Evidence map›Paper›PMID 21494335›Full record

ArticlePrimary care companion to the Journal of clinical psychiatry2010

Challenges in identifying and managing attention-deficit/hyperactivity disorder in adults in the primary care setting: a review of the literature.

Larry Culpepper, Gregory Mattingly

Abstract read
In one paragraph

Article in Primary care companion to the Journal of clinical psychiatry, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
0.5field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Amphetamines: a current epidemic.Frontiers in psychiatry · 2025
    Article
  7. Observational
  8. Article
  9. Article
  10. Empowering Future Psychiatrists to Evaluate and Treat Adult Attention-Deficit/Hyperactivity Disorder.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2023
    Article
  11. Review
  12. Predicting Use of Medications for Children with ADHD: The Contribution of Parent Social Cognitions.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2020
    Article
  13. Article
  14. Adult ADHD: Risk Factor for Dementia or Phenotypic Mimic?Frontiers in aging neuroscience · 2017
    Article
  15. Article
  16. Diagnosis and Treatment of Attention Deficit Hyperactivity Disorder During Adolescence in the Primary Care Setting: A Concise Review.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2016
    Review
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Larry CulpepperDepartment of Family Medicine, Boston University, Massachusetts, USA. larry.culpepper@bmc.org
Gregory Mattingly
Boston University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine how to screen for and establish a correct diagnosis of attention-deficit/hyperactivity disorder (ADHD) in adults and to identify the outcomes associated with untreated ADHD. DATA SOURCES: PubMed was searched using the key words ADHD, adult, diagnosis, and primary care from the years 1999 to 2009. STUDY SELECTION: This search produced 50 publications. DATA EXTRACTION: Publications were screened for data specific to the diagnosis or management of adult patients with ADHD in the primary care setting. DATA SYNTHESIS: The estimated prevalence of ADHD in adults throughout the United States is 4.4% or approximately 10 million adults. Adults with ADHD by definition must experience impairment from the symptoms of ADHD in at least 2 areas of their life. Despite significant impairment, only 1 in 10 adults with ADHD have received ADHD treatment within the past year. Given the high rates of undertreatment, primary care physicians, who provide much of the general adult mental health care in the United States, are increasingly charged with making the diagnosis of ADHD in adults. ADHD symptoms are often masked by comorbid psychiatric conditions or patient adaptations such as choice of occupation. One of the ADHD assessment tools, a short 6-item screener, can simplify identification and management of ADHD in adults and help identify which patients may require further evaluation.

conclusionsPrimary care physicians should consult with other members of the health care community such as psychiatrists and psychologists when necessary, but should also develop a level of comfort with diagnosing and treating ADHD.

Identifiers

PMID21494335
PMCPMC3067998
OpenAlexW1995157367

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.