Evidence map›Paper›PMID 27680974›Full record

ArticleCNS spectrums2017

ADHD symptoms in non-treatment seeking young adults: relationship with other forms of impulsivity.

Samuel R Chamberlain, Konstantinos Ioannidis, Eric W Leppink, Faiza Niaz, Sarah A Redden, Jon E Grant

Open access · greenAbstract read
In one paragraph

Article in CNS spectrums, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

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  10. Manifesto for a European research network into Problematic Usage of the Internet.European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology · 2018
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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

6 authors at 2 institutions in 2 countries.

Samuel R Chamberlain1Department of Psychiatry,University of Cambridge,Cambridge,UK.
Konstantinos Ioannidis1Department of Psychiatry,University of Cambridge,Cambridge,UK.
Eric W Leppink3Department of Psychiatry & Behavioral Neuroscience,University of Chicago,Chicago, Illinois,USA.
Faiza Niaz1Department of Psychiatry,University of Cambridge,Cambridge,UK.
Sarah A Redden3Department of Psychiatry & Behavioral Neuroscience,University of Chicago,Chicago, Illinois,USA.
Jon E Grant3Department of Psychiatry & Behavioral Neuroscience,University of Chicago,Chicago, Illinois,USA.
Cambridgeshire and Peterborough NHS Foundation Trust · GBUniversity of Chicago · US

Funding

Wellcome Trust 110049
6 · The paper itself

Abstract

objectiveAttention-deficit hyperactivity disorder (ADHD) has been associated with various manifestations of impulsivity in adults, including elevated rates of other impulsive disorders, substance use, questionnaire-based impulsivity scores, and inhibitory dysregulation on neurocognitive tests. The relationship between ADHD and all these other forms of impulsivity has yet to be explored within the context of a single comprehensive study.

methodsA total of 423 young adults, who gambled ≥5 times in the preceding year, were recruited using media advertisements and undertook detailed assessment including structured psychiatric interview, questionnaires, and neurocognitive tests. Participants with ADHD symptoms were identified using the Adult ADHD Self-Report Scale Screener (ASRS-V1.1) and were compared to controls using multivariate analysis of variance (MANOVA).

resultsADHD symptoms were found in 20.3% of the sample, but only 7.3% of these subjects had ever received a formal diagnosis. ADHD symptoms were associated with significantly lower quality of life, lower self-esteem, higher emotional dysregulation, higher impulsivity questionnaire scores, more problematic Internet use, greater occurrence of psychiatric disorders, and impaired stop-signal reaction times. Of these variables, stop-signal reaction times and Barratt attentional impulsiveness were the strongest predictors of group classification.

conclusionsADHD symptoms are common and under-diagnosed in young adults who gamble, and are most strongly linked with certain other types of impulsivity (questionnaire- and cognitive-based measures) and with emotional dysregulation, suggesting that these are each important considerations in understanding the pathophysiology of the disorder, but also potential treatment targets. It is necessary to question whether treatment for adult ADHD could be enhanced by considering self-esteem, emotional reactivity, and impaired inhibitory control as specific treatment targets, in addition to the core diagnostic symptoms of the disorder.

Indexed as

Impulsive BehaviorAdolescentAdultAlcohol DrinkingAttention Deficit Disorder with HyperactivityEmotionsFemaleGamblingHumansMaleMental DisordersNeuropsychological TestsPrevalenceQuality of LifeReaction TimeSelf ConceptADHDcognitiongamblingimpulsivityinhibition

Identifiers

PMID27680974
PMCPMC5330410
OpenAlexW2524698883

What OpenQuestion holds

Textmetadata
LicenceTDM
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.