD


Cognitive Behavioral Therapy Interventions Provided by Unlicensed Professionals


Cognitive Remediation and Behavioral Intervention for ADHD


Computerized Cognitive Training in Adults with ADHD


Effects of Cognitive Training on Academic Task Performance in ADHD


Group-based Behavioral Therapy Combined with Stimulant Medication for Children with ADHD


Online CME

Performance Improvement Toolkit for Primary Care Practice in Adult ADHD



Expires:December 31, 2011


Seven separate courses—“Clinical Precis: Treatment of ADHD in Adults: Meeting Therapeutic Needs,” “Case Vignette: A 35-Year-Old Man with Difficulties at Work,” “Instant Replay: Understanding ADHD in Adult Patients,” “Practice Perspectives: Presentations of ADHD,” “Rapid Cycle Performance Improvement and PI CME,” “Case Vignette: 19-year-old Female with Difficulties at College,” and “Adult ADHD: Improving Outcomes through Rapid Cycle Performance Improvement”—make up this single activity, some suggested to take 15 minutes to complete and others 45 minutes. Overall, the activity explores strategies for overcoming barriers that impede primary care physicians from addressing ADHD, diagnostic tools for differentiating ADHD signs and symptoms from those of other conditions, and ways in which to meet individual patients’ treatment needs.


Today’s Patient in ADHD: A Focus on Transitional Care Across the Lifespan



Expires:June 2011


Consisting of two videos that tell the story of a 25-year-od graduate student who is concerned about student teaching on his quest to become a teacher and of a 45-year-old housewife with two children who is recently divorced and having trouble making ends meet, this activity address the symptoms of ADHD across the lifespan, the assessment and management of patients with ADHD from adolescence into adulthood, and the safety and efficacy of both pharmacologic and non-pharmacologic treatments of ADHD.


ADHD Across the Ages: Focus on the Adult


ADHD Performance Improvement


Adults with ADHD: Making Exam Room Decisions


Best Practices in Adult ADHD CME Multimedia Presentation


Differential Diagnosis of Adult Attention-Deficit/Hyperactivity Disorder: Treatment Options and Comorbidity Considerations


Principles for Practice: Case Studies in Attention-Deficit/Hyperactivity Disorder


Medical Websites

Attention Deficit Disorder Association: Professional Directory

This “invaluable resource” from the ADDA can be used to locate “professionals and a variety of services for families and individuals living with ADHD.” Use it to for obtaining second opinions or for finding the perfect physician for whom to refer your patients with suspected ADHD.


ADHD, Attention Deficit Hyperactivity Disorder in Primary Care for School-Age Children and Adolescents, Diagnosis and Management (Guideline)

Pertaining to the “diagnosis and management of attention deficit hyperactivity disorder in the primary care setting for children and adolescents from kindergarten through 12th grade,” this guideline was released in March 2010 and updated in late April. The guideline covers the evaluation of children and adolescents who are suspected of having ADHD based on DSM-IV-TR/DSM-PC diagnostic criteria, the screening of all patients for other primary conditions or comorbidities, appropriate use of medication in initial and ongoing management, the common need for multimodal intervention, and comprehensive monitoring and care coordination for all people with ADHD.


The Educated PatientTM

NIMH — Attention Deficit Hyperactivity Disorder

This detailed-booklet-gone-digital-resource from the National Institute of Mental Health addresses, in succinct yet comprehensive text, key information regarding ADHD. Fully referenced answers are provided to such questions as “What causes ADHD?” “What are the symptoms of ADHD in children?” and “What conditions can coexist with ADHD?” Medication, psychotherapy, the special needs of teens with ADHD, how to work with a child’s school, and current efforts to improve treatment are also discussed.


[Site of the Month]

CHADD — Children and Adults with Attention Deficit/Hyperactivity Disorder

Easily the most in-depth patient site for people with ADHD and their loved ones, the CHADD site includes sections specifically meant for parents, adults with ADHD, professionals, CHADD volunteers, and those who speak Spanish, among others. Here, site visitors can learn how to obtain support through the 16,000 CHADD members who volunteer at 200 local chapters across the country; learn about membership benefits, such as the bi-monthly

magazine; connect with others who are affected by ADHD; and learn more about the ins and outs of the disorder.



From the HCPLive Network

Computer-based Program may Help Relieve Some ADHD Symptoms in Children

An intensive, five-week working memory training program shows promise in relieving some of the symptoms of ADHD in children.


For Kids with ADHD, Does Greater Access to Care Mean Better Care?

Although access to care for children with ADHD has improved as a result of the Affordable Care Act, the quality hasn't necessarily improved, says one study.


Food Additives and ADHD: New Evidence of Genetic Factors Involving Histamine

Posted just in time for Halloween, this post discusses candy, children, and behavior problems.


ADHD Poster Presentations at AACAP 2010

On Saturday, several standout posters were presented that highlighted key considerations in the management of attention hyperactivity disorder.