Evidence map›Paper›PMID 33548493›Full record

SynthesisJournal of the American Academy of Child and Adolescent Psychiatry2021

Systematic Review: How the Attention-Deficit/Hyperactivity Disorder Polygenic Risk Score Adds to Our Understanding of ADHD and Associated Traits.

Angelica Ronald, Nora de Bode, Tinca J C Polderman

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of the American Academy of Child and Adolescent Psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 4 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.

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

61 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  6. Article
  7. Article
  8. Association Between the Genetic Risk for Attention-Deficit/Hyperactivity Disorder and Cognitive Function in Older Age: The MYHAT Population-Based Study.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
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  20. Common and rare genetic variants explain distinct diagnostic variance in pediatric attention deficit hyperactivity disorder.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article

1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Angelica RonaldBirkbeck University of London, United Kingdom.
Nora de BodeVrije Universiteit Amsterdam, the Netherlands, and Amsterdam UMC, the Netherlands.
Tinca J C PoldermanVrije Universiteit Amsterdam, the Netherlands, and Amsterdam UMC, the Netherlands. Electronic address: tinca.polderman@amsterdamumc.nl.

Funding

Intervention effects of intensity and delivery style for toddlers with ASDR01MH100030 · NIMH · UNIVERSITY OF CALIFORNIA AT DAVIS · PI ROGERS, SALLY J · 2013 to 2017
$13.4M
Interdisciplinary Training for Autism Researchers(RMI)T32MH073124 · NIMH · UNIVERSITY OF CALIFORNIA DAVIS · PI Stephen Charles Noctor, Christine Wu Nordahl · 2004 to 2026
$6.8M
Predictors of Cognitive Development in Autism Spectrum DisorderR01MH103284 · NIMH · UNIVERSITY OF CALIFORNIA AT DAVIS · PI SOLOMON, MARJORIE · 2014 to 2024
$6.3M
Neural Phenotypes of Females with Autism Spectrum DisorderR01MH104438 · NIMH · UNIVERSITY OF CALIFORNIA AT DAVIS · PI NORDAHL, CHRISTINE WU · 2014 to 2018
$3.5M
Neurodevelopment of cognitive control in autism: adolescence to young adulthoodR01MH106518 · NIMH · UNIVERSITY OF CALIFORNIA AT DAVIS · PI SOLOMON, MARJORIE · 2016 to 2020
$3.1M
NIMH NIH HHS R01 MH100030NIMH NIH HHS R01 MH103284NIMH NIH HHS R01 MH104438NIMH NIH HHS R01 MH106518NIMH NIH HHS T32 MH073124
6 · The paper itself

Abstract

objectiveTo investigate, by systematically reviewing the literature, whether the attention-deficit/hyperactivity disorder (ADHD) polygenic risk score (PRS) associates with ADHD and related traits in independent clinical and population samples.

methodPubMed, Embase and PsychoInfo were systematically searched, alongside study bibliographies. Quality assessments were conducted, and a best-evidence synthesis was applied. Studies were excluded when the predictor was not based on the latest ADHD genome-wide association study, when PRS was not based on genome-wide results, or when the study was a review. Initially, 197 studies were retrieved (February 22, 2020), and a second search (June 3, 2020) yielded a further 49 studies. From both searches, 57 studies were eligible, and 44 studies met inclusion criteria.

resultsIncluded studies were published in the last 3 years. Over 80% of the studies were rated excellent, based on a standardized quality assessment. Evidence of associations between ADHD PRS and the following categories was strong: ADHD, ADHD traits, brain structure, education, externalizing behaviors, neuropsychological constructs, physical health, and socioeconomic status. Evidence for associations with addiction, autism, and mental health were mixed and were, so far, inconclusive. Odds ratios for PRS associating with ADHD ranged from 1.22% to 1.76%; variance explained in dimensional assessments of ADHD traits was 0.7% to 3.3%.

conclusionA new wave of high-quality research using the ADHD PRS has emerged. Eventually, symptoms may be partly identified based on PRS, but the current ADHD PRS is useful for research purposes only. This review shows that the ADHD PRS is robust and reliable, associating not only with ADHD but many outcomes and challenges known to be linked to ADHD.

Indexed as

Attention Deficit Disorder with HyperactivityGenome-Wide Association StudyHumansOdds RatioPhenotypeRisk Factorsattention-deficit/hyperactivity disordercomorbiditygeneticsneurodevelopmentpsychiatry

Identifiers

PMID33548493
PMCPMC11164195

What OpenQuestion holds

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Registered trials

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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.