Evidence map›Paper›PMID 32787804›Full record

ArticleBMC psychiatry2020

Females with ADHD: An expert consensus statement taking a lifespan approach providing guidance for the identification and treatment of attention-deficit/ hyperactivity disorder in girls and women.

Susan Young, Nicoletta Adamo, Bryndís Björk Ásgeirsdóttir, Polly Branney, Michelle Beckett, William Colley, Sally Cubbin, Quinton Deeley, Emad Farrag, Gisli Gudjonsson and 12 more

Registry-linked trialAbstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06679010 (A Therapist-guided Online-delivered Group Counseling Program for Pregnant Women and New Mothers With ADHD), which is not on this map. Cited by 202 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
202citing papers in PubMed, 8 pooled it
–field-weighted citation impact
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.

NCT06679010 nacompletednot on this mapstarted 2025, after this paper: background citation

A Therapist-guided Online-delivered Group Counseling Program for Pregnant Women and New Mothers With ADHD: A Feasibility Study of AMOR; ADHD, Mothers Online Resources

TypeinterventionalSponsorUniversity of Southern DenmarkRan2025 to 2025Enrolled31ConditionsPregnancy, Mother, Women, Attention Deficit Disorder With HyperactivityArmsOnline group counseling
3 · Its place in the literature

Who cites it

202 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  7. ADHD and Sex Hormones in Females: A Systematic Review.Journal of attention disorders · 2025
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142 more citing papers are in PubMed but not listed here.

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

22 authors.

Susan YoungPsychology Services Limited, PO 1735, Croydon, London, CR9 7AE, UK. suzyyoung@aol.com.ORCID 0000-0002-8494-6949
Nicoletta AdamoSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, Kings College London, London, UK.
Bryndís Björk ÁsgeirsdóttirDepartment of Psychology, Reykjavik University, Reykjavik, Iceland.
Polly BranneyOxford ADHD and Autism Centre, Oxford, UK.
Michelle BeckettADHD Action, Harrogate, North Yorkshire, UK.
William ColleyCLC Consultancy, Perth, UK.
Sally CubbinManor Hospital, Oxford, UK.
Quinton DeeleyNational Autism Unit, Bethlem Royal Hospital, South London and Maudsley NHS Foundation Trust, Beckenham, UK.
Emad FarragSouth London & Maudsley NHS Foundation Trust, Maudsley Health, Abu Dhabi, UAE.
Gisli GudjonssonDepartment of Psychology, Reykjavik University, Reykjavik, Iceland.
Peter HillIndependent Consultant in Child and Adolescent Psychiatry, Private Practice, London, UK.
Jack HollingdaleMichael Rutter Centre, South London and Maudsley Hospital, London, UK.
Ozge KilicKoc University, Istanbul, Turkey.
Tony LloydADHD Foundation, Liverpool, UK.
Peter MasonADHD and Psychiatry Services Limited, Liverpool, UK.
Eleni PaliokostaTavistock and Portman NHS Foundation Trust, London, UK.
Sri PerecherlaSt Thomas' Hospital London, London, UK.
Jane SedgwickSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, Kings College London, London, UK.
Caroline SkirrowCambridge Cognition, Cambridge, UK.
Kevin TierneyNeuropsychiatry Team, National Specialist CAMHS, South London and Maudsley NHS Foundation Trust, London, UK.
Kobus van RensburgAdult ADHD and AS Team & CYP ADHD and ASD Service in Northamptonshire, Northampton, UK.
Emma WoodhouseForensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology, and Neuroscience, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is evidence to suggest that the broad discrepancy in the ratio of males to females with diagnosed ADHD is due, at least in part, to lack of recognition and/or referral bias in females. Studies suggest that females with ADHD present with differences in their profile of symptoms, comorbidity and associated functioning compared with males. This consensus aims to provide a better understanding of females with ADHD in order to improve recognition and referral. Comprehensive assessment and appropriate treatment is hoped to enhance longer-term clinical outcomes and patient wellbeing for females with ADHD.

methodsThe United Kingdom ADHD Partnership hosted a meeting of experts to discuss symptom presentation, triggers for referral, assessment, treatment and multi-agency liaison for females with ADHD across the lifespan.

resultsA consensus was reached offering practical guidance to support medical and mental health practitioners working with females with ADHD. The potential challenges of working with this patient group were identified, as well as specific barriers that may hinder recognition. These included symptomatic differences, gender biases, comorbidities and the compensatory strategies that may mask or overshadow underlying symptoms of ADHD. Furthermore, we determined the broader needs of these patients and considered how multi-agency liaison may provide the support to meet them.

conclusionsThis practical approach based upon expert consensus will inform effective identification, treatment and support of girls and women with ADHD. It is important to move away from the prevalent perspective that ADHD is a behavioural disorder and attend to the more subtle and/or internalised presentation that is common in females. It is essential to adopt a lifespan model of care to support the complex transitions experienced by females that occur in parallel to change in clinical presentation and social circumstances. Treatment with pharmacological and psychological interventions is expected to have a positive impact leading to increased productivity, decreased resource utilization and most importantly, improved long-term outcomes for girls and women.

Indexed as

Attention Deficit Disorder with HyperactivityAttentionConsensusFemaleHumansLongevityMaleUnited KingdomAttention-deficit/hyperactivity disorder (ADHD)ComorbidityConsensusFemaleGirlsIdentificationInterventionsTreatmentUKAPWomen

Identifiers

PMID32787804
PMCPMC7422602

What OpenQuestion holds

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Registered trials

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.