Evidence map›Paper›PMID 33813662›Full record

ArticleEuropean child & adolescent psychiatry2022

Characterizing the heterogeneous course of inattention and hyperactivity-impulsivity from childhood to young adulthood.

Melissa Vos, Nanda N J Rommelse, Barbara Franke, Jaap Oosterlaan, Dirk J Heslenfeld, Pieter J Hoekstra, Marieke Klein, Stephen V Faraone, Jan K Buitelaar, Catharina A Hartman

Open access · hybridAbstract read
In one paragraph

Article in European child & adolescent psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.0field-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

22 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
  3. ADHD symptom trajectories and brain morphometry: A longitudinal analysis.medRxiv : the preprint server for health sciences · 2026
    Article
  4. Article
  5. From symptom-based heterogeneity to mechanism-based profiling in youth ADHD: the promise of computational psychiatry.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  6. Developmental Pathways of Inattention, Hyperactivity/Impulsivity, and Disruptive Behaviors: A Longitudinal, Person-Centered Approach.Clinical psychological science : a journal of the Association for Psychological Science · 2025
    Article
  7. Attention-deficit/hyperactivity disorder (ADHD) in adults: evidence base, uncertainties and controversies.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025
    Article
  8. Development of inattention and executive dysfunction in youth with spina bifida: condition severity variables as predictors.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Attention-deficit/hyperactivity disorder.Nature reviews. Disease primers · 2024
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 3 countries.

Melissa VosDepartment of Psychiatry, Interdisciplinary Center Psychopathology and Emotion Regulation (ICPE), University of Groningen, University Medical Center Groningen, Groningen, The Netherlands. m.vos03@umcg.nl.ORCID http://orcid.org/0000-0002-4777-6338
Nanda N J RommelseDepartment of Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.
Barbara FrankeDepartment of Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.
Jaap OosterlaanSection of Clinical Neuropsychology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Dirk J HeslenfeldSection of Clinical Neuropsychology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Pieter J HoekstraDepartment of Child and Adolescent Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Marieke KleinDepartment of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.
Stephen V FaraoneDepartment of Psychiatry, State University of New York Upstate Medical University, Syracuse, NY, USA.
Jan K BuitelaarKarakter Child and Adolescent Psychiatry University Center, Nijmegen, The Netherlands.
Catharina A HartmanDepartment of Psychiatry, Interdisciplinary Center Psychopathology and Emotion Regulation (ICPE), University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Radboud University Nijmegen · NLUniversity Medical Center Groningen · NLAmsterdam UMC Location University of Amsterdam · NLSUNY Upstate Medical University · USVrije Universiteit Amsterdam · NL

Funding

International Multi-Center ADHD Genetics ProjectR01MH062873 · NIMH · UPSTATE MEDICAL UNIVERSITY · PI FARAONE, STEPHEN V · 2002 to 2007
$7.2M
Analysis of an ADHD Whole Genome Association ScanR01MH081803 · NIMH · UPSTATE MEDICAL UNIVERSITY · PI FARAONE, STEPHEN V · 2007 to 2007
$157k
Nederlandse Organisatie voor Wetenschappelijk Onderzoek 1750102007010Nederlandse Organisatie voor Wetenschappelijk Onderzoek 433-09-242NIH HHS R01MH081803NIH HHS R01MH62873NIMH NIH HHS R01 MH062873NIMH NIH HHS R01 MH081803ZonMw 60-60600-97-193
6 · The paper itself

Abstract

To advance understanding of the heterogeneity in the course of ADHD, joint symptom trajectories of inattention and hyperactivity-impulsivity from childhood to young adulthood were modelled and associated with genetic, demographic, and clinical characteristics. Data were obtained from the NeuroIMAGE cohort which includes 485 individuals with ADHD, their 665 siblings, and 399 typically developing children. Trajectories were based on scores of the Conners Parent Rating Scale Revised and estimated over seven homogeneous age bins (from 5 to 28 years) using parallel process latent class growth analysis on data collected across 2-4 time points. Multilevel multinomial logistic regression was used to identify characteristics that differentiated between the derived classes. A seven-class solution revealed "severe combined stable" (4.8%), "severe combined decreasing" (13%), "severe inattentive stable" (4.8%), "moderate combined increasing" (7.5%), "moderate combined decreasing" (12.7%), "stable mild" (12.9%), and "stable low" (44.3%) classes. Polygenic risk for depression, ADHD diagnosis, ADHD medication use, IQ, comorbid symptom levels (foremost oppositional behaviour), and functional impairment levels differentiated classes with similar ADHD symptom levels in childhood but a diverging course thereafter. The course of ADHD is highly heterogeneous, with stable, decreasing, and increasing trajectories. Overall, severe symptom levels in childhood are associated with elevated-to-severe symptom levels in adolescence and young adulthood, despite substantial symptom reductions. Beyond symptom severity in childhood, genetic, demographic, and clinical characteristics distinguish the heterogeneous course.

Indexed as

Attention Deficit Disorder with HyperactivityAdolescentAdultChildChild, PreschoolCohort StudiesComorbidityHumansImpulsive BehaviorYoung AdultADHDHeterogeneityLate-onsetPolygenic risk scoresTrajectories

Identifiers

PMID33813662
PMCPMC9343304
OpenAlexW3148805327

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.